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

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Compliance Specialist - Medicare (Hybrid)

  • Job ID: 383599477
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Medicare Compliance
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $30.06 to $50.63 / hour


UPMC Health Plan is seeking a Compliance Specialist for their Medicare Compliance Team!

The Compliance Specialist is responsible for the monitoring and reviewing of standards and reporting requirements that are an essential component of this position. This individual must have the ability to perform the oversight planning for and implementation of managing all tasks required to meet business needs within the targeted deadlines. Will work with various Health Plan staff to manage the day-to-day activities necessary to meet the myriad requirements of the contract with the CMS (Centers for Medicare & Medicaid Services) while exceeding their service expectations.

Preferences: Medicare Advantage experience and knowledge of the Medicare Communication Marketing Guidelines are preferred. Microsoft Office experience preferred. 

This position is a combination of in-office and work-from-home. 


  • Develop and/or design reports for senior administration as requested by management staff.
  • Establish continuous readiness preparedness for compliance processes.
  • Work collaboratively with management to achieve staff integrated efficiencies. Implement process and/or product improvements on a day-to-day basis, as assigned.
  • Perform analysis of client business problems, participates in identifying solutions, and ensures that the appropriate resolution occurs.
  • Reports on a weekly basis status of all assignments, pertinent information obtained during report week and provides projections for upcoming week to the Senior Director and Manager.
  • Work closely with Legal Department to promote legal compliance of program reporting.
  • Review policies against contractual requirements and participate in the policy committee when applicable.
  • Coordinate with Internal Audit, and Quality Review t to coordinate, monitor, track and trend audits.
  • Research laws, regulations, contractual requirements industry custom, best practices and company preference.
  • Coordinate with the Network Vendor liaison to monitor vendor performance standards.
  • Identifies timelines for reporting requirements and notifies appropriate staff.
  • Assists with the oversight of compliance programs to satisfy contractual requirements and not to place UPMC for You, UPMC for Best Health or UPMC Health Plan in violation of any federal, state regulations, or accreditation standards.
  • Assist in developing regulatory documentation requirements, establishes monitoring tasks and resolves issues.
  • Implement tactical directives emanating from the strategic business plan.
  • Serve as the primary point of contact for programs by serving as the communication liaison with UPMC Health Plan Communication Department, various Health Plan departments and the Department of Human Services. Monitor all member and provider communications and documents.
  • Review DHS and other various web-sites and communicate new and often complex Government rules and regulations relating to compliance requirements.



  • Bachelor's Degree required.
  • Two years of demonstrated experience/knowledge of regulatory compliance or program management preferred.
  • Medicare Advantage experience and knowledge of the Medicare Communication Marketing Guidelines
  • Microsoft Office experience  
  • Excellent organizational capabilities

Licensure, Certifications, and Clearances:

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.