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 - Western PA

Description

UPMC Health Plan is seeking a Physician Account Executive to support the National Network Management Department. This position will be working a hybrid model from home and the office with travel required throughout Western PA. This position will work standard daylight hours Monday through Friday.

This position will manage relationships with strategic high volume Home Health, Palliative, Hospice, & Shift Care Nursing practices within the UPMC Health Plan service area. Provide assistance and support to other assigned Providers and its staff enabling them to resolve daily operational issues, as necessary. Evaluate the effectiveness of Provider operational processes and assist the Provider in developing action plans and identifying resources to impact change. Present reports to Providers and staff and lead a team of professionals, who will be instrumental in improvement of patient outcomes, member satisfaction and cost control. 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:

 

  • Assist in development of plans, by market segment to increase UPMC Health Plan patient base with key accounts. Determine provider role in these activities.
  • Meet with targeted Provider practices to assess practice patterns and make recommendations to improve provider performance.
  • Monitor ongoing performance of practices and report findings to physicians to help improve clinical and operational performance.
  • Provide information on plan resources to assist.
  • Create and lead team to impact change.
  • Assist Manager in coordination of staff development and training. Mentor by accompanying Network Managers to appointments when needed.
  • Manage relationships with key high volume accounts within the UPMC Health Plan Provider network.
  • Track and document success and report results to practice and to management.
  • Distribute provider reports, lead development and implementation of action plans.
  • Manage special projects assigned by manager and department director.
  • Identify, document and distribute best practice information.
  • 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).

 

Qualifications

  • B.A. degree in business, health care, finance, or related field or 5 years of experience in managed care/physician office setting required.
  • Claims experience 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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