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. 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.

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   Current UPMC employees must apply in HR Direct

Network Manager

Description

UPMC Health Plan is hiring a full-time Network Manager to support the National Network Management department! This is a Monday through Friday daylight role that is currently working remotely but may eventually return to the office in downtown Pittsburgh's US Steel Tower. This position will involve occasional travel post-COVID. 

The Network Manager will support the Physician Account Executive (PAE) team and coordinate efforts with other HP clinical departments. They will assist with provider operational initiatives including HCC, CDPS, MA P4P, and CMS Stars. The Network Manager will outreach to providers as related to key departmental goals via phone, email and personal visits. They will assist in obtaining provider information and document their activity in a customer database. The Network Manager will assist in investigating claims issues and effectively communicate their findings to providers and external departments. 

Responsibilities:

 

  • Ability to manage relationships with key accounts within the Health Plan physician network is preferred.
  • Collaborate with other Network Leaders and staff to ensure process improvement within department.
  • Coordinate problem resolution for providers as necessary and ensure ongoing collaboration with providers.
  • Present various HP programs and tools to network providers and staff. Follow up with provider as necessary.
  • Effectively manage special projects assigned by Manager, Department Director, Team Leads and Physician Account Executives. To complete in a timely manner, occasionally, the employee will need to extend hours beyond 40 hour work week.

 

Qualifications

  • Bachelor's Degree in Business, Health Care, Marketing or a related field is required or equivalent experience.
  • 3 years business/sales or healthcare-related experience required.
  • Claims experience highly preferred. 
  • MC400 experience preferred. 
  • Familiarity with Community HealthChoices preferred. 
  • Demonstrated leadership, planning, communication, doc
  • Strong written and verbal communication skills are required.
  • Demonstrated leadership, planning, communication, documentation, organization, analytic and problem solving abilities are required.
  • Ability to attend or accompany Manager/ PAE to various internal and external department and provider/hospital meetings.
  • Effectively interpret and summarize results of various analyses in a timely manner.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct