COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire and is required after employment begins. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Provider Monitoring Specialist Associate (Philadelphia)

  • Job ID: 297882464
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 7:30am-4pm
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Community HealthChoices
  • Location: Work From Home
  • Union Position: No
  • Salary Range: $25.81 to $44.67 / 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 ongoing monitoring to ensure provider compliance with both internal UPMC and governmental regulatory requirements.

This role is work from home and requires travel in the Philadelphia region.

Responsibilities:

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

 

Qualifications

Qualifications:

  • Bachelors Degree and/or equivalent education or work experience.
  • 2 years of general business experience required.
  • Drivers Licenses Required.

Preferences:

  • Strong Excel experience 
  • Strong verbal and written communication skills
  • CHC or audit and compliance experience preferred 


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 — 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