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   Current UPMC employees must apply in HR Direct

HCBS Provider Monitoring Specialist- Associate

  • Job ID: 607748076
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 7:30am-4pm
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Community HealthChoices
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $24.05 to $41.60 / hour

Description

Community HealthChoices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. 


This position supports Home and Community Based Providers (HCBS) in gaining operational efficiencies by identifying and addressing process improvement opportunities. This position also performs on-going monitoring to ensure provider compliance with both internal UPMC and governmental regulatory requirements.

Responsibilities:

 

  • Identify areas of concern or provider deficiencies through data analysis and propose solutions based on findings and established protocols.
  • Successfully manage assigned projects and initiatives
  • Generate accurate and detailed reports for effective monitoring, trending, and analysis.
  • Effectively prioritize and complete all assigned tasks.
  • Ability to explain results of findings to internal and external stakeholders.
  • Communicate effectively and regularly with other team members, management, and applicable stakeholders.

 

Qualifications

Bachelors Degree and/or equivalent education or work experience. 2 years general business experience required

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct