Performance Improvement Coordinator
UPMC Corporate Operations is hiring a Performance Improvement Coordinator to join our team! This role will work Monday through Friday during the hours of 8:00 AM to 4:30 PM or 7:00 AM to 3:30 PM. At times, there will be some work from home flexibility based on department needs.
This position supports the performance improvement activities for the Department / Organization. This includes the development and implementation of quality performance improvement plans, barrier analyses, medical management programs, interventions to improve performance, analyzing the results and preparing summaries of outcomes for the clinical programs. This position is also responsible for the research of clinical standards of care, reviewing data to identify opportunities, drafting of program descriptions, work flows, assessments, reports, training materials and other communication documents. This position will participate on multidisciplinary work teams related to performance improvement activities.
If you have prior outpatient experience along with epic, this could be the role for you. Apply today!
Responsibilities:
- Collaborates with the clinical staff and other departments to collect information related to opportunities for improvement in clinical or service outcomes. This includes clinical programs or other NCQA clinical standards. Conducts barrier analysis and prepares summaries of findings and interventions.
- Prepares performance improvement documents in format required by government agency, regulatory body or accrediting body. Completes research related to improvement activity, requests data, reviews reports and summarizes findings. Obtains information from clinical staff or other areas on interventions implemented related to opportunity.
- Assists in developing tools and reports that will provide the clinical leadership management with information on progress of performance improvement initiatives, and outcomes for the programs. Analyzes results and prepares reports on findings for review by the clinical leadership.
- Coordinates the scheduling of work team meetings, prepares documents, maintains minutes, and creates updates on the status of projects or programs. Assists the clinical team in drafting assessments, work flows, business rules, policies, procedures, and reports that support new or existing programs.
- Reviews product HEDIS, CAHPS, HOS, and other satisfaction reports. Request additional reports as needed to identify opportunities for improvement. Assist in the development of effective interventions. Prepare reports or tracking tools to monitor improvements and summarize effectiveness of interventions. Assist in corporate wide work groups to impact these rates for all lines of business.
- Assists in the development and implementation of training programs, tools, and other documents to help staff successfully implement and maintain clinical initiatives or programs.
Qualifications:
- Bachelor’s degree in business, health care management, or related field required.
- Master’s degree preferred (extensive related experience will be considered).
- Minimum of two years experience in performance improvement management required.
- Experience in health care insurance or health care industry preferred.
- Experience in an outpatient setting preferred.
- Experience with EPIC preferred.
- Experience in a physician practice setting preferred.
- Strong problem solving, organizational, and communication skills (oral and written) are required.
- This person must have the ability to coordinate the development and implementation of multiple large projects at one time, organizing tasks and deliverables needed to meet the objectives and timelines established for the programs.
- Must be able to function in a complex environment.
- Must have strong analytical skills.
- Must have strong computer skills including use of Word, Excel, Powerpoint, Access and Outlook.
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
CAREER GROWTH
Grow Your Nursing Career
Spanning over 20 clinical specialties and more than 50 unique nursing roles, every nurse at UPMC can achieve and advance their goals with the My Nursing Career Ladder. Whether you’re looking to progress to an elevated role or continue your education, UPMC equips nurses with the resources, feedback, leadership, and benefits to help you succeed and achieve your career goals. Here’s how a few nurses have grown their careers through the years at UPMC:
Clyde C.
As a Professional Staff Nurse, Expert at UPMC Muncy, Clyde is a great example of someone who has taken advantage of UPMC’s My Nursing Career Ladder to grow his career while remaining in the same hospital location.
Clyde’s Career Journey:
⦁ 2017: Professional Staff Nurse – UPMC Muncy
⦁ 2021: Sr. Professional Staff Nurse – UPMC Muncy
⦁ 2022: Sr. Professional Staff Nurse II – UPMC Muncy
⦁ 2022-present: Professional Staff Nurse, Expert – UPMC Muncy

Michelle B.
In her current role as a Professional Staff Nurse, Expert at UPMC Presbyterian, Michelle cares for patients with chronic and ongoing health issues as part of a Medical-Surgical unit. Michelle enjoys the daily change that Med-Surg nursing brings, and has found a career path that is interesting, meaningful, and full of opportunity.
Michelle’s Career Journey:
⦁ 2019: Staff Nurse – UPMC Presbyterian
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian
⦁ 2021: Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2021: Sr. Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2022: Sr. Professional Staff Nurse II, BSN – UPMC Presbyterian
⦁ 2023: Professional Staff Nurse, BSN, Expert – UPMC Presbyterian

INSURANCE SERVICES DIVISION OF UPMC
Advance Your Future
A career with UPMC means more than just caring for patients – when you’re a part of UPMC Insurance Services Division, it means caring for more than four million insurance members, too. UPMC Insurance Services Division offers a full range of health insurance products and services to our network across the country, providing peace of mind, better health, and financial security to our members, along with limitless career opportunities and a rewarding mission to those on our team.
About UPMC Insurance Services Division
As an integrated health care provider-insurer, UPMC goes beyond patient care to provide insurance products and services to millions of members. Our team partners with UPMC and community network providers to deliver knowledge and expertise that provides the highest quality care at the most affordable price, supporting our members through service, communication, and more.
Fast Facts:
- We provide insurance products and services to over more than four million members.
- UPMC’s Insurance Services Division offers a full range of health insurance options including UPMC Health Plan, Workpartners, UPMC for Life, UPMC for You, UPMC for Kids, UPMC Community HealthChoices, and Community Care Behavioral Health.
- UPMC Health Plan is among the nation’s fastest-growing health plans.
Opportunities on Our Team
We’ve got a job that’s just right for you! UPMC Insurance Services Division team offers a vast array of career paths and opportunities, from career areas like customer service, data analytics, and information technology and even patient care roles like social work, nursing, and care management.
Whether in non-clinical or patient-facing roles, our team impacts patients and members by providing quality experiences before, during, and after their care, building relationships in a unique and meaningful way.
Recognized for Excellence
Be a part of an award-winning team! UPMC Insurance Services Division has been recognized for outstanding care and service with awards that include:
- U.S. News and World Report named UPMC for Life a “Best Insurance Company for Medicare Advantage” in Pennsylvania for 2024.
- The Human Rights Campaign Foundation has named UPMC Health Plan an “Equality 100 Leader in LGBTQ+ Workplace Inclusion” for 2023–2024.
- UPMC for Life ranked #1 in Customer Satisfaction* among Medicare Advantage Plans in Pennsylvania by J.D. Power.
- The Ethisphere Institute named UPMC as one of the World’s Most Ethical Companies for the sixth consecutive year.
*Results are based on award-eligible plans in Pennsylvania by J.D. Power. For J.D. Power 2024 award information visit, jdpower.com/awards.
Jump-Start Your Career
Looking to launch a career with longevity and opportunity? With countless entry-level opportunities for recent graduates, along with tools and resources that empower you as you learn and grow, UPMC Insurance Services Division is the perfect place to get a career started.
Interested in taking your career to new heights? Our career paths and advancement opportunities will provide you with chances to achieve your goals at every step.
BENEFITS AND LIFE AT UPMC
We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons.
Work-Life Balance
Finding the ideal balance to manage the important elements in your life.
Development & Opportunities
Enhancing your career through continued learning opportunities and/or advancement.
Compensation
Receiving competitive pay for the work that you do – base pay, merit, and premium pay.
Performance & Recognition
Rewarding performance that supports the goals and mission of UPMC.
Benefits
Providing assistance and security to meet the current and future needs of you and your family.
Work-Life Balance
Finding the ideal balance to manage the important elements in your life.
Development & Opportunities
Enhancing your career through continued learning opportunities and/or advancement.
Compensation
Receiving competitive pay for the work that you do – base pay, merit, and premium pay.
Performance & Recognition
Rewarding performance that supports the goals and mission of UPMC.
Benefits
Providing assistance and security to meet the current and future needs of you and your family.
Benefits that Matter to You
We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.
- Earn over 5 weeks of paid time off every year
- Affordable medical, dental & vision coverage
- Student loan assistance and tuition reimbursement options
- Earn up to 8% of your eligible pay in retirement contributions from UPMC
- Employer-paid life insurance
Benefits that Matter to You
We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.
- Earn over 5 weeks of paid time off every year
- Affordable medical, dental & vision coverage
- Student loan assistance and tuition reimbursement options
- Earn up to 8% of your eligible pay in retirement contributions from UPMC
- Employer-paid life insurance
Benefits that Matter to You
We’re committed to providing our employees with benefits that meet their needs and support their well-being in all areas of life.
- Earn over 5 weeks of paid time off every year
- Affordable medical, dental & vision coverage
- Student loan assistance and tuition reimbursement options
- Earn up to 8% of your eligible pay in retirement contributions from UPMC
- Employer-paid life insurance
Support for You – and Your Family
Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.
- Two weeks of paid parental leave
- Family planning resources
- Tuition assistance for dependents
- Comprehensive health care for dependents
- Emergency child and elder care options
- Flexible work arrangements
Support for You – and Your Family
Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.
- Two weeks of paid parental leave
- Family planning resources
- Tuition assistance for dependents
- Comprehensive health care for dependents
- Emergency child and elder care options
- Flexible work arrangements
Support for You – and Your Family
Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.
- Flexibility to choose the shifts and work arrangements that work best for your lifestyle
- Two weeks of paid parental leave
- Family planning resources
- Comprehensive health care for dependents
- Emergency child and elder care options
A Culture That Cares
At UPMC, you can find a home among people who share your passions and care about who you are.
- Employee resource groups
- Awards for champions of dignity & respect
- Center for Workplace Culture and Engagement
- Programs for veteran engagement
A Culture That Cares
At UPMC, you can find a home among people who share your passions and care about who you are.
- Employee resource groups
- Awards for champions of dignity & respect
- Center for Workplace Culture and Engagement
- Programs for veteran engagement
A Culture That Cares
UPMC is a place where you can find a home, no matter your gender, race, sexual orientation, age, or culture, and where you can meet people who share your passions and care about you.
- Employee resource groups
- Awards for champions of dignity & respect
- Center for Workplace Culture and Engagement
- Programs for Veteran Engagement
Tools to Reach Your Potential
Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.
- Up to $6,000 of annual tuition assistance
- Ongoing learning via LinkedIn Learning
- Accelerated career pathways for growth
- Robust instructor-led education and learning pathways
Tools to Reach Your Potential
Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.
- Up to $6,000 of annual tuition assistance
- Ongoing learning via LinkedIn Learning
- Accelerated career pathways for growth
- Robust instructor-led education and learning pathways
Tools to Reach Your Potential
Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.
- Unlimited educational possibilities, including no-cost BSN and MSN programs
- Robust career ladders for every nurse – no matter your specialty, location, or career stage
- Up to $6,000 of annual tuition assistance
- Ongoing learning opportunities
Expansive Opportunity
Where do you want to go with your career? Wherever it is, UPMC can take you there.
- 100,000 employees
- 40+ hospitals and 800+ doctors’ offices and outpatient sites
- Dozens of career ladders to climb
- International locations
- State-of-the-art technology
Expansive Opportunity
Where do you want to go with your career? Wherever it is, UPMC can take you there.
- 100,000 employees
- 40+ hospitals and 800+ doctors’ offices and outpatient sites
- Dozens of career ladders to climb
- International locations
- State-of-the-art technology
Expansive Opportunity
Where do you want to go with your career? Wherever it is, UPMC can take you there.
- 100,000 employees
- 40+ hospitals and 800+ doctors’ offices and outpatient sites
- International locations
- State of-the-art technology
Read More about Nursing at UPMC

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Read More about UPMC Insurance Services Division
In UPMC Insurance Services Division, analysts work to understand, innovate, and improve the products and services UPMC provides.
Eddie S. shares how his passion for football, fishing, and friendship shapes his life and his career with UPMC Health Plan.
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