UPMC

UPMC.

  • Pittsburgh, PA


  • $2658-4602 per hour.

  • Short-term.

  • Full-time.

Throughout UPMC, our directing concept is to constantly focus on the security of our staff members, clients, and members. UPMC thinks that vaccination is very important, assists safeguard all, and supporters that everybody who can be immunized need to be immunized.

UPMC adheres to all governmental requirements connected to regional, state, and federal COVID-19 vaccination for work. The Jan. 13 Supreme Court of the United States choice that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine required will move on needs UPMC to guarantee workers either get immunized or get an asked for medical or spiritual exemption.

If you are not yet immunized, we advise you to get a vaccine now. You can or go to a non-UPMC service provider or UPMC Urgent Care area.

Proof of vaccination is not needed upon hire; nevertheless, workers will be accountable for guaranteeing post-hire compliance by getting immunized or asking for a medical or spiritual exemption.

For more info about UPMC’s action to COVID-19, please check out.

Search Our Jobs

Search

Current UPMC workers should use in

Sr. Information Analyst, Medical Policy

  • Job ID: 996846962
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility:
  • Department: Medical Director Service
  • Location:
  • Union Position: No
  • Salary Range: $2658 to $4602/ hour

Description

UPMC Health Plan is working with a full-time Sr. Information Analyst, Medical Policy to support the Medical Director Service Department for its downtown Pittsburgh place at the United States Steel Tower. This is a Monday through Friday daytime position.

Under the guidance of the Manager of Medical Policy, the Senior Medical Policy Data Analyst styles, evaluates and provides analytical services to support data-based choice making in the department and throughout the company to enhance components such as organizational efficiency and member care. Numerous health insurance information systems will be utilized as the information sources. Last aggregation and discussion will be finished through numerous software application bundles, consisting of Toad for Oracle, SQL Server, and Power BI. The Senior Medical Policy Data Analyst need to have the ability to work both individually in addition to in a group setting. Under the instructions of the Senior Medical Director of Medical Policy, lead procedure and information analysis automation jobs along with other internal and external jobs connected to Medical Policy.

Responsibilities:

  • Develop and keep working relationships with internal UPMC departments, and external contacts as proper.
  • Exhibit advanced issue resolving utilizing numerous details sources.
  • Identify current/future information difficulties, establish significant suggestions, and offer prompt updates on problems experienced.
  • Identify patterns in usage and other locations.
  • Maintain high level of precision and timeliness.
  • Maintains member privacy and makes sure information precision.
  • Master brand-new computer system software application and upgrades, as relevant.
  • Meet due dates and turn-around times set by department (these due dates and turn-around times will, sometimes, need the staff member to work till the task is finished, implying prolonged everyday work hours, extended work weeks, or both).
  • Perform monetary analyses in a team-oriented environment and evaluate the analytical results to both medical and non-clinical audiences.
  • Research, establish, and help in the execution of procedure and information analysis automation methods for the department.
  • Stay abreast on brand-new services pertinent to the department through self-study.
  • Support internal and external jobs connected to Medical Policy as figured out by the Manager, Medical Policy.
  • When essential, help business workers in understanding, carrying out and keeping track of pertinent information and functional requirements.

Qualifications

  • Bachelor’s degree in company, mathematics, engineering, healthcare or an associated field, OR Master’s degree in organization, mathematics, engineering, healthcare or an associated field (chosen).
  • 3 years of work experience in a Managed Care environment.
  • SQL efficiency. MS SQL Server, Toad for Oracle, and Power BI efficiency.
  • Medical coding (CPT, HCPCS, ICD-10, DRG) experience.
  • MS Office efficiency.
  • Excellent social, oral, and composed interaction abilities. Need to work well individually and within a group. Experience with other programs languages (e.g., Python, R). Experience with procedure and information analysis automation.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than simply competitive pay and advantages, plan takes care of you in all locations of life– since our company believe that you’re at your finest when getting the assistance you require: expert, individual, monetary, and more.

Our Values

At UPMC, we’re driven by shared worths that direct our work and keep us responsible to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play an essential function in producing a cohesive, favorable experience for our workers, clients, health insurance members, and neighborhood. Prepared to join us? Apply today.

UPMC.

  • Apply Now.