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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Director Medicare SNP

Description

We have an exciting opportunity for a full-time Director, Medicare SNP to join the UPMC Health Plan leadership team.  As Director, you will be a key component of the team developing the Health Plan's Medicare strategy. If this sounds like an opportunity that meets your interests, we invite you to learn more and apply today!

The Director, Medicare SNP is responsible for oversight of the UPMC Health Plan's Medicare Advantage SNP products. The Director will ensure regulatory compliance, member satisfaction, membership growth, and financial and operational efficiencies. This role maintains direct accountability for reporting, compliance, financial analysis, and planning and coordination of efforts with other departments to assure effective operations of the Health Insurance programs.  

The ideal candidate will have prior Medicare experience but also knowledge of Community HealthChoices (CHC) and Long-Term Services and Supports (LTSS) to facilitate alignment between the Health Plan's Medicare and CHC plans.  This role will require onsite presence in the US Steel Tower in downtown Pittsburgh 3 days per week.

Responsibilities:

  • Develop annual and longer-term business plans for SNP products
  • Ensure the achievement of product and health plan goals and objectives, including budget goals
  • Develop new products as appropriate
  • Oversee development and execution of business plans and annual operating plan, including employee development, organization goals, network, contracting, and beneficiary and provider relations goals.
  • Oversee development of benefit design and the annual bid
  • Work closely with other plan and system departments to ensure operational and financial goals are met.
  • Ensure operational compliance with all state and federal regulatory agencies.
  • Ensure that the beneficiaries' needs are well served with a strong emphasis on quality operations and innovation.
  • Develop and maintain excellent internal and excellent relationships with key stakeholders including network providers, community organizations, Centers for Medicare and Medicaid Services, and other government organizations.
  • Support operations to achieve favorable financial results.
  • Develop and implement strategic and tactical plans to ensure further growth and development of the product and ensure positive financial results.

 

Qualifications

  • Bachelor's degree in health administration, business administration, hospital administration, public health or related field required.
  • Master's degree in one of the named fields preferred.
  • Outstanding leadership and interpersonal/relationship skills with the drive and initiative required to implement change at the strategic and operational levels.
  • At least 5 years' experience in Medicare Advantage or managed care.
  • Demonstrated experience in managing SNP products.
  • Strong understanding and/or experience with Managed Long Terms Supports and Services products such as CHC, the Pennsylvania MLTSS program.
  • Product development experience.
  • Strong oral and written communication skills Excellent analytical, strategic and operational oversight skills.
  • The following competencies are desired of this individual:
    • A strong balance of strategic and business skills, with a high level of intellectual agility and capacity for original thoughts.
    • Ability to instill within the organization a rigorous analytical approach to each aspect of their work from performance management and vendor selection to underlying root cause analysis.
    • A passion and knowledge to inspire others to introduce new perspectives order to find the best solutions and evaluate effectiveness of these initiatives.
    • Willingness to take risks.
    • Emotional intelligence.
    • Exceptional interpersonal skills who can relate well with people at all levels of the organization and demonstrates sensitivity to others.
    • Balanced leadership style that allows for both hands-on and strategic leadership skills, with the ability to lead by example.
    • Results-oriented with a bias toward action.
    • High standards for self and team. S
    • uccessfully achieves goals and remains persistent through obstacles.
    • Maturity to stay focused and work well under pressure.
    • Honed consensus building and relationship development skills.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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