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 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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Performance Improvement Crd

  • Job ID: 594580114
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Quality
  • Location: 1701 Innovation Drive, York PA 17404
  • Union Position: No
  • Salary Range: $19.86 to $29.82 / hour

Description

Purpose:

This position supports the performance improvement activities for the Medicaid, SNP, CHIP and adultBasic products. This includes the development and implementation of quality performance improvement plans, barrier analyses, medical management programs, interventions to improve performance, analyzing the results and preparing summaries of outcomes for the clinical programs. This position is also responsible for the research of clinical standards of care, reviewing data to identify opportunities, drafting of program descriptions, work flows, assessments, reports, training materials and other communication documents. This position will participate on multidisciplinary work teams related to performance improvement activities.

Responsibilities:

  • Collaborates with the clinical staff and other departments to collect information related to opportunities for improvement in clinical or service outcomes. This includes clinical programs or other NCQA clinical standards. Conducts barrier analysis and prepares summaries of findings and interventions.
  • Prepares performance improvement documents in format required by government agency, regulatory body or accrediting body. Completes research related to improvement activity, requests data, reviews reports and summarizes findings. Obtains information from clinical staff or other areas on interventions implemented related to opportunity.
  • Assists in developing tools and reports that will provide the clinical leadership management with information on progress of performance improvement initiatives, and outcomes for the programs. Analyzes results and prepares reports on findings for review by the clinical leadership.
  • Coordinates the scheduling of work team meetings, prepares documents, maintains minutes, and creates updates on the status of projects or programs. Assists the clinical team in drafting assessments, work flows, business rules, policies, procedures, and reports that support new or existing programs.
  • Reviews product HEDIS, CAHPS, HOS, and other satisfaction reports. Request additional reports as needed to identify opportunities for improvement. Assist in the development of effective interventions. Prepare reports or tracking tools to monitor improvements and summarize effectiveness of interventions. Assist in corporate wide work groups to impact these rates for all lines of business.
  • Assists in the development and implementation of training programs, tools, and other documents to help staff successfully implement and maintain clinical initiatives or programs.

Qualifications

  • Bachelor's degree in business, health care management, or related field required.
  • Master's degree preferred (extensive related experience will be considered).
  • Minimum of two years experience in performance improvement management required.
  • Experience in health care insurance or health care industry preferred.
  • Strong problem solving, organizational, and communication skills (oral and written) are required.
  • This person must have the ability to coordinate the development and implementation of multiple large projects at one time, organizing tasks and deliverables needed to meet the objectives and timelines established for the programs.
  • Must be able to function in a complex environment.
  • Must have strong analytical skills.
  • Must be flexible.
  • Must have strong computer skills including use of Word, Excel, Powerpoint, Access and Outlook.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

COVID-19 Vaccination Information

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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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

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