At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic continues to evolve. As our recruiters work to fill positions during this time, interviews and recruitment-related processes have been modified to protect and prioritize the safety of our candidates and employees.

UPMC continues to comply with any governmental guidance related to local, state, and federal COVID-19 vaccination and testing requirements where our team members live and work. UPMC strongly supports vaccination and encourages everyone who can get vaccinated to do so to protect themselves, their co-workers, and our patients. At this time, the COVID-19 vaccination is available for new or existing employees on a voluntary basis, except where required by local, state, or federal authorities. Staff in positions in our New York, Maryland, and City of Philadelphia areas must be in compliance with local COVID-19 mandates.

For more information about UPMC’s response to COVID-19, please visit

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Supervisor, Claims- Direct Member Reimbursement (DMR)


Are you a dynamic leader with strong health insurance experience?  If so, UPMC Health Plan's Claims Supervisor may be the perfect next step in your career.  This role requires management-level experience in planning and directing. This role is responsible for training personnel, preparing and giving evaluations to employees, and maintaining excellent working relationships with all departments. Responsible for team performance, including accurate and timely completion of assigned claim inventories. Ensures effective employee development and training. The Supervisor must use their knowledge and understanding of claim inventory trends and other information generated to identify opportunities to improve claim performance.



  • Manage special projects
  • Work in conjunction with other Supervisors to allocate and adjust team resources as daily needs required
  • Identify trends and partner with the Support team and Management to make recommendations and improve operational performance
  • Participate in interviewing, hiring, and training of team members
  • Enhance communication via effective team meetings, huddles, and employee one on ones
  • Ensure team performance meets or exceeds claim timeliness and quality standards for regulatory compliance and performance guarantees
  • Meet deadlines and turnaround times set by management (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)
  • Maintain a positive work environment through employee recognition and interaction
  • Strategize, plan, organize, and execute efficient inventory management
  • Supervise and monitor the ongoing performance of team members. Continually examine team performance against department standards. This includes timely employee feedback via employee scorecards




  • Bachelor's degree in business, health care or management related field or equivalent experience;
  • Minimum 3 years of health insurance experience preferred;
  • Minimum 3 years leadership experience (leading, mentoring, coaching, or teaching);
  • Excellent planning, communication, documentation, organization, analytical and problem-solving abilities; Medical Terminology or medical billing experience;
  • High level of professionalism, enthusiasm, and initiative on a daily basis;
  • Working knowledge of Commercial, Medicaid and Medicare plans;
  • Working knowledge regarding Coordination of Benefits;
  • Ability to maintain quality and production designated standards established for handling work, problem solve effectively and organize workflow;
  • Ability to handle multiple priorities in a fast-paced production environment;
  • Some travel may be required.
  • Must be able to serve as a positive extension of the management team.

Licensure, Certifications, and Clearances:

  • Act 34

  • 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 — 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