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Senior Program Manager, Clinical and Payment Innovations

  • Job ID: 412536275
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Medical Director Service
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $36.11 to $61.13 / hour


At UPMC Health Plan, we help create health care innovations that will impact the lives of patients in meaningful, lasting ways. The primary role of this position is to work with UPMC leadership, product management, clinical partners and portfolio companies to deliver innovative solutions. The Senior Program Manager is responsible for support of clinical programs, operations, and  UPMC Health Plans value-based payments (VBP) and contracting, clinical and quality strategies, forming strong partnerships with internal  teams (across ISD and HSD disciplines) to drive timely, accurate and appropriate implementation. Program Managers serve as an intermediary between operational teams and executive leadership, identifying insights from the field that have wider implication for the product and company. Program Managers coordinate requirements, budgets, schedules and deliverables, negotiating successful execution across teams. Key responsibilities include collaborating and coordinating development tasks, understanding clinical workflows, collecting requirements, creating documentation, communicating with stakeholders, and managing implementation. This position requires independent thinkers, able to troubleshoot problems, work through ambiguity, prioritize effectively, and create processes that improve delivery.


  • Manage multiple projects and timelines, at all stages of development (from early discovery through entry to market)
    • Provide support for Senior and Executive leadership in developing appropriate VBP strategies specific to each line of business.
    • Provide support the implementation, and provision of ongoing clinical evaluation of VBP strategies
  • Manage cross-functional teams with credibility, with matrix reports of engineers, analysts, operational staff and clinical partners 
  • Responsible for developing, monitoring, and executing project plans, schedules, budgets, and deliverables.
    • Support and monitor the appropriate VBP budgets as assigned.
  • Work collaboratively with partners to monitor progress, identify risks, manage tradeoffs and develop solutions 
  • Handles stakeholder communication for all internal and external stakeholders
    • Provide support of the provider relations activity for medical management of the lines of business assigned 
  • Develops key metrics and KPIs to measure overall performance
  • Communicate activities, statuses, accomplishments
  • Interface with peers to develop a strong working relationship between all groups. Seek opportunity to provide assistance and wherever possible. 
  • Participate in defining and implementing the process roadmap and project management best practices to boost productivity, quality and efficiency
  • Manage and mitigate risks. 
  • Establish escalation processes and ensure timely reporting and resolution of issues. Inform core team, stakeholders, and senior management of major issues that will impact project success. Work with Senior Management to resolve major issues that cannot be solved by the project team alone. Be the escalation point-of-contact for projects within the program.
  • Create and develop a team environment, including building collaborative relationships, training peers to perform at maximum efficiency and for cross-functional coalitions to ensure knowledge is shared across teams.
  • Mentor and/or directly supervise junior program managers


  • Bachelor's degree in business administration or related field
  • MS or PhD preferred
  • PMP certification preferred
  • Minimum of 7 years of experience in managing multiple concurrent projects, of a large scale and a high level of complexity.
  • Prior work with product or service implementation a must; experience in healthcare operations, clinical research or startup development preferred.
  • Superior organization and project management skill: planning, coordinating, prioritizing, and delivering against objectives
  • Proven ability to be a proactive advocate and negotiator, setting appropriate expectations and building effective, long-term cross-team relationships
  • Demonstrated success working with technical teams and deploying solutions that scale
  • Demonstrated experience managing cross-functional teams including team members from multiple business units and different operational departments
  • Ability to focus on the big picture within a constantly changing, fast-paced environment
  • Demonstrated ability to ramp up quickly and work across boundaries to provide valueExcellent communication skills, both written and verbal, with the ability to persuade and influence others.
  • Experience presenting information to C-level executive management teams
  • Demonstrated expertise in project management, including developing planning tools, oversight mechanisms and communication tools
  • Self-starter and independent thinker, who can manage his or her own daily work, operate smoothly under pressure, balance competing priorities and delivery effectively

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UPMC is an Equal Opportunity Employer/Disability/Veteran


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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