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   Current UPMC employees must apply in HR Direct

Physician Account Executive - Central PA


Are you a self-directed individual with a passion for relationship-building and account management? UPMC Health Plan's National Network Management Team has an exciting opportunity for a Physician Account Executive!

This Physician Account Executive will manage the UPMC Health Plan’s provider network in Central PA. The ideal candidate will have a background in the healthcare or health insurance industries and experience collaborating with healthcare providers.  This position has the potential for up to 75% travel throughout Central PA.

The Physician Account Executive will manage relationships with strategic high-volume physician practices within the UPMC Health Plan service area and provide assistance and support to other assigned physician practices and its staff, enabling them to resolve daily operational issues, as necessary. In addition, he/she will evaluate the effectiveness of physician practice clinical and operational processes and assist the practice in developing action plans and identifying resources to impact change.

The Physician Account Executive will also present provider reports to physicians and staff and lead a team of professionals, who will be instrumental in improvement of patient outcomes, member satisfaction and cost control. Additionally, he/she will work with a broad spectrum of UPMC Health Plan personnel, network providers, and external resources to complete all tasks related to network management projects, goals, and objectives.


  • Assist in development of plans, by market segment to increase UPMC Health Plan patient base with key accounts. Determine provider role in these activities.
  • Meet with targeted physician practices to assess practice patterns and make recommendations to improve provider performance.
  • Monitor ongoing performance of practices and report findings to physicians to help improve clinical and operational performance.
  • Provide information on plan resources to assist.
  • Create and lead team to impact change.
  • Assist Manager in coordination of staff development and training. Mentor by accompanying Network Managers to appointments when needed.
  • Manage relationships with key high volume accounts within the UPMC Health Plan physician network.
  • Track and document success and report results to practice and to management.
  • Distribute provider reports, lead development and implementation of action plans.
  • Manage special projects assigned by manager and department director.
  • Identify, document and distribute best practice information.
  • Meet deadlines and turnaround times set by manager and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both).


  • B.A. degree in business, health care, finance, or related field or 5 years of experience in managed care/physician office setting required.
  • Health insurance industry experience preferred.
  • Excellent verbal and written communication skills, analytical and organizational skills are required.
  • Extensive problem solving experience is required.
  • Presentation experience and experience working with physicians.
  • Goal-oriented and have experience with development and implementation of action plans.
  • Leadership skills are desired.
  • Excellent project management, analytical, organizational, and customer service skills are required.
  • Ability to work within an aggressive service-based environment.
  • Ability to continuously interact effectively with all Health Plan departments is critical.
  • Ability to effectively manage relationships with assigned strategic practices and keep accurate records of all activity for reporting purposes.
  • Ability to develop and analyze focused action plans for key accounts. Minimal direction required.
  • Ability to present information to management in a clear and professional manner.
  • Results-oriented and self-motivated.

    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 &emdash; 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

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