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   Current UPMC employees must apply in HR Direct

Health Services Researcher (Remote or Hybrid)

Description

UPMC Health Plan is hiring a full-time Health Services Researcher to support the Center for High-Value Health Care. The UPMC Center for High-Value Health Care (the Center) is a non-profit research organization, housed within the UPMC Insurance Services Division (ISD), which focuses on innovations, including optimizing clinical programs and payment models across the UPMC integrated health care delivery and finance system and building an extramural portfolio of research that holds promise for achieving the triple aim of improved health outcomes, reduced cost, and enhanced patient experience. 

The Health Services Researcher reports to the Associate Chief Research and Translation Officer and is responsible for providing scientific and administrative oversight for core components of the Center’s work, namely execution of externally funded research and other evaluation plans, proposal preparation and submission, implementation of funded projects, and production of scientific deliverables across a range of projects that reflect priorities areas including, but not limited to, health equity and social determinants of health, alternative payment models, behavioral health integration, tele/digital health, maternal and child health, and post-acute care.

The Health Services Researcher takes a leadership role in the development, design, and analyses for various Center projects that examine the impact of UPMC ISD initiatives and programs. To successfully perform the role, the Health Services Researcher must have advanced experience in evaluation design and implementation science. They must have experience with mixed-method research design, including the use of advanced statistical approaches and qualitative research methods to assess program impact on outcomes related to care quality, cost, and other patient-, provider- and business-centered metrics. The position requires the ability to identify opportunities to improve business performance and articulate these opportunities to internal and external audiences in both oral and written format, implement the solutions, and track and monitor progress. 
 

 
Responsibilities:

  

  • Independently prioritize and manage more than five program evaluations and/or statistical analytics projects simultaneously, while receiving minimal supervision.
  • Design and perform statistical analyses, and then be able to explain this analysis to a non-technical audience of both internal and external partners including senior management.
  • Serve as expert consultant on outcomes to clinical leadership during program design and planning to ensure rigor and feasibility of evaluation of outcomes.
  • Execute analytic plans for program evaluation, feasibility studies, and research studies including the creation of testable hypotheses.
  • Produce a combination of quantitative financial analysis and clinical utilization analysis to produce new insights into drivers of program performance.
  • Routinely analyze clinical results, including output from predictive models.
  • Develop knowledge and expert understanding of clinical programs and initiative designs of UPMC Health Plan to facilitate analysis.
  • Lead customer-oriented report creation that provides clinical, quality, and financial context for the analysis and recommendations, requiring only minimal revision by others.
  • Work closely with senior leadership to scope out strategic projects, independently develop evaluation plans, and lead a team to execute and deliver on those plans.
  • Consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively.
  • Oversee and supervise the work of research staff and serve as reference point for questions on day-to-day basis.
  • Prepare and distribute work assignments to direct reports.
  • Manage communication and customer expectations with stakeholders, academic and other partners, and program teams.
  • Contributes to strategic planning, development, and execution of a portfolio of evaluation and grant-related activities.
  • Contributes to the strategic development and writing of research proposals for external funding and, where appropriate, serves as an investigator.
  • Develops and maintains partnerships with internal and external collaborators toward the development of initiatives, submission of grant proposals, and management of deliverables.
  • Writes and coordinates publications in peer-reviewed journals and industry reports.  
  • Conducts rapid cycle evaluation to provide new data for line of business leaders to refine health care strategies/models.
  • Organizes and leads stakeholder workgroups, producing regular reports for internal audiences, and making recommendations for future implementation and evaluation strategy. 
  • Works collaboratively with a team of health services researchers, research partners, line of business analysts, and senior leadership to execute initiative deliverables. 
  • Serves as a consultant/process expert in designing studies within health services research and provide training and support to other analysts as needed. 
     

 

Qualifications

  • Master's degree in research, policy, epidemiology, health care management, economics, or a similar, quantitative field. PhD preferred.
  • Minimum of eight-to-ten years of work experience in a quantitative job function; ten years are preferred.
  • Demonstrated expertise in particularly-relevant program evaluation and design methods or health care business domain (payer/provider) may reduce time-in-position requirements.
  • Advanced Analytics Skill Set
  • The successful Health Services Researcher can: Apply analytical and statistical software tools to produce complex, quantitative clinical program analysis. Work typically includes the use of statistical analyses, modeling. Demonstrate consistent application of strong problem-solving skills in the creation and interpretation of quantitative analyses, and to lead the development of evaluation plans. Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis. Ability to design and plan program evaluations including clinical outcomes analysis and financial (ROI) assessment without supervision is required.
  • Prior experience with clinical modeling or data analysis is required.
  • Demonstrate prior application of analytics methods specifically to health insurance or health care delivery industry data at the intermediate level.
  • General knowledge of business and economic principles strengthens the application. Advanced Analytics Technology Skills
  • The successful HSR will have: Advanced-level experience using SAS or R to conduct analysis. Demonstrated application of a similar programming language or analysis tool such as SPSS, STATA, or Statistica may also be acceptable. The ability to extract and manipulate data from large, complex data sets with only occasional supervision necessary. The ability to independently apply multiple advanced quantitative analytics, business modeling, and intermedia


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   Current UPMC employees must apply in HR Direct