COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

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.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

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.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Lead, Business Analyst

Description

UPMC Health Plan has an exciting opportunity for a Lead, Business Analyst in its Payor Provider department located in downtown Pittsburgh at the U.S. Steel Tower. This role will predominantly work standard daylight hours, Monday through Friday. The team is currently working remotely but may eventually return to the office in a hybrid structure. 

This position will manage comprehensive analysis of data and information for various UPMCHP products and take a leadership role in the enhancement, development, documentation, and communication of identified variances. To successfully perform the role the Lead Business Analyst must understand the causes of financial & clinical trends and anomalies. The Lead, Business Analyst oversees other Business Analysts on a day-to-day basis and provides guidance/assistance as necessary. 
 
In addition, the Lead Analyst will serve as a process expert and provide training and support to other Business Analysis staff as needed. The Lead, Business Analyst must use their knowledge and expert 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 to successfully implement new programs and processes.

Responsibilities:

 

  • Use SQL to build data sets that support scalable operations. Compose advanced SQL queries to manipulate, extract, store, and quality check data.
  • Assess and integrate new sources of data into existing relational databases with minimal management oversight. Identify & communicate risks.
  • Develop validation and testing protocols to ensure accuracy and quality of final deliverables. Create exception reporting.
  • Design Power BI dashboards and develop training materials for its maintenance and end-user training.
  • Utilize advanced Power BI and expert excel skills to create financial models and present analyses.
  • Author SSRS reports and automate report creation with SSIS or Business Intelligence Development Studio.
  • Manage routine & special projects which may require oversight of other departments' work and coordination of a wide variety of functions.
  • Perform statistical analyses, and then be able to explain this analysis to a non-technical audience of both internal and external customers and, at times, senior management.
  • Investigate variances and derive solutions to cost increases and quality issues. Escalate to management.
  • Implement and monitor effectiveness of these solutions. 
  • Perform cost/benefit analysis.
  • Identify trends in expenses, utilization, medical quality, and other areas.
  • Meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both).
  • Provide guidance to peers and serve as reference point for questions on day-to-day basis.
  • Develop and maintain working relationships with internal Health Plan departments, and external contacts as appropriate.
  • Maintain policies and procedures of the team/department.
  • Monitor UPMC Health Plan operating performance against regional, national and international benchmarks.
  • Identify departmental needs and reports to management.
  • Perform peer reviews as requested.
  • Coordinate the orientation of new staff members.

 

Qualifications

  • Advanced degree in business, mathematics, statistics, health care, management or a related field. Extensive related experience will be considered.
  • Minimum of 5 years experience in financial and/or medical analysis, OR successful completion of the Financial Management Rotation program and one year of additional experience.
  • Experience in health care insurance or health care industry preferred, but those with relevant experience in other industries will be considered. Operations engineering or IT project management professionals welcomed!
  • Superior computer skills are a given, with expert knowledge in Access, Excel, Crystal Reports, and other financial & statistical software packages.
  • Prior experience leading and advising staff essential.
  • Demonstrate a high degree of professionalism, enthusiasm and initiative on a daily basis.
  • Ability to work in a fast-paced environment a must.
  • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.
  • Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity.
  • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities.
  • Advanced mathematical skills. Ability to interpret and summarize results of various analyses in a timely and meaningful way.
  • Ability to effectively approach problem-solving. Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
  • Passion for and ability to analyze financial & clinical results and to comprehend forecasting models.
  • Knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business.
  • Well-informed and conversant with general business, economic, and clinical matters.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct