COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Physician Account Executive - Southeast PA

Description

UPMC Health Plan is hiring a full-time Physician Account Executive to manage the UPMC Health Plan’s provider network in Southeastern PA. This role will involve travel throughout the region and will work remotely with some local traveling to providers when required.

The Physician Account Executive will manage relationships with strategic high-volume physician practices within the UPMC Health Plan service area and provide assistance and support to other assigned physician practices and its staff enabling them to resolve daily operational issues, as necessary. In addition, this role will evaluate the effectiveness of physician practice clinical and operational processes and assist the practice in developing action plans and identifying resources to impact change. The Physician Account Executive will also present provider reports to physicians and staff and lead a team of professionals, who will be instrumental in the improvement of patient outcomes, member satisfaction and cost control. They will work with a broad spectrum of UPMC Health Plan personnel, network providers, and external resources to complete all tasks related to network management projects, goals and objectives.

Responsibilities:

 

  • Track and document success and report results to practice and to management.
  • Maintenance and development of Physician Network.
  • Monitor ongoing performance of practices and report findings to physicians to help improve clinical and operational performance.
  • Create and lead team to impact change.
  • Distribute provider reports, lead development and implementation of action plans.
  • Manage relationships with key high volume accounts within the UPMC Health Plan physician network.
  • Provide information on plan resources to assist.
  • Meet with targeted physician practices to assess practice patterns and make recommendations to improve provider performance.
  • Identify, document and distribute best practice information.
  • Manage special projects assigned by manager and department director.
  • Meet deadlines and turnaround times set by manager and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both).
  • Assist in development of plans, by market segment to increase UPMC Health Plan patient base with key accounts. Determine provider role in these activities.
  • Assist Manager in coordination of staff development and training. Mentor by accompanying Network Managers to appointments when needed.

 

Qualifications

  • B.A. degree in business, health care, finance, or related field or 5 years of experience in managed care/physician office setting required.
  • Healthcare experience preferred.
  • Experience in managed care contracting preferred.
  • Previous claims experience preferred.
  • Driver's license highly preferred.
  • Excellent verbal and written communication skills, analytical and organizational skills are required.
  • Extensive problem-solving experience is required.
  • Presentation experience and experience working with physicians.
  • Goal-oriented and have experience with development and implementation of action plans.
  • Leadership skills are desired.
  • Excellent project management, analytical, organizational, and customer service skills are required.
  • Ability to work within an aggressive service-based environment.
  • Ability to continuously interact effectively with all Health Plan departments is critical.
  • Ability to effectively manage relationships with assigned strategic practices and keep accurate records of all activity for reporting purposes.
  • Ability to develop and analyze focused action plans for key accounts.
  • Minimal direction required.
  • Ability to present information to management in a clear and professional manner.
  • Results-oriented and self-motivated.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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