• Business Analyst, Value Based Care

    UPMC (Pittsburgh, PA)


    This position will be part of the Value Based Care Team with HSD Operations. The Value Based Care Team supports systemwide quality performance improvement and provides analytic insights into the data associated with Payer Value-Based Care Programs, including Incentive Programs based on Quality, HEDIS, and STARS Measures, HCC Capture and Risk Management Models, as well as Cost and Shared Savings Programs. This position will primarily support Outpatient Practices through program education, performance updates, and improvement recommendations. This position will have a hybrid work schedule which includes some days in the office and remote work.

     

    If this opportunity sounds exciting, look no further and apply today!

    Responsibilities:

    + Ability to work with large data sets and financial reports

    + Reviews and understands regulatory rules governing quality measures

    + Provides clear and meaningful reports for Leadership, staff, and other stakeholders

    + Manages data from multiple quality data sources as appropriate

    + Collaborates with key stakeholders to optimize compliance with quality metrics

    + Establishes and/or monitors dashboards for internal monitoring of quality performance across multiple platforms

    + Analyzes and interprets quality data, identifies trends in performance, and offers suggestions for improvement

    + Performs cost-benefit analysis of implementing new metrics, discontinuing old metrics and relative value to UPMC

    + Maintains appropriate documentation of existing processes

    + Protects the integrity and confidentiality of all data and information and protects proprietary information

    + Effectively prioritizes work and completes all assignments timely

    + Performs in accordance with system-wide competencies/behaviors.

    + Bachelor's degree in business, mathematics, statistics, healthcare, management or related field is required.

    + Minimum of three years' experience in business/industry specialty required

    + Excellent critical thinking, problem solving, time management and organizational skills required

    + Knowledge of various aspects of healthcare operations, quality, and process improvement is a plus

    + Knowledge of Commercial, Medicaid, and Medicare products preferred

    + Knowledge of Value Based Programs, including HEDIS/Stars Quality Measures, HCC Capture, or Shared Savings Models are highly preferred

    + Strong skills in Microsoft Office Suite and other data applications, including the ability to create presentation materials in PowerPoint and advanced formulas and functions in Excel are preferred

    Licensure, Certifications, and Clearances:

    + Act 34

     

    UPMC is an Equal Opportunity Employer/Disability/Veteran