Business Analyst III

UPMC; Pittsburgh (Allegheny County); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Business Analyst III to manage comprehensive data analysis for various products. This role requires strong expertise in data interpretation, financial analysis, and reporting, along with a relevant educational background. The ideal candidate will enjoy problem-solving in a fast-paced environment and must be able to handle multiple projects simultaneously. Immediate availability for overtime may be needed.

Qualifications

• Four years of experience in financial and/or medical analysis.
• Superior computer skills.
• Ability to manage multiple tasks and projects.

Responsibilities

• Extract and define relevant information from data.
• Monitor patient/member access and utilization against benchmarks.
• Complete complex financial/operational analysis.

Skills

Expert knowledge in Access

Proficient in Excel

Experience with Crystal Reports

Statistical analysis

Strong interpersonal skills

Attention to detail

Excellent problem-solving abilities

Ability to re-engineer processes

Education

B.A. degree in business, mathematics, statistics, health care, or management

Master’s degree preferred

Tools

Access

Excel

Crystal Reports

Job description

Overview

Business Analyst III role at UPMC. Manage comprehensive analysis of data and information for various UPMCHP products. Lead enhancement, development, documentation, and communication of identified variances. Understand the causes of financial and clinical trends and anomalies, and use knowledge of financial, clinical, and other information to identify opportunities to improve clinical and financial performance. Articulate opportunities to internal and external audiences, implement solutions, and track progress while weighing practical considerations and potential barriers to successful implementation of new programs and processes.

Responsibilities

• Extract and define relevant information within patient/member or other business operations data.
• Monitor patient/member access and utilization data against regional and national benchmarks.
• Complete complex financial/operational analysis from start to finish with minimal supervision; strategize new ways of trending/analyzing data to complete analysis.
• Implement and monitor the effectiveness of solutions.
• Carry out all responsibilities with minimal direct supervision.
• Develop access, utilization, and financial/operations reports for forecasting, trending, and results analysis.
• Perform in-depth statistical and qualitative analyses related to business operations, particularly patient/member access data and utilization; explain analyses to non-technical audiences, including executive management.
• Interpret and trend business operations, access, and utilization data; investigate variances and derive conclusions and solutions.
• Meet deadlines and turnaround times set by the department manager and director; may require extended work hours to complete projects.
• Possess a B.A. degree in business, mathematics, statistics, health care, management or a related field; Master’s degree preferred. Extensive related experience will be considered.
• Four years of experience in financial and/or medical analysis or successful completion of the FMR Program; health care insurance or health care industry experience preferred.
• Superior computer skills with expert knowledge in Access, Excel, Crystal Reports, and other financial and statistical software.
• Demonstrate professionalism, enthusiasm, and initiative; ability to work in a fast-paced environment.
• Ability to manage multiple tasks and projects and build strong interpersonal relationships across departments and with external audiences.
• Attention to detail, customer orientation, and ability to handle ambiguity.
• Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities; advanced mathematical skills.
• Ability to interpret and summarize results of analyses and approach problem-solving effectively.
• Ability to re-engineer processes to improve productivity in timeliness and accuracy.
• Technical knowledge of patient access, physician template utilization, healthcare revenues, reimbursement, and correlation to monthly financial statements.
• Ability to analyze financial and clinical results and understand forecasting models.
• Knowledge of all products and benefit designs of UPMC Health Plan offerings across lines of business; well-informed on general business, economic, and clinical matters. Available to work overtime if required.

Licensure, Certifications, and Clearances

UPMC is an Equal Opportunity Employer/Disability/Veteran