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.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

CHC Nursing Facilities Audit Investigator I (Remote)

Description


UPMC Health Plan is hiring CHC Nursing Facilities Audit Investigators to assist and complete audits for the CHC Nursing Facility audit department. In this position, you will reconcile audit documents provided by the Nursing Facility in accordance with the UPMC NF Audit Department process. 

Responsibilities:

 

  • Assist the Department Manager in the activities of the UPMC CHC Nursing Facility Audit Department for accurate and timely dissemination of NF billing practices.
  • Perform all functions of the UPMC CHC NF Audit Department as directed by the Department Manager or more senior level Investigators which may include planning, scheduling, and executing NF audits.
  • Effectively prioritize and complete tasks related to accurate and timely processing of NF audits according to Dept Guidelines.
  • Develop working relationship with CHC Claims/Support Area to obtain NF reports for audit purposes.
  • Maintain accurate records for reporting to NF Audit Dept Manager.
  • Identify and report NF trends to NF Dept Manager for potential NF education.
  • Participate in Training/Education sessions as needed.
  • Remain current with all government regulations and procedures affecting Nursing Facilities billing practices.
  • Performs in accordance with system-wide competencies/behaviors.
  • Anticipates and acts to maintain a safe work environment. Incorporates safety/risk management standards into daily work practices.
  • Ability to communicate with third-party Providers.
  • Performs other duties as assigned.

Pay range for this position: 24.77/hr-42.85/hr

Qualifications

  • Bachelor's Degree or equivalency
  • Knowledge of third-party reimbursements, federal and state regulations, Medicare, and Medicaid requirements required.  At least 2 years of experience in this field.
  • Minimum of two (2) years of experience in long-term care billing or audit preferred.
  • Working knowledge of computer operations including Microsoft Office Products (Excel, Word and Outlook)



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.