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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   Current UPMC employees must apply in HR Direct

Quality Management Specialist

  • Job ID: 905085413
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Community Care Behavioral Health
  • Department: Quality
  • Location: 339 Sixth Avenue, Pittsburgh PA 15222
  • Union Position: No
  • Salary Range: $20 to $33.22 / hour

Description

UPMC has an exciting opportunity for a Full time Quality Management Specialist role. With Monday through Friday daylight hours and a flexabile work environment, don't miss you chance to join this exciting team!


The Quality Management Specialist is responsible for performing functions related to quality management and improvement, in compliance with NCQA, HEDIS, URAC the Commonwealth of Pennsylvania Department of Health quality assurance regulations, and all other regulatory and oversight agencies.

Responsibilities:

  • Prepares formal reports and tracks timing of various levels of report completion.
  • Responsible for specified data collection related to all functional departments of Community Care.
  • Responsible for tracking committee actions and outcomes for feedback to the appropriate individual/committee.
  • Responsible for preparing reports to be sent to cross contract oversight agencies.
  • Responsible for performing targeted audits.
  • Responsible for assisting with preparation for NCQA, URAC, and other site visits.
  • Responsible for appropriate correspondence related to managing quality department activities.
  • Responsible for participating in updating the Quality Work Plan, Annual Evaluation, and Quarterly PEPs Summaries. Including tracking, managing, and incorporating feedback from oversight agencies.
  • Responsible for assisting in the coordination of PowerPoints, attachments, and report content for all Community Care contracts.
  • Responsible for minute taking at quality committees as assigned.
  • Responsible for preparing monthly, quarterly, and annual quality improvement reports to various committee meetings.
  • Responsible for written quality newsletters and assisting with the provider and member newsletters as indicated.

 

Qualifications

  • Bachelor's Degree preferred.
  • Experience in managed care preferred.
  • Excellent organizational skills.
  • Experience in report writing, Microsoft software, collection and organization of large quantities of data preferred.
  • Ability to maintain effective professional liaison with all levels of staff, including professional and institutional providers of care.
  • Independent problem solving related to job responsibilities based on knowledge of quality standards, pertinent issues related to product and population served, and the operating practices of this organization.
  • Ability to identify trends or problem areas.
  • Ability to propose and, with supervision, implement solutions to identified trends or problem areas with recommendations for improvement.
  • Excellent clinical, written and oral communication skills.
  • Responsiveness to deadlines and has work completed on or before deadline 95% of the time.


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