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Strategy Consultant Health Economics (Remote)

Description

 

The Strategy Consultant will be part of our Provider Analytics team, which develops and implements performance measures on physicians’ quality of care and efficient use of resources. These measures are communicated to physicians, patients and other stakeholders to help reduce unnecessary variation of practice patterns, improve the quality of care and manage of total cost of care. The Strategy Consultant will take a critical role in the development, implementation, communication, and documentation of the Provider Analytics for various medical specialties. The Strategy Consultant will identify or confirm key care patterns, create or modify performance measuring tools and account for patient risk, and synthesize the varied perspectives/requirements from diverse managerial, physician, regulatory, finance, and other stakeholders into a cohesive monitoring process to support a portfolio of projects with the Provider Analytics team. Furthermore, you will need to articulate these opportunities and implications 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:

  • Independently, or in teams, produce a combination of business modeling, quantitative economic analysis and clinical care pattern analysis to produce new insights into drivers of Health Plan performance.
  • Produce customer-oriented reports that provide clinical and business context for the analysis and recommendations, requiring only moderate revision by the supervisor or analytics communications team.
  • Routinely create and analyze financial and clinical results, including output from third-party tools, predictive models, etc.
  • The Strategy Consultant 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.
  • Independently prioritize and manage 3-to-5 advanced quantitative and/or statistical analytics projects simultaneously, while receiving minimal supervision.
  • Mentor and develop more junior business and Health Economic Analysts
  • Routinely apply advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
  • 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.
  • The Strategy Consultant will consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively.
  • Health Economics is a fluid, dynamic, fast-paced environment. 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.

 

 

 

Qualifications

  • Master's degree in business, mathematics, statistics, health care management, public health, decision sciences, economics, or a similar, quantitative field. PHD preferred.
  • five-to-seven years of work experience in a quantitative job function
  • The successful Strategy Consultant can Apply analytical and statistical software tools to produce complex, quantitative analyses of the health insurance industry.
  • Work typically includes the use of statistical analyses, predictive models, or dynamic business models.
  • Demonstrate consistent application of strong problem-solving skills in the creation and interpretation of quantitative analyses, and to assist the supervisor in the development of analysis plans.
  • Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.
  • 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.
  • Ability to leverage leading-edge analytics experience gained in other industries (e.g., population segmentation, risk analysis, optimization analytics, real-time analytics) to advance health care analytics will be strongly considered in lieu of health care experience.
  • General knowledge of business and economic principles strengthens the application.
  • The successful Strategy Consultant will have advanced-level experience using SQL, SAS, or R to conduct analysis.
  • Demonstrated application of a similar programming language or analysis tool such as SPSS, STATA, or C++ may also be acceptable.
  • The ability to extract and manipulate data from large, complex data sets with only occasion sup


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   Current UPMC employees must apply in HR Direct