Job Description

Job Title: Senior Network Manager- National Network Management
Job ID: 180000LZ
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Natl Network Mgmt
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC Health Plan is seeking an Senior Network Manager for their National Network Development and Strategic Expansion Team!

 

The Senior Network Manager (SNM) is an integral member of the National Network Development and Strategic Expansion (NNDSE) team. This person collaboratively supports the other members of the NNDSE team. She or he coordinates efforts with other UPMC Health Plan (UPMC HP) departments. (Those departments include, but are not limited to, Legal, Compliance, Gov’t Products, Configuration, Credentialing, Organizational Performance, Marketing, Member Services and Provider Services.)

 

 The value of this position resides in cross-departmental coordination. This partnership with other internal UPMC HP departments leads to rework reduction and a strengthening of UPMC’s brand. The SNM’s pivotal role facilitates the on-boarding of new out-of-state hospitals and providers to the UPMC HP network. The SNM then continues to engage these hospitals and physicians by actively listening, communicating requests and developing UPMC HP support via phone, email, on-site and virtual visits. The SNM accesses multiple UPMC HP computer systems and documents their work in a customer relationship management system. Certain claims issues from new providers are investigated by the SNM and those findings are effectively communicated back to providers and other UPMC HP departments.

 

Subject matter expertise by this SNM will include knowledge of various state regulations in support of strategic, profitable growth of UPMC HP’s National Network. The SNM actively participates in the creation and editing of marketable assets such as maps, slides, business plans and analyses to address the ever-evolving needs of the NNDSE team.

 

Due to the nature of this position; travel could be required up to 25% of the time.

Qualifications

Bachelor's Degree in Business, Health Care, Marketing or a related field is required or equivalent work experience.
Five (5) years of business/sales or healthcare-related experience required.
Strong written and verbal communication skills are required.
Demonstrated leadership, planning, communication, documentation, organization, analytic and problem solving abilities are required.
Ability to attend or accompany the Manager, PAEs and other Network Managers to various internal or external department and provider/hospital meetings.
Effectively interpret and summarize results of various analyses in a timely manner.

Salary Range: $26.64 to $44.88

Union Position: non union

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