[Hiring] Health Economics Analyst Intermediate @UPMC

Role Description

The UPMC Health Plan is seeking an Intermediate Health Economics Analyst for a fully remote role where they will join the Medical Cost Initiatives Team within our Medical Economics Department. A successful Health Economics Analyst, Intermediate will be expected to take initiative in the enhancement, development, documentation, and communication of identified variances and assessment of strategic opportunities. Manage comprehensive analysis of data and information for various UPMC Health Plan products and programs.

• Understand the causes of financial & clinical trends and anomalies.
• Identify opportunities to improve clinical and financial performance.
• Articulate these opportunities to internal and external audiences.
• Implement solutions and track and monitor progress.
• Weigh practical considerations and potential barriers for new programs and processes.

The quantitative analyst will also become increasingly familiar with basic medical claims terminology to properly interpret the impact of care delivery and finance on Health Plan performance. Health Economics is a fluid, dynamic, fast-paced environment. The successful employee is comfortable with ambiguity in priorities and maintains professionalism and a team-player attitude in the face of analytical challenges of moderate-to-high complexity.

• Independently prioritize and manage 2-to-4 advanced quantitative and/or statistical analytics projects simultaneously.
• Routinely analyze financial and clinical results, including output from predictive models.
• Develop knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings.
• Consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively.
• Apply advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
• Produce a combination of quantitative financial analysis and clinical utilization analysis to generate new insights into drivers of Health Plan performance.
• Demonstrate attention to detail and initiative in discovering errors in data or analyses.

Qualifications

• Bachelor's degree in business, mathematics, statistics, health care management, decision sciences, or a similar quantitative field (Master's degree preferred).
• Minimum of two-to-four years of work experience in a quantitative job function (five years preferred).
• Prior experience with financial and/or clinical modeling or data analysis is highly desirable.
• Prior experience applying analysis methods in the health insurance industries strengthens the application.
• General knowledge of business and economic principles.
• Prior medical cost initiative experience highly preferred.

Requirements

• Ability to apply analytical and statistical software tools to produce complex, quantitative analyses of the health insurance industry.
• 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.
• Ability to extract and manipulate data from large, complex data sets with minimal supervision.
• Routinely use the most advanced quantitative features of Excel as a lower-level tool to supplement advanced analysis tools.
• Data visualization experience.

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.