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.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Supervisor, Claims (Hybrid Remote)

Description

UPMC Health Plan is looking for a Supervisor for our Payment Optimization Support Unit.  This position oversees the retrieval and distribution of medical record information needed for patient care, insurance, and legal purposes. This is a Monday – Friday daylight role and is based out of Erie, PA. This is a hybrid role, with some remote/work-from-home privileges, as well as some travel to the office for training, meetings, department needs, etc.


This position requires management level experience in planning, directing, and responsible for training personnel, prepare and give evaluations to employees and maintain excellent working relationships with all departments. Responsible for team performance, including accurate and timely completion of assigned claim inventories. Ensures effective employee development and training. The Supervisor must use their knowledge and understanding of claim inventory trends and other information generated to identify opportunities to improve claim performance.

Responsibilities:

 

  • Manage special projects
  • Work in conjunction with other Supervisors to allocate and adjust team resources as daily needs required
  • Identify trends and partner with Support team and Management to make recommendation and improve operational performance
  • Participate in interviewing, hiring, and training of team members
  • Enhance communication via effective team meetings, huddles, and employee one on ones
  • Ensure team performance meets or exceeds claim timeliness and quality standards for regulatory compliance and performance guarantees
  • Meet deadlines and turnaround times set by management (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both)
  • Maintain a positive work environment through employee recognition and interaction
  • Strategize, plan, organize, and execute efficient inventory management
  • Supervise and monitor ongoing performance of team members. Continually examine team performance against department standards. This includes timely employee feedback via employee scorecards

 

Qualifications

  • Bachelor's degree in business, health care or management related field or equivalent experience;
  • Minimum 3 years of health insurance experience preferred;
  • Minimum 3 years leadership experience (leading, mentoring, coaching, or teaching);
  • Excellent planning, communication, documentation, organization, analytical and problem solving abilities;
  • Medical Terminology or medical billing experience
  • High level of professionalism, enthusiasm, and initiative on a daily basis;
  • Working knowledge of Commercial, Medicaid and Medicare plans
  • Working knowledge regarding Coordination of Benefits;
  • Ability to maintain quality and production designated standards established for handling work, problem solve effectively and organize workflow;
  • Ability to handle multiple priorities in a fast-paced production environment;
  • Some travel may be required
  • .Must be able to serve as a positive extension of the management team.


Licensure, Certifications, and Clearances:

  • Act 34

  • 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