Job Description

Job Title: Contract Specialist II
Job ID: 686866
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: Community Care Behavioral Hlth
Department: Network Management
Location: 339 Sixth Avenue, Pittsburgh PA 15222


Are you experienced in contracting and/or credentialing?  Do you have a high level of attention to detail for inputting data?  Are you familiar with the behavioral health field?  If so, UPMC may have the perfect fit for you!
UPMC is hiring a full-time Contract Specialist II to support the Network Management team with Community Care Behavioral Health. This is a Monday through Friday daylight role (8:00 a.m. - 4:30 p.m.) and will be located in downtown Pittsburgh, PA.

The Contract Specialist II is responsible for facilitating a seamless process from the time a provider is identified as needed in the network to contracting with the provider for services. The Contract Specialist II reviews any alterations in the status of contracted providers that may impact on their ability to continue to be in the provider network including changes in license, certifications, Medical Assistance enrollment and completing precedential requirements. The Specialist will maintain the contract files for all provider types.


  • Assemble binders for Department of Health and DPW filings.
  • Assure that provider contracts are fully executed by both parties and that contract copies are filed.
  • Coordinate mailing to providers relating to new contracting issues or contract changes.
  • Coordinate provider file changes with the provider information department.
  • Coordinate the addition of new provider demographic information into UPMC Health Plan systems.
  • Custodian for all Network and Vendor Relations Contract Files.
  • Provide support to the Network and Vendor Relations Department by responding to inquiries from internal and external customers.
  • Respond to inquiries regarding provider network from other internal departments such as Marketing and Government Programs.
  • Review provider applications, request missing information, and submit completed application to credentialing.


  • Bachelors degree and 3 years relevant experience or 7 years of equivalent work experience required (contract experience preferred)
  • Thorough knowledge of NCQA standards and other relevant external quality standards.
  • Knowledge of state and federal standards for contracting.
  • Knowledge of Provider Types.
  • Knowledge with experience in contracting with providers for services.
  • Excellent written and oral communication skills.
  • Ability to work independently and to analyze complex situations accurately and in a timely manner.
  • General knowledge of managed care functions and management techniques preferred.

Licensure, Certifications, and Clearances:



UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $20.60 to $35.57

Union Position: No

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