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

Ancillary Network Manager

Description

UPMC Health Plan is hiring a full-time Ancillary Network Manager to support the National Network Management department. This role will work standard daylight hours, Monday through Friday. The team is based out of downtown Pittsburgh's US Steel Tower, however, this role will work in a hybrid structure with some travel throughout Western PA.

The Network Manager will lead a team of professionals that will work in collaboration with network providers to ensure delivery of high-quality, cost-efficient healthcare services to mutual customers of UPMC Health Plan. The Network Manager will be responsible for establishing goals for the department that lead to not only the department's success, but also the overall success of UPMC Health Plan. The Network Manager will interact with other internal and external customers to set appropriate goals and establish priorities for the Network Management staff.

Responsibilities:

 

  • Assist with network expansion activities as needed.
  • Present provider profiling reports to network providers.
  • Coordinate problem resolution for providers as necessary and ensure ongoing collaboration with providers to support Health Plan initiatives.
  • Identify opportunities to improve clinical and financial performance.
  • Assess the operational patterns of the practice and recommend actions to assist the provider in performance improvement.
  • Ensure ongoing provider communications and training for office staff.
  • Determine the causes of financial and clinical trends, anomalies and communicate these findings to physicians.

 

Qualifications

  • Bachelor's Degree in business, health care, management, or a related field is preferred or equivalent experience is required
  • 3 years of experience in health care industry or professional business industry
  • Claims experience preferred. 
  • Contract and negotiation experience preferred. 
  • Ability to forge strong interpersonal relationships within the department, other departments, and with the physician network.
  • Strong leadership, planning, communication, documentation, organizational, analytical, and problem-solving abilities.
  • Ability to interpret and summarize results of various analyses in a timely manner.
  • Ability to re-engineer processes to positively impact the performance of the department and the Health Plan, as well as individual provider offices.
  • Ability to analyze financial and clinical results and to comprehend forecasting models.
  • Willingness to travel to regional service area within Pennsylvania
  • Demonstrated ability to work independently and manage assigned territory


Licensure, Certifications, and Clearances:

  • Valid Pennsylvania Driver's License required
  • Driver's License

UPMC is an Equal Opportunity Employer/Disability/Veteran

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At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct

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