Job Description

Job Title: Associate Network Manager - Directory
Job ID: 52352012
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Natl Network Mgmt
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC Health Plan has an exciting opportunity for an Associate Network Manager - Directory in its National Network Management department, located in downtown Pittsburgh at the U.S. Steel Tower.


The Associate Network Manager - Directory will support the Network Manager - Directory staff, Team Lead, and Director and work in coordination with providers to ensure that their provider information is up to date at all times. Additionally, the Associate Network Manager - Directory will ensure that the UPMC Health Plan Provider Directory is up to date and accurate at all times. The Associate Network Manager - Directory will outreach to providers as related to key departmental goals via phone, email, or fax. They will assist in obtaining provider information and document their activity in a customer database.

Responsibilities: 

 

  • Interact with and collaborate with Providers, Offices and entities as they appear in UPMC Health Plan Provider Directories to support Directory and Provider Demographic Initiatives
  • Assist the office in completing necessary paperwork for participation and ensure all items are accurate.
  • Track and manage assigned outreach efforts from initial provider contact through completion and be responsible for results.
  • Be able to multitask i.e. converse with provider representatives, answer questions, and document results while maintaining productivity and accuracy.
  • Work as a partner with Network Manager-Directory, Network Managers, Physician Account Executives, as well as other internal departments.
  • Assist with ongoing provider communications and training for office staff as needed.
  • Coordinate problem resolution for providers as necessary and ensure ongoing collaboration with providers to support Health Plan initiatives.
  • Assist other areas of the Heath Plan with Provider Directory discrepancies.
  • Work closely with and have an in-depth understanding of Cactus and the online Provider Directory/UPMC Health Plan website.
  • Be able to work with Microsoft products including Word, Excel, and Teams, as well as, have the ability to learn other software tools as needed.
  • Adhere to processes and policies of the department and work as part of an integrated team. 

Qualifications

  • Associate's Degree in Business, Health Care, Marketing or a related field is required, or equivalent experience.
  • Three (3) years business/sales or healthcare-related experience required.
  • Strong written and verbal communication skills are required.
  • Demonstrated leadership, planning, communication, documentation, organization, analytic and problem solving abilities are required.
  • Ability to attend or accompany Manager/PAE to various internal and external department and provider/hospital meetings.
  • Effectively interpret and summarize results of various analyses in a timely manner.

    Licensure, Certifications, and Clearances:

    UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $17.97 to $29.87 / 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.


WORKING HERE



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

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

Share:
Talent Network