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Health Economics Analyst, Lead - Provider Analytics (Remote)

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Purpose:
The UPMC Health Plan is seeking a Health Economics Analyst to lead the analysis of financial and clinical data to identify variation, inform strategy, and drive improved performance across UPMC Health Plan products and programs. This role will be focused on provider analytics, leveraging episode-based methodologies to compare cost, efficiency, and quality across providers.
 

The Health Economics Analyst Lead, will develop deep expertise in analytical tools and outputs, translate insights into actionable opportunities, and communicate effectively to internal and external stakeholders. Success in this role requires strong analytical judgment, intellectual curiosity to explore and identify potential use cases, and the ability to influence decision-making and drive measurable improvement.

Responsibilities:
 

  • The quantitative analyst will also become increasingly familiar with basic medical claims terminology in order to properly interpret, through the application of quantitative analytics, the impact of care delivery and finance on Health Plan performance.
  • Independently prioritize and manage up to 5 advanced quantitative and/or statistical analytics projects simultaneously, while receiving minimal supervision.
  • Produce customer-oriented reports that provide business context for the analysis and recommendations, requiring only moderate revision by the supervisor or analytics communications team.
  • Routinely apply advanced data extraction and manipulation skills, complex analysis methods, statistical analysis, and data visualization tools to daily work.
  • Independently, or in teams, produce a combination of quantitative financial analysis and clinical utilization analysis to produce new insights into drivers of Health Plan performance.
  • Demonstrate attention to detail and initiative in discovering errors in data or analyses, or determining the need for additional, follow-up analysis arising from the original assignment.
  • Develop knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business, to facilitate analysis.
  • Health Economics is a fluid, dynamic, fast-paced environment. The successful employee is comfortable with ambiguity in priorities and is able to maintain professionalism and a team-player attitude in the face of analytical challenges of moderate-to-high complexity.

  • The HEA Lead will consistently demonstrate a strong customer orientation, producing analyses on-time and communicating results effectively.

     

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