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Supervisor, Absence Management
Job ID: 6220976716
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Leave Specialists
Location: Work From Home, US-
Union Position: No
Salary Range: $ 32.97-55.65 USD
UPMC Health Plan and Workpartners is hiring a Supervisor, Absence Management. This role will predominantly work remotely.
The Supervisor Absence Management will provide leadership, guidance and direction to administer absence management programs, with emphasis on centralized FMLA administration and ERISA compliance. The supervisor will manage the workflow of their staff; and ensure compliance through periodic quality review audits. This position will provide management oversight for the intake and administration of all leave requests to ensure quality customer service for all Workpartners clients. The supervisor will be a knowledgeable information resource and liaison between all parties involved in client absence programs and work closely with the vocational and workers’ compensation units in developing an integrated leave management program.
Responsibilities:
- Makes recommendations for FMLA second and third opinions when indicated Workpartners clinical staff. Helps prepare communications, training and resource materials for staff and clients. Monitors cost containment and quality standards consistent with internal goals and budgets.
- Provide subject matter expertise during the program development to interpret regulations and client-specific benefits and policies to ensure the accuracy of system configuration and claim processing. Research and review case law and apply knowledge and information to unusual case scenarios to determine eligibility of complex absence requests with legal input as necessary.
- Proactively identifies opportunities and makes recommendations for enhancements to processing and reporting systems and procedures
- Assist the Director of Disability Services in forecasting staffing needs and recommending administrative efficiency strategies.
- Establishes internal controls to ensure all leave adjudications are within established time frames and guidelines. Provides training to staff to ensure that all leave protocols are followed under legal, regulatory and client corporate policy.
- Promotes professional development of program staff to maintain competency and compliance with legal, regulatory and corporate policy. Maintains a positive work environment that supports high-performing teams and rewards people based on performance.
- Operational LeadershipDevelops, implements and monitors performance indicators for staff. Provides feedback, training and corrective action as needed.
- Serves as the escalated communication link for all parties involved in absence program including employees, client company representatives, health care providers, union officials, and other UPMC or Workpartners professionals.Identifies absence program issues and trends and collaborates with customers to ensure processes are in place to continue to meet their needs in a changing environment.
- Consult with clients on case scenarios where the plan or policies are unclear to document the guidance and set work rules for future claim handling. Identify client program issues and trends and collaborate with customers to ensure processes are in place to continue to meet their needs in a changing environment. Oversees the implementation of new customers and effective integration with other Workpartners programs or other client vendors. Help prepare communications, training and resource materials for staff and clients.
- Client SupportOversee the intake and administration of all leave and disability claim requests to ensure quality customer service for all Workpartners clients. The program staff will analyze reported absence requests to make determinations based on company policies within state and federal regulations. The supervisor will ensure that ongoing claim management meets client company service standards and industry best practices.
- Provide management oversight for overall program performance and day-to-day service delivery.
Qualifications:
- Bachelor’s degree required or equivalent experience
- 2 years of supervision/management experience required
- 5 years demonstrated success in absence management claims administration
- Experience managing leave of absence and compliance issues with various state and federal laws that impact leave management such as ERISA, FMLA, ADA and FLSA
- Must be self-motivated and can work independently and handle multiple priorities and deadlines simultaneously with minimal guidance.
- Excellent leadership and communication skills
- Strong problem-solving, analytical and decision-making skills.
- Customer service-oriented with the ability to handle emotionally charged situations.
- Demonstrated time management skills, ability to prioritize and identify critical tasks that deliver highest impact.
- Must possess excellent analytical, troubleshooting and problem-solving skills; sense of urgency, responsiveness and judgment to make effective decisions is required.
- Understanding of integrated disability management is preferred.
- Ability to work effectively across a large, highly matrixed and dynamic organization.
- Willing to learn new technical, business and system skills.
- Computer skills/literacy a must
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
Born in Syria, Jouli H. had a childhood dream of becoming a nurse. After moving to the United States and initially pursuing a different career, Jouli decided to return to school when she turned 30, returning to the hope and dream she had as a little girl. After attending UPMC Mercy School of Nursing, Jouli has continued her UPMC career journey, even becoming a mother along the way.
Jouli’s Career Journey:
⦁ 2020: Staff Nurse – UPMC Mercy
⦁ 2020: Professional Staff Nurse – UPMC Mercy
⦁ 2021: Professional Staff Nurse, BSN – UPMC Mercy
⦁ 2022: Professional Staff Nurse, BSN, Casual – UPMC Mercy
⦁ 2023: Sr. Professional Staff Nurse, BSN, Casual – UPMC Mercy
Keshon might have only started his nursing career 3 years ago, but he has made the most of his time at UPMC! Through tuition assistance and mentorship by coworkers, Keshon has gained experience and grown as a nurse, leader, and UPMC team member. Before his current role with UPMC Travel Staffing, Keshon proudly worked as a staff nurse in his hometown of McKeesport.
Keshon’s Career Journey:
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian Shadyside
⦁ 2020: Professional Staff Nurse, BSN – UPMC Presbyterian Shadyside
⦁ 2020: Staff Nurse – UPMC McKeesport
⦁ 2020: Staff Nurse, BSN – UPMC McKeesport
⦁ 2021: Bed Flow Coordinator – UPMC McKeesport
⦁ 2022: Administrator On Duty – UPMC McKeesport
⦁ 2022-present: RN – UPMC Travel Staffing, MS
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 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 engagement & inclusion
- 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 engagement & inclusion
- 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 Engagement & Inclusion
- 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
![Keshon, a younger male nurse, wears blue scrubs outside a hospital, looks at camera with a soft smile on his face.](https://cdn-static.findly.com/wp-content/uploads/sites/3043/2023/10/18172955/Blog3_Keshon.jpg)
Through tuition assistance and mentorship by coworkers, Keshon launched his nursing career in his hometown of McKeesport.
![Jouli wears blue scrubs in a hospital room, looks at camera with a soft smile on her face.](https://cdn-static.findly.com/wp-content/uploads/sites/3043/2023/10/18173400/Blog1_Jouli.jpg)
Since growing up in Syria, Jouli H.’s story has been one that inspires all of us to remember how empowerment can truly change someone’s life.
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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.
We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!