Job description

Are you an analytical and detail-oriented professional with experience reviewing policies and working with contracts? UPMC Health Plan is looking for a Business Analyst II to join our team. This is a full time position working Monday through Friday daylight hours and will be a hybrid position. The Business Analyst II perform analysis of data and information for UPMC Health Plan Government Products. Work with internal and external stakeholders to identify problems and propose solutions. Take a leadership role in the development and maintenance of process documentation, reporting quality assurance (QA) tools, MS Teams channels and internal product policies. Responsibilities: • Manage timely and compliant interdepartmental implementation of Department of Human Services (DHS) contract operational requirements. • Ownership of, and subject matter expert on, DHS required operational reporting. Ensuring quality and accuracy prior to report submission to DHS. • Manage timely resolution of escalated issues while communicating frequently with multiple internal and external stakeholders. • Act as a subject matter expert and interact with staff to answer questions and resolve issues as they arise. • Investigate variances and propose solutions to the identified variances and explain proposed solutions to manager and internal stakeholders. • Identify trends in various reporting areas and perform analyses, then explain this analysis to a non-technical audience of both internal and external stakeholders and, at times, senior management. • Manage special projects. • Assist other departments during periods of backlogs. • Effectively prioritize and meet deadlines and turnaround times set by managers and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both). • Bachelor's degree in mathematics, statistics, health care, management, or related business field required. • Master's degree preferred. • Extensive related experience will be considered. • Minimum of two years of related work experience in financial and/or medical analysis required. • Experience in health care insurance or health care industry preferred. • Strong computer skills, with expert knowledge in Access, Excel, Crystal Reports, Cognos Reports, and other financial & statistical software packages. • Ability to work in a fast-paced environment a must. • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. • Attention to detail is critical to the success of this position. • Excellent planning, communication, documentation, organizational, analytical, and problem solving abilities. • Advanced mathematical skills. • Ability to interpret and summarize results of various analyses in a timely and meaningful way. • Ability to effectively approach problem solving. • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy. • Ability to analyze financial & clinical results and to comprehend forecasting models. • Knowledge and good understanding of all products and benefit designs of UPMC Health. Licensure, Certifications, and Clearances: • Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran Pay range $ 27.89-48.21 USD

Requirements

Must-haves

Manage timely and compliant interdepartmental implementation of Department of Human Services (DHS) contract operational requirements.
Ownership of, and subject matter expert on, DHS required operational reporting. Ensuring quality and accuracy prior to report submission to DHS.
Manage timely resolution of escalated issues while communicating frequently with multiple internal and external stakeholders.
Act as a subject matter expert and interact with staff to answer questions and resolve issues as they arise.
Investigate variances and propose solutions to the identified variances and explain proposed solutions to manager and internal stakeholders.
Identify trends in various reporting areas and perform analyses, then explain this analysis to a non-technical audience of both internal and external stakeholders and, at times, senior management.
Manage special projects.
Assist other departments during periods of backlogs.
Extensive related experience will be considered.
Minimum of two years of related work experience in financial and/or medical analysis required.
Strong computer skills, with expert knowledge in Access, Excel, Crystal Reports, Cognos Reports, and other financial & statistical software packages.
Ability to work in a fast-paced environment a must.
Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.
Attention to detail is critical to the success of this position.
Excellent planning, communication, documentation, organizational, analytical, and problem solving abilities.
Advanced mathematical skills.
Ability to interpret and summarize results of various analyses in a timely and meaningful way.
Ability to effectively approach problem solving.
Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
Ability to analyze financial & clinical results and to comprehend forecasting models.
Knowledge and good understanding of all products and benefit designs of UPMC Health.
UPMC is an Equal Opportunity Employer/Disability/Veteran

Nice-to-haves

Master's degree preferred.

Application prep

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