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

Manager, Claims (Intake Verification and Mail Services team)

  • Job ID: 740044037
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Claim Intake Ver-Mail SV
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $31.08 to $52.46 / hour

Description

This position will lead the Claims Intake Verification and Mail Services team, a critical operations department that acts as the primary intake unit for all of UPMC Health Plans paper claims and correspondence. This person will focus on employee and leadership growth/development and work experience, to further cultivate a culture of engagement, while overseeing day-to-day operations. They will also collaborate with senior leaders to optimize department processes, equipment, and technology

Responsibilities:

 

  • Provide leadership and direction through developing and updating procedures, programs, determining appropriate production standards, determining staffing requirements, and training opportunities.
  • Maintenance of communication with new and established customers.
  • Serve as liaison to customers by facilitating demonstrations of operations activities.
  • Effectively interact with internal and external customers.
  • Recruit and discharge employees when necessary.
  • Maintain designated standards established for handling incoming work.
  • Manage and direct all activities and special projects.
  • Provide central coordination and control for implementation of new/changed application and systems.
  • Create programs that promote employee engagement and develop a positive work experience.
  • Develop or manage programs to enhance employee development.

 

Qualifications

  • Bachelor's Degree preferred.
  • 5 years of business experience are required.
  • Prior management experience with automated claims processing is mandatory.
  • Knowledge of medical terminology, ICD-9, and CPT coding required.
  • Knowledge of commercial, Medicaid, and Medicare products. Competent in MS Office and PC skills.
  • Able to demonstrate organizational, interpersonal, and communication skills.
  • Maintain designated production and quality standards.
  • Ability to react to users needs in a timely and efficient manner.
  • Direct staff with minimal amount of supervision.


Licensure, Certifications, and Clearances:

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

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

Security Alert

We are aware of scams targeting UPMC and other large companies that involve individuals posing as employees to illegitimately conduct interviews and extend false employment offers and payments to gain access to candidates' personal information. Please note that UPMC will not communicate with candidates through third-party email services like Gmail or Yahoo. While some interviews may take place via a video conferencing service, UPMC Talent Acquisition will not conduct interviews via Skype or Google Hangouts. UPMC will never ask for or disburse funds during the recruitment process. If you are hired into a role with a sign-on bonus or similar incentive, funds will be paid to you by UPMC after your start date.

If you suspect you have been a victim of a fraudulent UPMC job offer, please report the attempt using this form.