University of Pittsburgh Medical Center - Pittsburgh, PA

posted 2 months ago

Full-time - Mid Level
Remote - Pittsburgh, PA
Hospitals

About the position

The Health Economics Analyst position at UPMC is designed for individuals who will conduct impactful analyses to support medical cost improvement strategies for the UPMC Health Plan. This role involves analyzing medical cost utilization and unit cost data, identifying trends, measuring financial outcomes of value-based contracts, and evaluating program outcomes. The position offers flexibility in work style, allowing for fully remote or hybrid arrangements for candidates based in Pittsburgh, PA.

Responsibilities

  • Analyze impacts of healthcare affordability initiatives on medical cost and utilization.
  • Compare and contrast healthcare experience with industry benchmarks to guide strategic decision making.
  • Develop and analyze early indicators of financial performance.
  • Assist senior team members in forecasting and interpreting financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks.
  • Produce well-documented standard and ad hoc analytical reports and projects.
  • Present results of analyses and recommendations to technical and non-technical audiences.
  • Creatively leverage analytical and statistical software tools to summarize large healthcare datasets to glean findings and actionable insights.
  • Collaborate with team members, including other healthcare analysts or actuaries, to ensure that work product meets the highest standards of quality.

Requirements

  • 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 are preferred.
  • Experience with development and settlement of value-based provider contracts, network and reimbursement methodology analysis, claims-based experience analysis, trend analysis, or financial and/or clinical modeling is desirable.
  • Experience using SQL, SAS, or R to conduct analysis.
  • Strong PC skills, including experience in Microsoft Office Suite (Word, Excel, PowerPoint).
  • Ability to extract and manipulate data from large, complex data sets with minimal supervision.

Nice-to-haves

  • Data visualization experience using software packages such as Power BI is desirable.

Benefits

  • Health insurance
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