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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 complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

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

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Manager, Statutory Reporting

  • Job ID: 649938949
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: 68740 HPLAN Medicaid Programs
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $32.87 to $56.12 / hour

Description

UPMC Health Plan has an exciting opportunity foer a Manager, Statutory Reporting position in the Medicaid department.  This is a full time position working daylight hours.  This is a hybrid position working both in office and at home.

The Manager Statutory Reporting will assist the department with day-to-day oversight responsibilities of providing responsive and timely reporting, data analysis and operations support to guide the overall strategic direction of the Health Plan products.

Responsibilities:

  • Develop regulatory knowledge to support senior leadership with management of financial/analytical regulatory reporting, partnering with DHS to understand how the statutory financial reports are utilized and provide recommendations for improving contractual monitoring to meet program and business objectives.
  • Demonstrate comprehensive understanding of DHS financial reporting requirements and how to interpret and apply them to filings.
  • Ensure accurate and timely submissions for all regulatory reporting.
  • Serve as a financial contact with OLTL?s finance division for financial reporting requirements and contract monitoring.
  • Lead the annual contract audit and frequently communicate with leadership on any findings or concerns with contractual compliance.
  • Thoroughly develop, manage, maintain and monitor key business practices put in place to optimize financial reporting and the impact it has on rate setting.
  • Work directly with the Encounter team to reconcile claims/encounter data to the financial reporting submissions.
  • Work in partnership with the Finance team, operations, and clinical leadership and management in analyzing utilization and medical trends to forecast cost and utilization patterns in accordance with DHS?s reporting requirements in order to maximize clinical and operational intervention opportunities.
  • Provide key information to senior management in a timely and comprehensive manner.
  • Monitor staff to ensure they are able to provide key business recommendations based on outcomes of their analysis.
  • Develop and mentor staffs? skills and career goals.

 

Qualifications

  • BA/BS degree in Accounting/Finance or related field.
  • CPA is preferred.
  • 5+ years of accounting experience with preferred focus on statutory accounting.
  • Ideal candidate will have a background in health insurance.
  • Experience with Microsoft Office and SQL is considered highly attractive.
  • Experience buildings teams and developing talent.
  • Intellectually curious, strong analytical, reconciliation and multi-tasking skills, and experience in a fast-paced environment.


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UPMC is an Equal Opportunity Employer/Disability/Veteran

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