Current UPMC employees must apply in HR Direct.

AVP, Commercial Product Operations

Job ID: 8503174139
Status: Full-Time
Regular/Temporary: Management
Shift: Day Job
Work Arrangement: HybridWork Arrangement information
Facility: UPMC Health Plan
Department: Sales _ Acct Mgmt Admin
Location: 600 Grant St, Pittsburgh, PA
Union Position: No
Salary Range: $ 0.0-0.0 USD

Purpose:

Drive Commercial Growth Through Strategy, Innovation & Operational Excellence. 
 
The UPMC Health Plan is seeking a senior insurance operations leader with 10+ years of progressive experience and at least 5 years at the Director level leading large, dispersed teams. The ideal experience includes commercial health plan products, sales operations and enablement, new product development, financial performance, technology/platform oversight, and cross-functional leadership supporting acquisition, implementation, and retention.

The AVP, Commercial Product Operations is responsible for leadership and oversight of UPMC Commercial Product suite of services, including Commercial Fully Insured (CMFI), Administrative Services Only (ASO), Exchange products, and Sales/Retention support and administration. Responsible for the overall management of operational processes, technology platform oversight, financial performance, and communicating with relevant teams/departments across the Insurance Services Division. Ensure Commercial Products have the tools, resources, technologies, and systems/platforms to achieve sales/retention revenue targets and corporate objectives.
 

This position requires the candidate to work onsite in Downtown Pittsburgh 

Responsibilities:
 

  • Collaborate cross functionally to ensure timely, appropriate implementation of new sales/renewal processes to enhance acquisition and retention results. 
  • Create/enhance the structure/support model of the sales support team to create effective and efficient strategies and long-term goals in the effort to drive the Health Plan/CM Product vision.
  • Meet aggressive budgets, targets for all service lines.
  • Establish effective business plans and budgets for various service lines.
  • Provide account management and maintain relationship with all major accounts.
  • Continually evaluate operations of all business lines and service along with development of new services.
  • Establish strategic direction. 
  • Interact with clinical, finance, and other key departments to maximize revenues, reduce expenses (Clinical and Administrative), and generate gross profits. 
  • Ensure integration and growth by focusing on alignment, product development, implementation and retention of assigned products and services.
  • Oversee all aspects of sales support to include Front End/Back End, analysis/compliance and quoting, sales operation (sales reporting, financial analysis, quotas/commissions and install base), and inside sales consultants that support various products. 
  • IT development and support of product lines. 
  • Works closely with the VP, ISD on all Sales enabling technologies; prioritizing investments to ensure new sales/renewal productivity.
  • Work collaboratively with Clinical, Network and Quality Departments to enhance development and application of training, performance improvement and education programs for Internal and External partners.
  • Responsible for keeping up to date on local, regional, and national affairs, policies, and legislation affecting business operation/products.
  • Provides counsel to the President, CM Product in implementation strategic initiatives and enabling supporting technologies.
  • Responsible for and oversee financial and data analysis/management.
  • Oversee the business-critical measurement, implement tracking and reporting processes, and provide analyses.
  • Provide thoughtful leadership regarding current customer trends, and objectives.
  • Recruit, retain and develop a competent staff.
  • Develop and manage relationships across all departments.

Qualifications:

  • BA/BS from a reputable, accredited institution is required.
  • 10+ years of success in leadership positions with progressive management and operations experience in health or general insurance market required. 
  • Must have a strong understanding of new product development. 
  • 5+ years of Director-level experience managing a large and dispersed team. 
  • Ability to collaborate effectively across the organization and establish relationships and efficient processes. 
  • Must have profound understanding of latest concepts, practices, procedures, and trends in a consumer-driven environment. 
  • Must possess a working knowledge of all business functions, including media relations and community relations. 
  • Excellent written and oral communications skills Strong interpersonal and team skills.

    Licensure, Certifications, and Clearances:
     

  • PA Health and Accident License required

    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

Male nurse stands in front of hospital, smiling at the camera.

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

Michelle, a blonde nurse, smiles at the camera outside of a hospital setting.

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:

  1. U.S. News and World Report named UPMC for Life a “Best Insurance Company for Medicare Advantage” in Pennsylvania for 2024.
  2. The Human Rights Campaign Foundation has named UPMC Health Plan an “Equality 100 Leader in LGBTQ+ Workplace Inclusion” for 2023–2024.
  3. UPMC for Life ranked #1 in Customer Satisfaction* among Medicare Advantage Plans in Pennsylvania by J.D. Power.
  4. 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

Why Work Here

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.

A Culture That Cares

At UPMC, you can find a home among people who share your passions and care about who you are.

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.

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.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

* Note: Benefits described may not be applicable to all staff.

Read More about Nursing at UPMC

Kendra wears blue scrubs at a hospital desk, looks at camera with a soft smile on her face.

After working as a nursing assistant for 16 years, Kendra took the leap to go back to nursing school and become an RN.

Collage of four photos of medical-surgical nurses, all smiling.

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!

Collage of four photos of medical-surgical nurses, all smiling.

Starting her career in Environmental Services, Leah shares how she fell in love with health care and became a nurse.

Read More about UPMC Insurance Services Division

Collage of four photos of medical-surgical nurses, all smiling.

In UPMC Insurance Services Division, analysts work to understand, innovate, and improve the products and services UPMC provides.

Young man smiles at camera in a studio setting.

Eddie S. shares how his passion for football, fishing, and friendship shapes his life and his career with UPMC Health Plan.

Veteran outside hiking.

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!

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Curious about the culture, roles, and people here at UPMC? The UPMC Careers blog is a great place to read more employee stories, get career tips, and learn about the passions and perspectives of folks who make up our UPMC team.

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