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UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

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Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Clinical Affairs Economics Analyst Senior

  • Job ID: 916940186
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: INS Payer Provider
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $33.86 to $57.80 / hour

Description

UPMC Health Plan is currently Hiring a Clinical Affairs Econom Analyst Senior. This position will work M-F regular daylight schedule. This position is hybrid and has remote options. You will be able to work from home one 2-3 days in this role. (privilege eligibility is subject to continued achievement of business goals and on-site department needs)


In this position, you will manage the comprehensive analysis of data and information for various UPMC Health Plan products and programs. You will take a leadership role in the enhancement, development, documentation, and communication of identified variances and assessment of strategic opportunities. To successfully perform the role, you must understand the causes of financial & clinical trends and anomalies. The Health Economics Analyst must use their knowledge and understanding of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance. Furthermore, the position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. These functions must be done while also weighing the practical considerations and potential barriers that need to be overcome in order to successfully implement new programs and processes.

Responsibilities:

 

  • Produce customer-oriented reports that provide business context for the analysis and recommendations, requiring only moderate revision by the supervisor or analytics communications team.
  • Routinely apply advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
  • The quantitative analyst will also become increasingly familiar with basic medical claims terminology in order to properly interpret, through the application of quantitative analytics, the impact of care delivery and finance on Health Plan performance.
  • The successful employee is comfortable with ambiguity in priorities and is able to maintain professionalism and a team-player attitude in the face of analytical challenges of moderate-to-high complexity.
  • Demonstrate attention to detail and initiative in discovering errors in data or analyses, or determining the need for additional, follow-up analysis arising from the original assignment.
  • Routinely analyze financial and clinical results, including output from predictive models.
  • Independently prioritize and manage 3-to-5 advanced quantitative and/or statistical analytics projects simultaneously, while receiving regular supervision.
  • Independently, or in teams, produce a combination of quantitative financial analysis and clinical utilization analysis to produce new insights into drivers of Health Plan performance.

 

Qualifications

  • Bachelor's degree in business, mathematics, statistics, health care management, decision sciences, or a similar, quantitative field. Master's degree preferred.
  • Minimum of three-to-five years of work experience in a quantitative job function; six years are preferred.
  • Demonstrated expertise in particularly-relevant analytical methods or health care business domain (payer/provider) may reduce time-in-position requirements.
  • Apply analytical and statistical software tools to produce complex, quantitative analyses of the health insurance industry.
  • Prior experience with financial and/or 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.
  • Intermediate-level experience using SQL, SAS, or R to conduct analysis. Demonstrated application of a similar programming language or analysis tools such as SPSS, STATA, or C++ may also be acceptable.
  • The ability to extract and manipulate data from large, complex data sets with only occasional supervision is necessary.


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UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct