The Department of Health Economics is seeking a Health Economics Analyst! This Health Economics Analyst would help drive high-visibility impactful analysis supporting medical cost improvement strategies for UPMC Health Plan. This includes analyzing medical cost utilization and unit cost data, identifying top trend drivers and affordability opportunities, measuring financial outcomes of value-based contracts, and evaluating program and initiative outcomes with support from leaders and credentialed actuaries within the department.

The Health Economics Analyst will require a diverse set of skills, including strong communication skills, sharp critical thinking abilities, and a curiosity for health economics and data analytics.

There are multiple positions at this job level available within the Department of Health Economics. Our team members can choose a work style that is best for them - this position is eligible for fully remote work or a hybrid work arrangement for candidates based in Pittsburgh, PA.

Responsibilities: 

• Analyze impacts of healthcare affordability initiatives on medical cost and utilization. 

• Compare and contrast healthcare experience with industry benchmarks to guide strategic decision making.

• Develop and analyze early indicators of financial performance.

• Assist senior team members in forecasting and interpreting financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks. 

• Produce well-documented standard and ad hoc analytical reports and projects. 

• Present results of analyses and recommendations to technical and non-technical audiences. 

• Creatively leverage analytical and statistical software tools to summarize large healthcare datasets to glean findings and actionable insights.

• Collaborate with team members, including other healthcare analysts or actuaries, to ensure that work product meets the highest standards of quality. 

• Bachelor's degree in business, mathematics, statistics, health care management, decision sciences, or a similar, quantitative field. Master's degree preferred.

• Minimum of two-to-four years of work experience in a quantitative job function; five years are preferred.

• Experience with any of the following is desirable: development and settlement of value-based provider contracts, network and reimbursement methodology analysis, claims-based experience analysis, trend analysis, or financial and/or clinical modeling.

• The successful HEA Intermediate can apply analytical and statistical software tools to produce complex, quantitative analyses of the health insurance industry. Work typically includes the use of statistical analyses, predictive models, or dynamic business models.

• Demonstrate, beyond the novice level, the application of problem solving skills in the creation and interpretation of quantitative analyses. Interpret and communicate to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis.

• Prior experience applying analysis methods in the health insurance or health care delivery industries strengthens the application, as does general knowledge of business and economic principles.

• The successful HEA - Intermediate will have experience using SQL, SAS, or R to conduct analysis.

• The ability to extract and manipulate data from large, complex data sets with minimal supervision

• Strong PC skills, including experience in Microsoft Office Suite (Word, Excel, PowerPoint). Data visualization experience using software packages such as Power BI is desirable.

• Ability to work independently. Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran