Job Description

Job Title: Medical Director, Employer Group Engagement
Job ID: 563455
Status: Full-Time
Regular/Temporary: Management
Shift: Day Job
Facility: UPMC Health Plan
Department: Medical Director Service
Location: 600 Grant St, Pittsburgh PA 15219


The Medical Director, Employer Group Engagement will play a central function at the UPMC Health Plan. This position will shape the way UPMC Health Plan engages with Commercial Clients and will drive innovation in the development of Commercial Products. This leader will serve an external role, helping to articulate the value of an integrated delivery and finance system, will be responsible for driving considerable market expansion, and will manage relationships with key Commercial clients. The Commercial insurance marketplace is at a complex crossroads, and UPMC seeks a candidate that can help to navigate a rapidly transforming landscape. This physician business executive will be a marketplace innovator – someone who can influence potential and existing clients’ perceptions about value in healthcare delivery, and the role that a payor and provider can play in improving the health and productivity of the workforce. The success of UPMC Health Plan will rely upon this individual's creativity, discipline, detail and a passion to 'make a real difference' beyond conventional employer engagement.

  • Collaborate with Senior Medical Director of Commercial Products and CMO of Commercial Services to engage all functional areas of the Health Plan from a clinical perspective, developing innovative approaches for the advancement of the Commercial product lines; serving as the primary clinical liaison with the Senior Medical Director of Commercial Products, Sales and Marketing. 
  • Motivate and mentor UPMC Health Plan's clinical Commercial staff by 'setting the pace' and fostering 'excellence by example'. Assess the overall employer focused team with clinical leadership, including ongoing recruitment and hiring of talent. Ensure that the organization has the 'right people' in the 'right positions' and that the organization's structure is designed to maximize results. 
  • Interface with UPMC Health System cross-functional and shared resources to further the 'cause' to create a seamless healthcare patient-flow management process and insurance model based on the needs of the Commercial line of business. 
  • As a clinical 'thought leader' and UPMC Health Plan physician liaison, participate in the creation of opportunities to consult, interact and elicit feedback with the physician community, then act upon this valuable information, raising proactive clinical intervention to unprecedented levels. 
  • Serve as an integral part in the design and implementation of medical management initiatives such as disease management to improve quality and cost effectiveness of care delivered to Commercial members. 
  • Swiftly respond to challenges and/or opportunities as they arise. Develop and implement innovative programs to act on historical data, identifying new trends, retooling existing approaches, and analyzing the competition. 
  • Collaborate with the Senior Medical Director and Chief Medical Officer to develop unique partnerships and differentiated relationships with current and prospective employer groups, consultants and brokers, in order to understand and meet their health and welfare needs. 
  • As an integral member of UPMC Health Plan's leadership team, serve as a 'role model' and 'health advocate' within the Western Pennsylvania community, including active participation with UPMC sponsored activities, public events and community outreach programs 
  • Nurture personal and professional growth/development by attending seminars, workshops, and establishing professional affiliations to keep abreast of latest trends in field of expertise.


  • M. D. Degree is required, and a Master's Degree is preferred in healthcare, marketing, business administration, or other related fields of study.
  • Extensive experience in clinically integrating a Sales and Retention team, ideally having created and driven innovative employer clinical program initiatives as well as having a keen understanding of population health management.
  • Experience within a health plan that has truly developed a relationship with the employer, employee and provider community; genuinely collaborative in nature, value-added versus commodity-driven, cross-functionally efficient and consumer-driven. Experience in an ongoing engagement process with employer groups. 
  • Will possess a passion and commitment to help change the way healthcare is delivered, a track record of developing leading-edge Health Plan clinical strategies for employer engagement while motivating an organization to achieve 'stretch goals' to drive innovation. 
  • Expert managed care clinical leadership skills, leveraging a broad knowledge base in managed care. Must possess a global understanding of the industry: regulatory developments, national product and delivery trends, maintenance of key industry relationships and tracking competitors. 
  • Highly developed interpersonal and communication skills, both written and verbal, and a senior leadership demeanor which interacts effectively with all organizational stakeholders regarding sensitive and/or complex topics, specifically focused on employer group communication. 
  • Communication stills will include effectively articulating employer group concerns back to the integrated Sales and retention team. 
  • Ability to plan and schedule multiple tasks/group evaluations and to maintain control of one's own and others' work flow to achieve results ahead of schedule and within budget, while focusing on outcomes for the Commercial book of business . Highly developed analytical skills. 
  • Operates effectively in a 'matrix' environment. Views the various matrix partners within UPMC as customers. Possesses the appropriate level of patience, and persistence, to move issues forward while competing in a highly complex, turbulent, and market-driven industry. 
  • Exudes a leadership style emphasizing collaboration, teamwork, participation and communication. 
  • Contributes imaginative and innovative ideas; encourages idea generation of others; open, accessible and communicative; sensible, fair and objective in decision-making; willing and able to confront difficult choices. 
  • Possesses unquestioned integrity; trusting of others and worthy of their trust; a consensus-builder in a transforming organization; highly accomplished in interpersonal diplomacy; active and energetic, a self-starter, well organized and efficient. 
Licensure, Certifications, and Clearances:
  • Medical Doctor

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $0 to $0

Union Position: No

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