Business Analyst Value Based Care @ UPMC
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About the Role
The Business Analyst Value Based Care at UPMC is part of the Value Based Care Team with HSD Operations. It supports systemwide quality performance improvement and provides analytic insights into data related to Payer Value-Based Care Programs including Incentive Programs, HEDIS, STARS Measures, HCC Capture, Risk Management Models, and Cost/Shared Savings Programs.
Responsibilities
- Work with large data sets and financial reports
- Review and understand regulatory rules governing quality measures
- Provide clear and meaningful reports for Leadership and stakeholders
- Manage data from multiple quality data sources
- Collaborate with key stakeholders to optimize quality metrics compliance
- Establish and monitor dashboards for internal quality performance
- Analyze and interpret quality data and trends
- Perform cost-benefit analysis on metrics changes
- Maintain documentation of existing processes
- Protect data integrity and confidentiality
- Prioritize work and complete assignments on time
- Perform in accordance with system-wide competencies/behaviors
Requirements
Bachelor’s degree in business, mathematics, statistics, healthcare, management or a related field; minimum three years’ experience in business/industry specialty; excellent critical thinking and problem solving; strong time management and organizational skills; knowledge of healthcare operations, quality, and process improvement is a plus; familiarity with Commercial, Medicaid, and Medicare products preferred; and knowledge of Value Based Programs including HEDIS/Stars, HCC Capture, or Shared Savings Models is highly preferred.
Technical Skills
Proficiency in Microsoft Office Suite, especially advanced Excel and PowerPoint is preferred. Experience with various data applications is advantageous.
Licensure and Certifications
Act 34 licensure is required.
Key skills/competency
- Value Based Care
- Data Analysis
- Quality Metrics
- Regulatory
- Dashboard
- Healthcare
- Financial Reports
- Cost-Benefit
- Process Improvement
- Microsoft Office
How to Get Hired at UPMC
🎯 Tips for Getting Hired
- Research UPMC's culture: Study their mission, values, news and reviews.
- Customize your resume: Highlight analytical and healthcare skills.
- Tailor your application: Emphasize experience with data and quality metrics.
- Prepare for interviews: Practice discussing real analytical challenges and solutions.