Job Description

Job Title: Non-Clinical Manager,Revenue Cycle Corporate Care Management
Job ID: 72740840
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Rev Cyc Care Mgmt
Location: 2 Hot Metal Street, Pittsburgh PA 15203

Description

Purpose:
Devote your career to a company that cares.  UPMC is searching for a motivated individual ready to take the next step in their career and join the team as a Non-Clinical Manager for the Corporate Care Management team.  This role is responsible for the direct oversight of the day to day operations of the audit function of UPMC Revenue Cycle.  The manager ensures that department operations are functioning optimally, and work distribution and workflow processes are operating efficiently and in accordance with all regulatory guidelines. The manager is responsible for staff development as well as team attainment of quality and productivity goals.

This position is located in Pittsburgh at the Quantum building, Monday through Friday, during normal business hours.  Apply today!

Responsibilities:
  • Assist in the implementation and modification/creation of software to support areas related to scope of responsibility.
  • Ensure that all policies, procedures, job descriptions, reports and other documentation are properly maintained and issues addressed as required.
  • Prioritize work assignments as needed and adjust staffing to accommodate work volumes; provide guidance and assistance to staff in the completion of difficult duties/responsibilities and resolution of complex issues.
  • Monitor and support daily staff functions by establishing, maintaining and modifying work standards and productivity/quality tools in all areas related to scope of the Manager's responsibility.
  • Complete or direct the completion of all necessary human resource documentation and adhere to all human resources expectations.
  • Aggressively manage edit, denial, & audit resolution processes and recommend improvements to minimize or eliminate. Analyze data for trends and causative factors that promote or impede progression toward expected outcomes. Communicate identified trends to appropriate leadership.
  • Function as a resource person for audit processes. Assess and respond to organizational and customer needs with innovative programs to ensure customer satisfaction.
  • Utilize the core values as the basis for management making them part of the recruitment, orientation and training for associates (dignity, respect, caring, listening, responsibility integrity, excellence and innovation, quality and safety.)
  • Develop a high-performing team by identifying opportunities to enhance their knowledge and skills, providing training and mentoring, and promoting a collaborative team-focused work environment.
  • Communicate regularly and effectively with subordinates and superiors, regarding the status and condition of the business operation under control of the Manager.Perform other duties as assigned.

Qualifications

  • Bachelor's degree in Business, Nursing or other Healthcare related field preferred
  • Five (5) years' experience in revenue cycle/care management/program development required
  • Previous supervisory or management experience strongly preferred
  • Familiarity with hospital charging and ICD-10 coding highly preferred
  • Experience managing remote staff highly preferred
  • Ability to build credible and effective relationships with physician leadership
  • Proficient in Microsoft Office Applications and analytical/reporting tools
  • Keen understanding of clinical and revenue cycle processes
  • Excellent communication and interpersonal skills
  • Strong quality/process improvement expertise
  • Managed care and third party payor experience (required)
  • Denial Management experience (required)
  • Understanding of clinical and authorization/utilization review processes (required)
  • Medipac experience preferred


Licensure, Certifications, and Clearances:

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

Salary Range: $29.22 to $49.32 / hour

Union Position: No

Apply Current Employee?

UPMC VALUES

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


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Learn more about working here and check out our policies and recent updates.

UPMC Health Plan Named Best Places to Work for LGBTQ Equality in 2019


UPMC Ranked #1 Best Places for Women and Diverse Managers in 2019

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