Health Economics Analyst, Lead (Remote), UPMC

Purpose:

The UPMC Health Plan is seeking an full-time Health Economics Analyst, Lead (HEA) in its Department of Health Economics! The HEA will manage comprehensive analysis of data and information for various UPMC Health Plan products and programs. HEAs 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, the candidate must be highly professional and understand the causes of financial & clinical trends and anomalies; as well as be able to 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. This role is Full-Time, Fully Remote and will work Monday-Friday, standard Eastern business hours

Responsibilities:

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. Routinely analyze financial and clinical results, including output from predictive models. Engage directly with managers and directors in other business functions to advise regarding analytics project specifications, as a representative of DOHE leadership. Independently prioritize and manage 5-or-more advanced quantitative and/or statistical analytics projects simultaneously, while receiving minimal supervision. 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. 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. 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. Develop knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business, to facilitate analysis. 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. The HEA, Lead will consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively. Demonstrate leadership in development of analysis plans for multiple, complex projects to be carried out by the HEA, Lead or team members.