Description

UPMC Health Plan is seeking a Business Analyst III!
Manage comprehensive analysis of data and information for various UPMCHP products. Business Analyst III will takes a leadership role in the enhancement, development, documentation, and communication of identified variances. To successfully perform the role the Business Analyst III must understand the causes of financial & clinical trends and anomalies. The Business Analyst III 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.

This role is completely remote within the continental US!

Responsibilities:

• Ability to extract and define relevant information within patient/member or other business operations data.
• Monitor patient/member access and utilization data against regional and national benchmarks.
• Complete complex financial/operational analysis from beginning to end with minimal supervision or direction from supervisor. Ability to strategize new ways of trending/analyzing data in order to complete analysis.
• Implement and monitor effectiveness of these solutions.
• Must carry out all responsibilities with minimal direct supervision.
• Develop access, utilization and financial/operations reports for forecasting, trending and results analysis.
• Perform in-depth statistical and qualitative analyses related to business operations particularly, patient/member access data and utilization. Ability to explain this analysis to a non-technical audience of both internal and external customers, including executive management.
• Interpret and trend business operations, access and utilization data. Take initiative to investigate variances and derive conclusions and solutions from this data.
• Meet deadlines and turnaround times set by department manager and director. These deadlines and turnaround times will, at times, require the employee to work until project is completed, meaning extended daily work hours, extended work weeks, or both.

Qualifications

• B.A. degree in business, mathematics, statistics, health care, management or a related field.
  • Master's degree preferred.
  • Extensive related experience will be considered.
• Four (4) years experience in financial and/or medical analysis or successful completion of the FMR Program.
• SQL Experience
• Experience in health care insurance or health care industry preferred, but those with relevant experience in other industries will be considered.
• Superior computer skills with expert knowledge in Access, Excel, Crystal Reports, and other financial & statistical software packages.
• 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.

Licensure, Certifications, and Clearances:

• Act 34
• UPMC is an Equal Opportunity Employer/Disability/Veteran

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