[Hiring] Quality Improvement Analyst, Senior @UPMC

Role Description

UPMC Health Plan has an exciting opportunity for a Quality Improvement Analyst, Senior position in the Medicare department. This is a full-time position working Monday through Friday daylight hours. This is a remote position, preferably in the Eastern Standard Time Zone. Applicants with Health Plan experience will be highly considered.

The Quality Improvement Analyst, Senior will manage comprehensive analysis of data and information for various UPMC Health Plan products and programs. The role involves:

• Taking a leadership role in the enhancement, development, documentation, and communication of identified variances and assessment of strategic opportunities.
• Understanding the causes of quality, clinical trends, and anomalies.
• Identifying opportunities to improve clinical and quality performance using knowledge and understanding of quality and clinical information.
• Articulating opportunities to internal and external audiences, implementing solutions, and tracking and monitoring progress.
• Weighing practical considerations and potential barriers to successfully implement new programs and processes.

Responsibilities include:

• Independently prioritizing and managing 3-to-5 advanced quantitative and/or statistical analytics projects simultaneously, while receiving regular supervision.
• Applying advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
• Producing a combination of quality analysis and clinical utilization analysis to generate new insights into drivers of Health Plan performance.
• Routinely analyzing quality and clinical results.
• Demonstrating attention to detail and initiative in discovering errors in data or analyses, or determining the need for additional follow-up analysis.
• Developing knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings across all lines of business.
• Producing customer-oriented reports that provide business context for the analysis and recommendations, requiring only moderate revision.
• Becoming increasingly familiar with basic medical claims terminology to interpret the impact of care delivery on Health Plan performance.
• Consistently demonstrating a strong customer orientation, producing analyses on-time and communicating results effectively.

Quality Improvement 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.

Qualifications

• Bachelor's degree in business, mathematics, statistics, health care management, decision sciences, or a similar field, or equivalent work experience.
• Master's degree preferred.
• Minimum of four years of work experience in an analytics job function; six years are preferred.
• Demonstrated expertise in particularly relevant analytical methods or health care business domain may reduce time-in-position requirements.

Requirements

• Licensure, Certifications, and Clearances: Act 34.

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.