Medicare Strategist- Hybrid- (Must be Located in Pittsburgh, PA)

UPMC • Pittsburgh, PA

11d • Hybrid

About The Position

UPMC Health Plan has an exciting opportunity for a Medicare Strategist position in the Medicare Program Operations department. This is a full time position working Monday through Friday daylight hours and will be a hybrid position. This role will require working in office 3 days per week which is located in Pittsburgh, PA and working from home 2 days per week.
Work as a vital member of various project teams that address strategy and planning issues across all of UPMC's divisions (Hospital and Community Services, Physician Services, Health Plan, and International and Commercial Services). This position provides: (1) research (e.g., identify key dynamics within a market and operating unit), (2) development (e.g., propose business model to manage risk), and (3) coordination (e.g., synthesize the varied perspectives/requirements from diverse clients physician, nursing, regulatory, front-desk, finance, etc. into a cohesive operating model) to support a portfolio of projects. This position requires extensive client interactions and business plan and presentation writing.

Requirements

• Master's level degree in Business Administration, Health Administration or a quantitative field of study (e.g., mathematics, economics, sciences, finance, etc.) with a minimum of 3 years of relevant experience (e.g., strategy, planning, business development, quantitative decision support, finance) required.
• Or a Bachelor degree with 5 years of experience or completion of an internal rotation program.
• Prior experience should include project management (developing work plans, tracking progress, coordinating teams composed of individuals from multiple departments, completing deliverables, etc.); advanced analytics (manipulating complex datasets, interpreting data, communicating complex analytical concepts in easy to understand ways, etc.); and business development (e.g., writing/authoring business plans for new operations).
• Knowledge and understanding of healthcare industry is required.
• Exceptional Excel and PowerPoint skills are required.
• Due to fluid nature and visibility of the department's work, flexible work hours are required and often exceed 50 hours per week.

Nice To Haves

• Experience in a consulting, investment banking, corporate or competitive strategy, or service line management environment is preferred.

Responsibilities

• Partner closely with Medicare leadership and cross-functional teams (including Product, Finance, Actuary, Risk Adjustment, Network Management, Clinical, Reimbursement, Legal, and Compliance) to identify opportunities to improve performance, optimize operations, and support growth initiatives.
• Manage a portfolio of strategic projects, proactively identifying and framing work in response to market and industry dynamics, Medicare Advantage bid requirements, business unit priorities, and system-wide objectives.
• Lead projects from inception through implementation, including business planning, analytical development, and operational readiness, ensuring deliverables are completed accurately and on time.
• Identify and document new industry and market trends.
• Develop high-quality deliverables such as bid support materials, strategy roadmaps, business cases, market assessments, and executive-level presentations. Translate complex data and cross-functional discussions into clear, actionable insights tailored to audience and purpose.
• Coordinate work across departments to ensure strategies appropriately address financial, clinical, regulatory, and operational considerations.
• Provide direct support to senior Medicare executives and complete special projects aligned with evolving Medicare priorities, including business plan development, strategy roadmaps, and Board-level materials.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level