Company · 18 open roles
Careers at UPMC Health Plan
UPMC Health Plan has 18 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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18 positions at UPMC Health Plan
Associate Workers Comp Underwriting Tech
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Associate Workers Comp Underwriting Tech at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: processing policies, supporting underwriting, communicating brokers Requirements: High school diploma, 1+ year customer service or administrative experience, Mic…
Payment Accuracy Analyst, Senior - Hybrid
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Payment Accuracy Analyst, Senior - Hybrid at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: implementing edits, analyzing data, leading projects Requirements: Deep knowledge of claim editing and coding standards, experience with payment integrity/claim…
Clinical Care Manager (RN) - Allison Park
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Clinical Care Manager (RN) - Allison Park at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: coordinating care, educating members, conducting assessments Requirements: Active RN licensure, 2+ years clinical nursing and case management experience, 1 year…
Account Service Manager - Hybrid
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Account Service Manager - Hybrid at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: assisting accounts, coordinating enrollment, resolving issues Requirements: Bachelor's or equivalent experience, 2 years managed healthcare operational or account manage…
Clinical Care Manager (RN) - Pleasant Hills/Munhall
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Clinical Care Manager (RN) - Pleasant Hills/Munhall at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: coordinating care, conducting assessments, creating plans Requirements: RN required with 2+ years clinical/case management experience, case management…
CHC Service Coordinator Supervisor- Southeast, PA
UPMC Health Plan·United States
CHC Service Coordinator Supervisor- Southeast, PA at UPMC Health Plan. Location: United States. Role: monitoring performance, managing staff, conducting evaluations Requirements: Bachelor's in social work/human services, 3 years LTSS experience, 1 year supervisory (or 6 months CH…
CHC Service Coordinator Supervisor- Southwest, PA (Hybrid)
UPMC Health Plan·Pennsylvania or United States
CHC Service Coordinator Supervisor- Southwest, PA (Hybrid) at UPMC Health Plan. Location: Pennsylvania or United States. Role: monitoring performance, conducting meetings, approving plans Requirements: Bachelor's in social work/human services/healthcare, 3+ years LTSS experience,…
CHC Service Coordinator Supervisor- Central, PA- Hybrid shift
UPMC Health Plan·Pennsylvania or United States
CHC Service Coordinator Supervisor- Central, PA- Hybrid shift at UPMC Health Plan. Location: Pennsylvania or United States. Role: monitoring performance, conducting meetings, supervising staff Requirements: Bachelor's in social work/human services/healthcare and 3 years LTSS expe…
Reimbursement Analyst
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Reimbursement Analyst at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: developing rates, monitoring pricing, resolving issues Requirements: Bachelor's in healthcare administration or business preferred (experience may substitute), strong analytical an…
Account Coordinator - Hybrid
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Account Coordinator - Hybrid at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: coordinating onboarding, educating clients, updating profiles Requirements: 1+ years client-facing experience required; degree is a bonus. Requires ability to coordinate onb…
Medical Director, Utilization Management
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Medical Director, Utilization Management at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: assuring care, overseeing utilization, leading credentialing Requirements: MD or DO with PA medical license, minimum ~10 years clinical experience, managed care …
Program Manager- Health Plan (Remote)
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Program Manager- Health Plan (Remote) at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: managing programs, leading testing, driving compliance Requirements: 5+ years healthcare delivery experience, program and project management, regulatory compliance …
Intermediate Commissions Process Analyst
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Intermediate Commissions Process Analyst at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: calculating commissions, auditing payments, resolving discrepancies Requirements: Bachelor's in business/math/statistics/accounting/finance, 1+ year analytical e…
QA Analyst, Intermediate (Hybrid)- Pittsburgh, PA
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
QA Analyst, Intermediate (Hybrid)- Pittsburgh, PA at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: conducting audits, designing reports, assessing operations Requirements: High school +5 years claims processing or Bachelor's +1 year; experience with M…
Health Economics Analyst, Lead - Provider Analytics (Remote)
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Health Economics Analyst, Lead - Provider Analytics (Remote) at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: analyzing data, producing reports, communicating insights Requirements: Bachelor's in a quantitative field required (Master's preferred), 4+ …
Temporary Call Center Agent- Medicare Sales Support
UPMC Health Plan·United States
Temporary Call Center Agent- Medicare Sales Support at UPMC Health Plan. Location: United States. Role: answering calls, conducting outreach, enrolling members Requirements: Remote call center role requiring strong customer service, 6+ months call-center experience preferred, pro…
Reimbursement Analyst
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Reimbursement Analyst at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: negotiating rates, monitoring pricing, maintaining reports Requirements: Bachelor's in healthcare administration/business or equivalent experience; strong analytical, documentation…
Medical Director, Utilization Management
UPMC Health Plan·Pittsburgh, Pennsylvania, United States
Medical Director, Utilization Management at UPMC Health Plan. Location: Pittsburgh, Pennsylvania, United States. Role: overseeing utilization, leading credentialing, reviewing cases Requirements: MD or DO with PA medical license; minimum 5 years clinical experience (5–10 preferre…