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UPMC Community Care Behavioral Health is hiring a full-time Business Analyst III to support the Medicaid Business Service team. This role follows a hybrid work structure based out of Pittsburgh's U.S. Steel Tower.

The Business Analyst III will lead comprehensive data analysis across various UPMC Health Plan products, playing a key role in identifying, documenting, and communicating performance variances. Success in this role requires a deep understanding of the drivers behind financial and clinical trends and anomalies. This position also demands strong communication skills to effectively present insights and recommendations to internal and external stakeholders. The Business Analyst III will be responsible for implementing solutions, monitoring progress, and navigating practical considerations and potential barriers to ensure successful execution of new programs and process improvements.

Responsibilities:

+ Ability to 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 beginning to end with minimal supervision or direction from supervisor. Ability to strategize new ways of trending/analyzing data in order to complete analysis.

+ Implement and monitor effectiveness of these solutions.

+ Must 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. Ability to explain this analysis to a non-technical audience of both internal and external customers, including executive management.

+ Interpret and trend business operations, access and utilization data. Take initiative to investigate variances and derive conclusions and solutions from this data.

+ Meet deadlines and turnaround times set by department manager and director. These deadlines and turnaround times will, at times, require the employee to work until project is completed, meaning extended daily work hours, extended work weeks, or both.

+ B.A. degree in business, mathematics, statistics, health care, management or a related field. Extensive related experience will be considered.

+ 4 years experience in financial and/or medical analysis or successful completion of the FMR Program.

+ Experience in health care insurance or health care industry is a bonus, but those with relevant experience in other industries will be considered.

+ Strong Excel skills highly preferred.

+ Prior experience in Tableau and PeopleSoft is a bonus.

+ Actuarial and/or claims experience is a bonus.

+ Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.

+ Knowledge and expert understanding of all products and benefit designs of UPMC Health Plan insurance offerings, across all lines of business.

+ Well-informed and conversant with general business, economic, and clinical matters.

+ Available to work overtime if required.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran