UPMC

UPMC.

  • Pittsburgh, PA


  • $2658-4602 per hour.

  • Short-term.

  • Full-time.

Throughout UPMC, our assisting concept is to constantly focus on the security of our staff members, clients, and members. UPMC thinks that vaccination is necessary, assists safeguard all, and supporters that everybody who can be immunized must 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 make sure workers either get immunized or get an asked for medical or spiritual exemption.

If you are not yet immunized, we prompt you to get a vaccine now. You can or check out a non-UPMC supplier or UPMC Urgent Care place.

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

For more details about UPMC’s reaction to COVID-19, please see.

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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 area 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, examines and provides analytical options to support data-based choice making in the department and throughout the company to enhance aspects 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 different software application plans, consisting of Toad for Oracle, SQL Server, and Power BI. The Senior Medical Policy Data Analyst should have the ability to work both separately in addition to in a group setting. Under the instructions of the Senior Medical Director of Medical Policy, lead procedure and information analysis automation tasks in addition to other internal and external tasks associated with Medical Policy.

Responsibilities:

  • Develop and keep working relationships with internal UPMC departments, and external contacts as proper.
  • Exhibit advanced issue resolving utilizing numerous info sources.
  • Identify current/future information difficulties, establish significant suggestions, and supply prompt updates on problems come across.
  • 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 appropriate.
  • Meet due dates and turn-around times set by department (these due dates and turn-around times will, sometimes, need the worker to work till the task is finished, implying prolonged day-to-day work hours, extended work weeks, or both).
  • Perform monetary analyses in a team-oriented environment and evaluate the analytical results to both scientific and non-clinical audiences.
  • Research, establish, and help in the application of procedure and information analysis automation techniques for the department.
  • Stay abreast on brand-new options pertinent to the department through self-study.
  • Support internal and external jobs connected to Medical Policy as identified by the Manager, Medical Policy.
  • When required, help business workers in understanding, carrying out and keeping track of appropriate information and functional requirements.

Qualifications

  • Bachelor’s degree in company, mathematics, engineering, healthcare or an associated field, OR Master’s degree in company, 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, bundle takes care of you in all locations of life– due to the fact that 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 assist our work and keep us liable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play an essential function in developing a cohesive, favorable experience for our staff members, clients, health insurance members, and neighborhood. All set to join us? Apply today.

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