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UPMC Northwest hospital Seneca, PA Housekeeper Full Time Shift: Primarily 2nd shift (3:00 PM-11:30 PM) with every other weekend on 1st shift (7:00 AM-3:30 PM), based on scheduling needs. Responsibilities: + Make beds, following established cleaning procedures in all patient discharge rooms and on-call rooms as assigned. + Inspect and ensure that all assigned areas are properly cleaned and in good repair, report problems to the supervisor. + Replenish paper towels, toilet paper, and soap in all locations of assigned areas to assure adequate supply. + Clean all assigned areas, including patient rooms, public areas, toilets, procedure rooms, offices and equipment, following established procedures. + Maintain assigned equipment in clean, working condition, reporting problems and suggestions to the supervisor. + Remove trash from all assigned areas. + Follow all safety and sanitation regulations. + Move equipment, furniture, boxes, wash walls, spot carpets, etc. as assigned. + Ability to follow written and verbal instructions in order to successfully complete housekeeping duties + Ability to work at off-site buildings. Transportation preferred. + Ability to use housekeeping equipment. + May in the course of duties be in rooms where medications are stored. No contact with medications is allowed.Licensure, Certifications, and Clearances: + Act 34 + OAPSA UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves extensive travel throughout Pennsylvania, with remote work available during non-travel periods. Candidates may reside in PA, OH, MD, NY, NJ or WV. The selected candidate would need to reside within 2 hours of a CCBH office location. 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. **Despite the pay range listed, the current budget for this position is $21.86/hr - $24/hr. **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 data. + Responsible for logging, tracking, monitoring, and reporting individual and aggregate reports to the Management staff of the Quality Management department, and other leadership staff as appropriate. + Responsible for written quality newsletters, and assisting with the provider and member newsletters as indicated. + Responsible for monitoring quality tracking reports and providing individual feedback to appropriate staff, and aggregating the data on a monthly basis. Prepares weekly, monthly, quarterly, and annual reports and tracks timeliness of investigation and follow-up of identified significant member events. + Responsible to assist with tasks related to the Outcomes Department and other departments as assigned by quality management staff. + Responsible for participating in updating the QM Plan. + Responsible for identifying trends related to product and participating providers. + Responsible for minute taking at the Board Quality Improvement Committee and other quality committees as assigned. + Responsible for preparing monthly and quarterly quality improvement reports to the Board. + Ability to travel for 75% of the year + Bachelor's Degree preferred. + Experience in managed care preferred. + Two years of clinical experience in a health or human services agency may be substituted for education requirements (CAC-Certified Addictions Counselor preferred). + Experience in substance use disorder treatment preferred. + Knowledge of Microsoft Word, Excel, and PowerPoint required. + Excellent organizational skills. + Experience in report writing and 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. + Demonstrates clinical knowledge of behavioral health related issues. + Excellent clinical, written and oral communication skills. + Responsiveness to deadlines and has work completed on or before deadline 95% of the time. + Pennsylvania-approved ASAM training preferred, will be preferred within one year of hire **Licensure, Certifications, and Clearances:** + Pennsylvania Licensure and Certification preferred: LSW, LCSW, LPC, LMFT, RN, CAC. + Valid Pennsylvania Driver's License preferred. **UPMC is an Equal Opportunity Employer/Disability/Veteran**

UPMC Health Plan has an exciting opportunity for a Quality Assurance Coordinator in the Medicare Sales Support department. This is a full time position working Monday through Friday daylight hours and will be a hybrid position consisting of working from home and in office. This position is located in Pittsburgh, PA. Support the Medicare Sales Contact Center to increase sales and achieve business objectives while ensuring operational integrity, compliance, and mitigating risks by reviewing interactions between our staff and customers through quality assurance and operational integrity assessments. It does this by programing assessments via our voice analytics platform, conducting call evaluations, reporting on call trends and customer surveys. Additionally, the employee may lead small scale quality assurance initiatives, projects, and workgroups including conducting root cause analysis, recommended corrective measures, and preparing reports that provide insight and value to the Medicare Sales Contact Center. Responsibilities: + Planning, executing, and reporting on assigned focused assessments that support increasing sales and achievement of business objectives. + Successfully demonstrate competency in programing voice analytics platform. + Assessing adherence towards departmental standards for sales performance, quality, and operational integrity. + Demonstrates accurate, thoroughly, and timely completion of assignments. + Readily identifies and uses source documents to assess appropriate outcomes, integrity, and root cause on assigned targeted assessments. + Defines scope, verify requirements/deliverables for review activity including planning-coordinating, participating in meetings, and following through to assignment completion (including mock audits). + Prepares accurate and thorough finding reports/workpapers with consistent correct spelling, grammar, and organization. + Tracks and performs follow-up for past work. + Leads small scale initiatives, workgroups, mock audits. + Contributes to a positive work community, and assists in identifying opportunities for process improvements within the department. + Build a solid internal network of partners and SMEs across the Medicare Sales Contact Center and partner departments as well as keeps up with industry and specialized best practices and protocols as appropriate. + Can serve as a trainer as needed to reinforce learned best practices through Quality auditing process. + Bachelors degree and/or equivalent experience. + 3 years experience (quality assurance, operational controls, risk management, auditing, or sales and customer service). + Ability to learn voice analytics platform, call recording platform, and auditing technology. + Ability to learn data extraction and data extraction tools. + Ability to comprehend and apply relevant information to tasks and assignments. + Detailed oriented with strong critical thinking skills, analytical skills, and basic project management skills. + Knowledge of a healthcare portfolio of products, insurance, services, and/or functional departments or experience auditing in a heavily regulated industry preferred. + Excellent oral, written, and reporting communication skills. + Must possess a professional demeanor with the ability to manage multiple priorities and meet deadlines required. + Proficiency using MS Teams, Word, Visio, and Excel. Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

University of Pittsburgh Physicians is hiring a Full-Time Academic Support Coordinator to help support the Internal Medicine Residency, Department of General Internal Medicine. Hours: Monday-Friday, 8:00 am to 4:30 pm Department Details: Working in a Graduate Medical Education department offers a unique opportunity for personal and professional growth in a collaborative working environment, working closely with the physician teaching faculty, residents/fellows, and other departments. The Graduate Medical Education career path can lead to career growth and leadership roles within various academic settings. Flexible and remote work options are available dependent on the academic calendar. Purpose: Manage and coordinate administrative support activities of the Residency Program under the general direction of the Program Director. Act as the liaison between System Graduate Medical Education (GME) Office, Program Director and resident. Responsibilities: + Assist in coordination and tracking of physician annual mandatory requirements, including: OSHA, Safety Training, HIPAA training, Orientation attendance, Compliance Training, Diversity Training, Conflict of Interest, etc. + Oversee the department's Medical Staff privileging and credentialing process for all faculty to insure successful and on time completion of required paperwork. + Demonstrate a positive attitude characterized by professional, caring and respectful behavior towards customers, i.e. patients, physicians, staff and co-workers. Demonstrate the Principles of Service Excellence at all times. + Perform administrative support for physician credentialing and reappointment of physician staff including, but not limited to: preparation, completion and disbursement of CVO packages, completion of University of Pittsburgh Physicians (UPP) paperwork, insures both faculty candidates and current faculty members' timely response to information requests, insures completion of mandatory forms and packets. + Assist with appointment and reappointment process. + Responsible for oversight and maintenance of faculty files (current and former faculty). + Oversee DEA and PA medical license process. + Perform administrative support for immigration and visa matters for both Pitt and UPP. + Responsible for coordination of physician annual malpractice renewal, including updating departmental malpractice spreadsheet, completion, distribution, collection and editing of individual certifications. Ensure 100% compliance for department. + High school graduate or equivalent. + 5 years of executive support experience or 5 years of advanced secretarial experience. + Experience in an academic center or health care environment preferred including credentialing, medical staff office duties and enrollments. + Knowledge of spreadsheet software packages is required. + Excellent oral and written communication skills are required. + High level of independent judgment and initiative is required. + Excellent organizational skills + Strong interpersonal, organization and communication skills.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. Responsibilities: + Utilize computer applications and resources essential to completing the coding process efficiently. + Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. + Refer problem accounts to appropriate coding or management personnel for resolution. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. + Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. + Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. + Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. + Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. + High school graduate or equivalent. + Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. + Proficient computer skills with MS excel knowledge preferred. + In lieu of two years of coding experience with schooling, a minimum of three years of experience or CPC certification is required.Licensure, Certifications, and Clearances: + Eligible for CPC or CPC specialty certification. + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Join our Medical Oncology team as a Financial Counselor in Monroeville, PA! Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on! As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. _Why Join Our Team?_ + Teamwork: At our oncology office in Monroeville, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends! + Work from home flexibility will be available once training is completed. + Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Obtain initial and subsequent prior authorization/referrals as required by specific payers. + Secure verification of insurance benefits prior to office visits and required treatments. + Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as required. + Ability to work in a team environment. + Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available. + Demonstrate the ability to solve problems through effective communication. + Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers. + Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations. + Meet with patients and designated family members to discuss billing issues. + Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered. + Completion of High school diploma or GED + 3 years work experience, preferably in a medical office setting + Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC's Health Plan and WorkPartners are hiring an EAP Specialist for their LifeSolutions Clinical Services Team. This is a hybrid role that will work partially onsite and remotely. Staff may choose their preferred location to report to as the team has offices in Oakland, Uptown and McKeesport. This role will require some evening shifts. Under the direction of LS Clinical Director and/or the Medical Director, the EAP Specialist is responsible for providing the clinical services for the Employee Assistance program, which provides confidential counseling and guidance to the employees, household members, Medicare members, students of various contracted organizations and telemedicine clients who are experiencing personal, mental health and/or job-related problems. EAP Specialist will provide short term, focused clinical interventions for clients utilizing telemedicine platform. EAP Specialist will establish collaborative relationships with clients, physicians, health care providers, and employers to achieve desired outcomes. The EAP Specialist will consult with supervisory and management personnel in handling staff member performance problems and in determining appropriate actions. EAP specialists will develop and present trainings to employer groups as requested. EAP Specialists will be a conduit to a myriad of resources, including Health Coaching, awareness of website resources, and community and provider resources. Responsibilities: + May serve on committees or participate in special projects. + Respond to requests for department interventions, in consultation with the Senior Director, Clinical Director, and/or Clinical Manager. + Assist supervisory/management personnel in assessing employee performance problems and in the consultation to management when a staff member's problem or impairment interferes with job performance. + Participate in group and individual supervision as required. Be prepared to present a clinical case in a well-ordered manner. + Provide assistance and information regarding EAP intervention on particular organizational problems or requests, including but not limited to: drug testing and fitness for duty events, compliance with Department of Transportation (DOT), violent or potentially violent events, traumatic events, and downsizing activity of the organization. Coordinate involvement of other EAP staff as necessary, and in consultation with LS Senior Director, Clinical Director, and Clinical Manager. + Provide liaison with community and private referral resources, as well as managed care entities. Develop, recommend, and research external providers, as appropriate, and expand and improve the EAP referral network as necessary. Provide clinical support for telemedicine consultation in collaboration with physicians and health care providers as requested. + Complete intake, assessment, referrals, and case management for employees, their household members and telehealth clients with personal, work-related, mental health or career issues. Maintain confidential records for each client and maintain ongoing case management and follow up. Session benchmarks are determined, and expectations are for counselors to meet those benchmarks. + Maintain timely client and activity documentation. Utilize documentation systems associated with both EAP clients and telehealth clients in the behavioral health virtual platform. + Participate in research protocols and collecting data as directed, and participate in writing, publishing, and presenting EAP/telemedicine programs and initiatives when possible. + Implement and complete special projects as requested. + PROVIDE DIRECT CLINICAL SERVICES Serve as a role model of Service Excellence for the institution by providing quality employee counseling services that are responsive to client needs, proactive in scope, and accessible in nature. Using the Basics of Service Excellence as a guide, respond to the needs of individual employees, departments, or other organizations, with courtesy, respect, and a positive outlook that reflects the team effort of the department. Provide short term, client focused interventions via in person or live video with identified clients who are looking for help with a broad range of personal or mental health needs. Educate clients on coping skills, help them set goals and assist them with tools/strategies for problem solving. + A Master's Degree in Social Work, Counselor Education, Counseling and Guidance, Psychology, or related behavioral sciences. + Pennsylvania state licensure in social work, counseling, psychology, or nursing. + Preference will be given to those with licensure in social work, counseling, psychology. + Experience in counseling under professional supervision, including specific experience in drug/alcohol counseling, is required. + EAP direct work experience in employee/employer counseling and consultation preferred. + Must be familiar with the development and implementation of brief counseling and solution focused treatment plans, group process, career guidance and planning and systemic change. + Must be able to establish a climate of trust and communicate effectively with a broad range of employees, managers and administrators from diverse social, cultural, and economic backgrounds and levels of responsibility. + Must be familiar with crisis intervention, referral techniques, and effective means of accessing community resources. + Must be able to make successful referrals for needed assistance beyond EAP. + Must have good written and oral communication. + Experience in employee assistance programs, administrative duties, case management, and clinical service delivery is strongly preferred.Licensure, Certifications, and Clearances: + Clinical Social Worker (CSW) OR Licensed Certified Social Worker (LCSW) OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Psychologist OR Registered Nurse (RN) *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

html: $component.get FieldValue($data)" id="description Int-value" formfieldid="description Int" The UMPC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role. The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC Health Plan members. They will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health Plan members. They will oversee adherence to quality and utilization standards through committee delegations and further establish an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers. UPMC offers a premier benefits package, designed to care for your total well-being - physically, emotionally, and financially - paired with endless opportunities for career advancement and growth. Discover the culture, the teams, and the passions that drive us to make Life Changing Medicine happen. _This is a full-time and full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent, prospective and retrospective reviews, member grievances, provider appeals, and potential quality of care concerns. + Provide expedited review and determination of medically pressing issues in accordance with the established policies of the Health Plan. + Keep current with accepted standards and professional developments in the areas of quality improvement and utilization management. + Communicate and educate network providers regarding clinical guidelines, pathways, protocols, and standards related to quality and utilization processes. + Interacts with physicians regarding opportunities to improve member satisfaction and compliance with Utilization Management and Quality Improvement policies and procedures. + Contributes to process improvement within the Utilization Management department. + Participates in activities to support policy decision making. + Utilizes clinical experience to support departmental reviews. html: $component.get FieldValue($data)" id="qualification Int-value" formfieldid="qualification Int" + This position requires a Doctor of Medicine or Doctor of Osteopathy from an accredited school + PA Medical license Required + The ideal candidate will have 5-10 years of clinical experience, as well as managed care experience + Internal Medicine, Family Medicine, or Emergency Medicine highly preferred Licensure, Certifications, and Clearances: + Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO) UPMC is an Equal Opportunity Employer/Disability/Veteran

Purpose: UPMC Hillman Cancer Center is internationally recognized for its leadership in the prevention, detection, diagnosis, and treatment of cancer and is the region's only comprehensive cancer center designated by the National Cancer Institute. As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer. UPMC Hillman Cancer Center is currently hiring for a regular Full-Time Staff/Sr. Medical Dosimetrist to support the St. Clair Health Cancer Center, affiliated with UPMC Hillman Cancer Center located in Mt. Lebanon/Pittsburgh, PA. This role offers a hybrid work arrangement with on-site duties, work-from-home capability and will work a regular Full-Time schedule Monday through Friday. The candidate will join a local team of two physicists, one other dosimetrist, and two radiation oncologists treating patients on Varian TrueBeam and IX linear accelerators supported by an integrated ARIA/Eclipse infrastructure. Treatment techniques at St. Clair Health include 3DCRT, IMRT, VMAT, SBRT, respiratory gating, and deep inspiration breath hold. This position is supported by a larger team of 30+ dosimetrists across the UPMC Hillman Cancer Center Network and provides competitive salary and benefits. St. Clair Health is in a beautiful suburb south of Pittsburgh with access to nearby parks, restaurants, shopping, and some of the best school districts in Pennsylvania. The medical dosimetrist is responsible for generating clinically optimal treatment plans for radiation therapy patients in collaboration with radiation oncologists, radiation therapy technologists, and medical physicists. This includes participating in CT simulation, radiation treatment planning, quality management for radiation oncology patients, and communicating with the clinical team during treatment planning and treatment plan implementation. We offer a Dosimetry career ladder which allows our staff to grow within the field at UPMC Hillman Cancer Center. The incumbent will be placed into the appropriate level of our Dosimetry Career ladder based on education and experience. + Staff/Sr. Dosimetrist salary range between $48.08/hr. to $69.76/hr. + Sr. level requires three (3) years of post-graduate clinical medical dosimetry experience. Responsibilities: + Participates in acquisition of patient data via computer generated data sets from medical imaging devices such as CT, PET, MR, etc., or manual methods such as physical measurements and wire contours, and incorporation of these data into radiation treatment plans, calculations, and treatment devices. + Assists the RTT in the treatment simulation process including the use or necessity of ancillary treatment devices, patient immobilization techniques, and other patient positioning techniques as needed for simulation and treatment. Assists in fabrication of these ancillary treatment devices. + Contours and delineates clearly discernable normal critical structures and expanded planning structures using different imaging modalities. + Performs rigid and deformable image registration for multi-modality image sets. + Applies the principles and concepts of radiation physics in radiation treatment planning, which includes, but is not limited to: 2D treatment planning, 3D conformal treatment planning, intensity modulated radiation therapy (IMRT) treatment planning, 4D treatment planning, volumetric modulated arc therapy (VMAT) planning, stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) planning, and brachytherapy treatment planning. + Applies knowledge of radiobiology with respect to dose tolerances, time dose fractionation calculations, hypofractionation, BED and EQD2 calculations and other applications of radiobiology to the radiation therapy treatment process. + Accurately performs radiation dose calculations, both manual and computer generated, for treatment delivery including the effects of beam modifying devices, irregular fields, gaps for adjacent fields, and off-axis calculations. + Participates in special treatment procedures including, but not limited to, total body irradiation (TBI), total skin electron irradiation (TSEI), intra-operative radiation therapy (IORT). + Assists with quality assurance procedures as directed by a qualified medical physicist. + Performs or assists with patient-specific radiation measurement including, but not limited to diodes, optically stimulated luminescent dosimeters (OSLD), ion chambers, thermo-luminescent dosimeters (TLD), or film measurements as directed by the MP. + Assists with high dose rate (HDR) and low dose-rate (LDR) brachytherapy procedures including patient set up, simulation, and treatment planning. + Participates in quality management in accordance with departmental policies, national guidelines, and accreditation standards. + Performs routine chart checks per departmental policy. + Participates in charge capture and generates documentation for billing in accordance with departmental policies. + Participates in clinical research for the development and implementation of new techniques in radiation therapy. + Participates in educational activities such as providing instruction and training to new staff members, physician residents, physicist residents, RTT trainees, and medical dosimetrist trainees. + Maintains an atmosphere of caring, concern, and support for patients, visitors, medical staff, and colleagues. + Performs miscellaneous job-related duties as directed by supervising medical physicists. + Adheres to high ethical standards in relation to patients, students, trainees, and colleagues. + Ensures accurate data transfer of patient and treatment plan information to clinical systems including but not limited to record and verify systems, imaging guidance systems, surface guidance systems, treatment delivery systems, and electronic medical record systems. + Utilizes critical thinking skills when performing radiation treatment planning, plan evaluation, recognizing and resolving equipment problems and treatment discrepancies. + Maintains a commitment to a high degree of accuracy, attention to detail, and safety. + Communicates with the radiation oncologist during the treatment planning process and participate in communicating the plan to the medical physicist and radiation therapy technologists for plan implementation. + Generates clinically optimal treatment plans utilizing knowledge of anatomy and physiology, radiation biology and oncology, radiation safety and protection, mathematics, radiation therapy techniques, physics, and technology. + Bachelor's degree preferred. + Completion of a Medical Dosimetry educational program accredited by the Joint review Committee on Education in Radiologic Technology (JRCERT) + Board certified by the Medical Dosimetrist Certification Board (MDCB). + Board eligible candidates must become board certified within two attempts in the first two consecutive years of employment.Licensure, Certifications, and Clearances:Certified Medical Dosimetrist (CMD) or board eligibility required. Must maintain adequate CE credits to retain certification. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Health Plan has an exciting opportunity for a Sr. HEDIS Coordinator position in the Quality Improvement department. This is a full time position working Monday through Friday daylight hours and will be a remote position. Must be located in Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of HEDIS Coordinator activities in addition to performing the day-to-day functions of a HEDIS Coordinator. Supports various functions within the scope of the Health Plan?s Quality Improvement Program, working both independently and as a team member. The functions include but are not limited to Novillus Care Gap Management Application (CGMA) support, participation in data abstraction for the Health Plan Effectiveness Data and Information Set (HEDIS) program, committee support, an independent or collaborative quality project and the continual advancement of the quality improvement process to achieve the Health Plan?s goal of excellence. Responsibilities: + Perform duties and responsibilities in accordance with the philosophy, standards and policies and procedures of the UPMC Health System, including conveying courtesy, respect, enthusiasm, and a positive attitude through all contacts with staff, health plan members, providers, peers, and visitors. + Perform in accordance with system-wide competencies/behaviors. + Complete a department identified quality improvement project under the supervision of Manager, i.e., development of HEDIS measure Tip Sheet(s), assist with Quality metric education for a UPMC Residency Program, etc. to facilitate process improvement and/or outcomes. + Participate in the Health Plan Effectiveness Data and Information Set (HEDIS) program including data abstraction and overread activities. + Participate in committee or work group activities, which may include completion of follow-up assignments, taking minutes or meeting facilitation. Complete delegated activities and project work within established time parameters. + Support Manager with analysis of CGMA user rejections and identification of educational opportunities. + Coordinate and conduct education for CGMA users as needed. + Assist with weekend CGMA testing as needed. + Adhere to the UPMC Health Plan HIPAA Compliance Guidelines. + Ensure that HIPAA standards are met in all aspects of the Department functions including delegated functions. + Ensure that all releases of member personal health information, which are conducted outside of the realm of Treatment, Payment, or Operations are appropriately logged. + Registered nurse with BSN. + Minimum of 2 years experience working as a HEDIS Coordinator. + Performance level maintained at Solid/Strong/Good or above while in this position. + Ability to work independently and as a productive team member. + Excellent verbal, written and presentation skills. + Excellent organizational and time management skills. + Demonstrated professionalism and self-motivation skills. + Solid knowledge of NCQA HEDIS Specifications. + Proficiency in Microsoft Word, PowerPoint and Excel preferred.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran

**Are you ready to make a meaningful impact at one of the nation's leading nonprofit health systems?** UPMC Corporate Finance is seeking a dynamic and detail-oriented **Senior Tax Analyst** to join our high-performing Tax Department. This is more than just a tax role-it's an opportunity to shape the financial future of a mission-driven organization that touches millions of lives. **Purpose** As a Senior Tax Analyst, you'll play a critical role in ensuring UPMC's compliance with complex tax regulations while supporting strategic initiatives across the enterprise. You'll prepare and review tax filings, conduct in-depth tax research, and help navigate the evolving landscape of nonprofit and healthcare taxation. **Location:** This position will be based out of the US Steel Tower in Pittsburgh, PA. This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week. **Responsibilities** + Performs all responsibilities in a manner that demonstrates appropriate behavior towards patients, staff peers and other departments, as defined in the Basics of Service Excellence. + Provides support across all areas owned by the Tax Department. + Develops an understanding of tax concepts relevant to the Tax Department's responsibilities (e.g., nonprofit, charity and tax-exemption concepts, corporate and partnership taxation, insurance taxation, state and local taxes, international taxes, and tax principles associated with compensation, employee benefits and payroll). + Prepares and reviews various federal, state, local, and international tax and tax-related forms. + Performs tax research. + Clearly documents and presents research, analysis and suggested courses of action related to assignments and self-identified issues. + Communicates and coordinates (both in-person and digitally, as the situation requires) with Tax Department colleagues and counterparts from other areas of the UPMC organization. + Keeps current and well informed and conversant with federal, state and local tax laws. + Recognizes accounting issues related to tax reporting requirements. + Identifies tax internal control procedural inefficiencies, develops solutions for corrections and oversees implementation of corrective measures. + Adopts a continuous improvement mindset, including identifying procedural inefficiencies and leading or assisting with the development of associated improvement solutions. + Analyzes and interprets financial, statutory, regulatory and other information. + Attends key meetings and discussions. **Why UPMC?** + **Mission-Driven Work** : Be part of a nonprofit organization that's improving lives every day. + **Career Growth** : Access to professional development, mentorship, and advancement opportunities. + **Innovative Culture** : Join a team that values fresh ideas and continuous improvement. + **Comprehensive Benefits** : Competitive compensation, health coverage, retirement plans, and more. **Ready to Elevate Your Career?** If you're a tax professional who thrives in a fast-paced, purpose-driven environment, we want to hear from you. Apply today and help shape the future of healthcare finance at UPMC. + A bachelor's degree in accounting, tax law, or related business field is required. + A minimum of three years of tax or similar experience is required. + A high degree of professionalism, initiative, a learning and growth mindset, good communication skills, and an ability to work as part of a team under stringent deadlines are all required. + Experience with business software is required. + Degrees, certifications, training and/or experience in data analytics and systems are preferred but not required. **Licensure, Certifications, and Clearances:** + Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran**

UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy prior authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians and UPMC Health Plan members. Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines. Manage the quality review of requested prior authorizations. Schedule is 1130am-8pm, Monday-Friday with a Saturday rotation monthly. Training schedule will be 830am-5pm Monday-Friday. Equipment will be provided. As this position is remote, please understand that we do have the ability to have staff report to and work from our primary location, US Steel Tower as well. Responsibilities: + Provide excellent internal and external customer service maintaining a second requests for information and customer complaint goal of zero. + Act as a conduit of information between the Pharmacy Service Representatives and the clinical staff + Subject matter expert on formulary exceptions and prior authorization requirements/time frames according to line of business. + Perform peer reviews of prior authorization requests. + Maintain or exceed designated quality and production standards. + Develop and maintain the pre-logic and clinical criteria in support of the prior authorization determination process. + Interface with other departments and identify medical documentation in support of prior authorization requests. + Complete standard/expedited pharmacy coverage determinations according to departmental/government guidelines. + Report and respond to escalate issues and concerns in a within twenty-four hours. + Process requests and inquiries in accordance with all governing regulatory agencies including but not limited to CMS, DPW, DHHS, HCFA, DOI and NCQA laws and standards. + HS diploma and pharmacy claims, pharmacy tech, and/or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required. + Competent in pharmacy claims process operating system. + Excellent knowledge in UPMC's Health Plan internal department functions. + Excellent knowledge of medical terminology, coordination of benefits, complaints and grievance guidelines and prescription drug utilization management requirements. + Thorough knowledge in MS Office and PC skills required. + Organizational, analytical, interpersonal, and communication skills. + Ability to prioritize and perform multiple tasks while maintaining designated production and quality standards. + Staff is required to work scheduled overtime and be available for emergency overtime as business needs dictate. + Staff is required to work a temporary, alternative schedule or shift as requested by supervisor.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Community Care Behavioral Health is hiring a full-time Licensed Professional Care Manager to support the Care Management team in Delaware County. This role will work standard daylight hours Monday - Friday. This position will work in a hybrid structure with the majority of the time spent traveling throughout Delaware and surrounding counties and working in the office in Media, PA, and minimal opportunity to work from home. Mileage reimbursement is provided at the IRS rate. This position will primarily be working with pre- and post-natal care. A Care Manager is responsible for assisting members identified at risk for recidivism, discontinuous care, or as members of priority or special needs populations who present with complex needs for coordination of their behavioral health services with other aspects of their care. The care manager is responsible for assisting these assigned members to care at all levels of the continuum, and for providing any and all required pre-certification, continued stay and/or discharge reviews; service authorization, and care coordination as needed. The Care Manages executes these responsibilities consistent with the applicable Community Care Policies and Procedures. A care manager represents the organization to providers, member groups and families, and participates in the overall administration of clinical operations as warranted. A care manager is expected to bring a level of clinical leadership to the care management department. These care managers are specifically chosen based upon a targeted area of practice, supported by education, training, and experience, with expertise in the delivery of behavioral health care. In addition, a care manager may serve as the care management lead for other members of his/her team. **Responsibilities:** + Makes authorization determinations for medically necessary services independently, within the scope of the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care with primary care physician and other service providers integral to the member's life. + Monitors and evaluates effectiveness and outcome of treatment and service plans and recommends, modifications as necessary to provide optimal clinically appropriate services with a goal of maintenance in the community at the least restrictive level of care. + Assists assigned members with smooth transition when moving into or out of the county. + Demonstrates excellent clinical, written and oral communication skills. + Responds to deadlines and has work completed on or before deadline 95% of the time. + Develops specific outreach plans for assigned members who do not maintain regular contact with their behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care. + Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that systematic revisions to improve services are developed and implemented. + Assists with coordinating information and making presentations to participating providers, state and federal agencies, community groups and other interested parties. + Identifies provider issues and recommendations for improvement. + Assumes responsibility for a designated client case load across the continuum. + Provides members, providers, and other stakeholders with accurate information concerning behavioral health care benefits and coverage. + Facilitates linkages for members and families between primary care and behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans. + Maintains contact with and refers members to community based case management services as appropriate. + Possesses excellent clinical skills with sophisticated understanding of the over-all needs of individual members assigned to him or her. + Consults with appropriate physician advisors as needed for case collaboration and care planning. + Attends case conferences, interagency and provider treatment planning meetings for assigned members. + Participates in professional development activities. + Works as part of a team providing clinical expertise and knowledge to member services and other care management staff. + Supervises collection of information regarding the delivery and outcomes of services to members, and uses that information to recommend modifications to plan policies and procedures which improve the delivery of services to members. + Coordinates, reviews and maintains daily logs for reporting purposes and for weekly preparation and analysis of trending reports. + Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning for members. + Conducts all clinical reviews, service authorization and care coordination (or oversight and supervision) for all assigned members receiving behavioral health services. + Independently problem solves based on advanced-level knowledge of the service delivery system, the provider network, member services policies, members' rights and responsibilities, and the operating practices of the organization. + Proposes and implements creative solutions to member problems and to achieve a high level of member satisfaction with services. + Maintains an understanding of behavioral health benefits and remains current on covered benefits, limitations, exclusions, and policies and procedures, in regards to services. + Utilizes supervision with medical director and clinical manager regularly. + Participates in CQI activities and provider training. + Works with members and providers to customize services to best meet members' needs within the scope of Community Care's obligations to its members. + Receives and responds to complex and crisis calls. + Responds to member and provider complaints according to Community Care's policies and procedures. + Pennsylvania Licensure in health or human services field and master's degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only). Preference will be given to RN, LSW, LCSW, LPC, licensed MFT, or licensed PhD (psychologist). + Minimum of three years of relevant clinical experience. Experience in managed care strongly preferred. + General knowledge of best practices in behavioral health, emphasizing work with special needs or priority populations and in public sector systems. + Certification as a Certified Addiction Counselor (CAC) or Certified Alcohol and Drug Counselor (CADC) is helpful. + Supervisory or other leadership experience in behavioral health also preferred. **Licensure, Certifications, and Clearances:** + A current and unrestricted Pennsylvania Licensure: RN, LSW, LCSW, LPC, licensed MFT, and/or a licensed PhD (psychologist). Licensed Behavior Specialist (for IBHS levels of care only). Preference will be given to RN, LSW, LCSW, LPC, licensed MFT, or licensed PhD (psychologist). *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. **UPMC is an Equal Opportunity Employer/Disability/Veteran**

UPMC is hiring a Technical Lead Systems Analyst to join their ISD Revenue Cycles team. This opportunity offers opportunity for additional training and for career advancement within the department. If you have experience supporting the OnBase application, HL7, and managing and leading integration projects, APPLY NOW! Fully Remote Opportunity: Must be able to work eastern standard time. Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of experienced analytical and solid project management experience. This role requires the ability to perform and lead tasks such as defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs within budget and targeted deadlines. Serves as the lead of complex technical projects overseeing the design, development, testing and installation of IT solutions within a client group. Serves as a mentor for other analysts. Responsibilities: + Lead the support efforts for the new deployment of Hyland OnBase in an Epic hospital environment. + Documentation: Complete detail-oriented documentation for new and complex processes. Responsible for quality and validity of documentation. Extract and document customer/business requirements and needs for use by enterprise architecture and engineering teams (network, system, and software). + Second and Third Level Support (Including Maintenance Activities): Independently triage and resolve Level 2 and Level 3 issues. Act as a mentor for associate-senior level staff in resolution of Level 2 and Level 3 issues. Manage complex support events. Problem Management. + Project Management: Manage multiple, complex projects. Facilitate the full project management life cycle. Mentor team members on aspects of project management. Ability to prioritize projects and assign tasks to team members. Update all project management and time tracking tools accordingly. + SDLC (System Development Life Cycle): Ability in defining how to use different System Development Life Cycles, ability to establish processes around SDLC's. + Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. + Data Quality: Maintain data quality at all times. + Vendor Relationships: Interact with vendor (technical issues, project initiatives) independently, as necessary. Ability to act as the point person for issues escalation. + Report Writing/Analysis: Write and analyze complex reports. Make modifications to complex reports. + Mentor less experienced team members. + Communicate effective with business, act as business analyst. Ensure data governance is involved when necessary. + End User Training: Create training content. Manage onboarding programs for super users, as necessary. Facilitate training sessions as necessary. Ability to be responsible for training content. + Process Improvement: Manage process improvement. Provide framework for needed processes. Ability to own process improvement through successful implementation. Recognize opportunity for process improvement in existing workflows. + Application Upgrades and Implementation: Identify new functionality and/or hardware requirements. Creates test plans. Responsible for review and validation of functionality. Report back any problems. Create and/or manage cutover plans including downtime, etc. Responsible for evaluating impact and coordinating efforts as necessary across multiple platforms where applicable. + System Integration: May be responsible for coordination of tasks and resources related to system integration, validation of testing and implementation. + Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. + Interactions with Others: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. May be asked to lead people when working on specialized IT and/or systemwide projects. + Self-Development: Responsible for continuous self-study, trainings, partnering with management and more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from management and more senior team members for development and effectively incorporates feedback into work and behaviors. + *Performs in accordance with system-wide competencies/behaviors. + *Performs other duties as assigned. + Typically has 7+ years' experience with modern technology and application support through education or practical experience. + Highly driven and self-motivated to exceed expectations. + Ability to work independently and in a team-based environment. Effective in mentoring and leading less experienced team members. + Demonstrates thorough understanding of information technology fundamental tools and concepts (SDLC) of one of the information technology professional disciplines and applies that understanding to make independent practical contributions to IT work within a UPMC department or function. + Completes on-going training on-the-job, through courses, self-study, certifications and/or advanced degrees to maintain and enhance technical and business capabilities. + Additionally, this position may be required to maintain a standby status as part of a rotation within the team. + This requires 24 hours per day, 7 days per week availability during the standby period. + The frequency varies based upon the number of colleagues in the rotation. Top 3 Skills: + OnBase certified supporting the OnBase application + Technical skills including: HL7 integration knowledge, SQL query development solutions. Knowledge of Microsoft IIS configuration for OnBase infrastructure. + Managing and leading integration projects Preferred: + Someone who already has the experience with the suite of applications required to support the Hyland OnBase project long-term. + Experience leading and supporting Hyland OnBase projects in a hospital environment. + Knowledge and experience managing conversions from clinical systems to OnBase. + Current or Past UPMC employee or contractor Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran

**Join Our Mission to Make a Lasting Impact** UPMC Washington is seeking a passionate and strategic **Major and Planned Giving Officer** to join our Foundation Department. This pivotal role offers a unique opportunity to cultivate meaningful relationships with donors and drive philanthropic support that directly enhances patient care, community health initiatives, and the future of healthcare in Washington County. If you're inspired by purpose-driven work and have a talent for connecting vision with generosity, we invite you to be part of our dynamic team. Responsibilities: + Represent the Washington Health System Foundation in building relationships with individuals that will generate significant philanthropic support for strategic initiatives to advance the Foundations mission now and into the future. + Develop and manage a portfolio of major gift prospects capable of making gifts of $10,000 or more. + Create customized cultivation and solicitation strategies for each prospect. + Conduct donor visits, calls, and personalized communications regularly. + Collaborate with program and leadership staff to develop compelling funding opportunities. + Prepare proposals, donor impact reports, and stewardship materials. + Lead the organization's planned giving efforts, including bequests, charitable gift annuities, trusts, and other legacy giving vehicles. + Work with donors, legal advisors, and financial planners to structure and document planned gifts. + Manage planned giving marketing efforts such as newsletters, web content, and seminars. + Maintain accurate and confidential donor records, including estate intentions and expected future gifts. Schedule: The selected candidate will have the flexibility to set their work hours within the range of 7:30 a.m. to 5:30 p.m., Monday through Friday. While the primary schedule is weekdays, occasional evening or weekend hours may be required to support special events. Travel may be necessary for meetings, educational programming, or donor engagement activities. This role is primarily in-person, but offers the flexibility to work remotely as well! + Bachelor's degree required; CFRE preferred. + Minimum 5 years of experience in fundraising, with specific success in major and/or planned gifts. + Strong knowledge of charitable estate planning tools and philanthropic financial instruments. + Excellent interpersonal, communication, and relationship-building skills. + Ability to travel locally and regionally; occasional evenings/weekends required. + Experience in a health care setting preferred; experience in a medical center desired. + A track record of securing major gifts from identification through cultivation and solicitation preferred. + Knowledge of Foundant software preferred. + Donor-focused with the ability to build authentic and lasting relationships. + High level of discretion and sensitivity in handling confidential donor information. + Goal-oriented and results-driven with a track record of securing five- and six-figure gifts. + Strong organizational and project management skills. + Excellent interpersonal skills, written communication skills and the ability to work with many different people such as donors, volunteers, trustees and staff. + Must be very organized, analytical and able to handle multiple projects simultaneously and meet deadlines. + Must be knowledgeable about and capable of articulating verbally and in writing the Foundations mission, vision and priorities.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran

The Senior Financial Analyst will conduct and document a series of complex analytics to support the Physician Services Division. This position offers the opportunity to collaborate with clinical departments based on organizational needs and the analyst's areas of interest. The position will provide direct business support to various clinical departments within the University of Pittsburgh Physicians (UPP). You will analyze various clinical departments financial & operational data, interpret the data, and prepare comprehensive analyses and projections for presentation to key stakeholders who must make economic or business decisions. Additional tasks will consist of, but not be limited to, financial forecasting (mid-month, month end, annual budget process), management reporting (UPMC Executive, HSD Finance, Operational Leaders), process enhancement (report automation through leveraging technology such as PowerBI, Qlik, other). This role is ideal for driven individuals who are eager to leverage and build on their financial leadership expertise, to create meaningful impact in the healthcare sector. **Job Features:** · **Work/Life Balance** : Remote flexibility through a hybrid work model to support an environment that allows for balance between work and life outside of work. · **Schedule Flexibility** : The current policy allows for customized individual flexible work schedules. · **Career Development:** Substantial professional growth opportunities and mentorship. · **Meaningful Work:** Opportunities to perform meaningful work. · **Team Building** : Participation in office functions, off-site events, and happy hours. **Physician Services Division Responsibilities:** + Collaborate with finance and operational partners to complete ad-hoc projects and analyze complex financial data, for the purpose of determining past financial performance and/or to project future financial profitability. + Create financial analytics focused on forecasting, trending, and predictive analyses to support clinical and executive leadership. + Plan and conduct complex studies to determine cost of business activities such as new hires, capital purchases, or expanding the department's footprint. Recommend budget adjustments, and other cost improvement measures. + Identify and implement process improvement opportunities. + Act as a mentor for Financial Analysts and administrative and operational staff. + Use Power BI and Qlik Clinical Analytic tools to perform financial analytics. + Interpret and present financial and operational findings to various leaders within the Physician Services Division such as Chairs, Vice-Chairs, Administrators, and Executives. + Participate on various PSD wide system initiatives. These ad-hoc initiatives can offer exposure to new areas within the division, new metrics and tools for reporting and analytics, and networking opportunities with new partners within the Physician Services Division as well as across UPMC. + Bachelor's degree in accounting or related business field required. + Minimum of three years of related work experience required. + OR High School Diploma/GED and five years of related work experience. + Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. **Licensure, Certifications, and Clearances:** CPA/MBA preferred. + Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran**

The University of Pittsburgh Medical Center (UPMC) in Altoona, PA is seeking a General Radiologist to join our world class health system. Option for tele-radiology or on-site as well as full-time or part-time positions. Candidate must be residency trained in general radiology. About the Position + Flexible Scheduling + Full or part time + Join a group of 19 Radiologists including, 6 Neuroradiology/MSK/Body Imaging, 2 Mammographers (one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows. + Visa sponsorship + Phillips iSite and Powerscibe which will convert to Phillips Vue PACS. Cerner is used as the inpatient EMR and EPIC as the outpatient. Will be all EPIC fall 2025. What we Offer + Earning potential $700K plus + Sign-on bonus + Competitive base salary commensurate with experience plus lucrative incentive plan + Relocation expenses + Outstanding benefit package including health, dental, vision and pension + Option to earn significant additional income + CME allowance + Work at a busy community hospital + Employed by UPMC Altoona Regional Health System About UPMC Altoona and UPMC + Part of the University of Pittsburgh Medical Center's 40+ hospital network + 400-bed regional tertiary health care system for residents in central Pennsylvania + Joint Commission certified thrombectomy capable stroke center with 24/7 care and a renowned interventional neurology program + Other signature services include Level lll Trauma Center, UPMC Hillman Cancer Center, UPMC Heart & Vascular Institute, UPMC Magee Womens + 400 primary care and specialty credentialed physicians on medical staff + 'A' patient safety grade in Leapfrog's most recent hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices and outpatient sites + UPMC is inventing new models of accountable, cost-effective, patient-centered care + Closely affiliated with the University of Pittsburgh About the Community + Choose to live in the Altoona/Hollidaysburg area or State College (hometown of Penn State University's main campus). Both communities offer safe and enriching environments to enjoy work/life balance + Located in the Altoona/Blair County/Central Pennsylvania region + Very reasonable cost of living + Excellent school systems + Abundant cultural amenities including theatre, symphony, minor league baseball, transportation history, festivals, Big10 sports and national touring performing artists + Centrally located with easy access to larger, neighboring cities. Between 40 minutes to 4.5 hours to major cities including Pittsburgh, State College, Philadelphia, DC, and NYC. + Mountains to climb and ski, rivers and lakes to paddle and fish, trails and roadways to bike, numerous golf courses, tennis and pickle ball courts - right here! + Everything you need within a 15-minute drive - no rush hour traffic, no parking fees Must have an MD or equivalent, be BC or BE in Radiology with the ability to obtain an unrestricted PA license.

UPMC Health Application Engineering- Consumer Technology is seeking a Software Engineer Intermediate (ETL) to assist with creating/maintain data marts. This resource will be responsible for collaborating with the Scrum Team with creating/maintaining SQL and NoSQL technologies related to this department. The Software Engineer- Intermediate (ETL)role is 100% remote. If you are interested in a career with the quickly growing UPMC Health Application Engineering- Consumer Technology, we invite you to apply today! Under the direction of management and more senior members of the team, the Software Engineer - Intermediate (ETL) will contribute to the overall Software Development Life Cycle (SDLC) by independently completing projects and tasks by meeting established quality measures. The Software Engineer - Intermediate (ETL) will be able to expand their role into defining and leading new software projects which will deliver significant impact. This Software Engineer Intermediate (ETL) should have a strong understanding of SQL and familiarity with NoSQL technologies. Responsibilities: + Integration - Responsible for more complex integration between modules. + Troubleshooting - Solve multiple issues concurrently. Coordinate, delegate, and mentor less experienced staff with issue resolution. + Documentation - Create detail-oriented documentation that outlines new and moderately complex processes. Responsible for quality and validity of documentation. + Security - Validate and review secure processes and protocols. Ensure that processes/protocols are followed by junior level staff. + Project Management - Has ownership in success of projects. Responsible for estimating and delivering on individual task within project. Shows the ability to be responsible for project timelines. + Software Solutions - Develop, validate and implement software solutions based on customer requirements, Enterprise architecture standards and defined project designs. + Quality - Demonstrate the ability to conduct code review of others. + Application Development Cycle - Demonstrate the understanding of multiple SDLCs. + Design - Implement the overall system design. Exhibit awareness of user experience standards. + Communication - Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. + Self-Development - Responsible for continuous self-study, trainings, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors. + Interactions with Others - Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. + Typically has 3+ years of related work experience. + Experience with complex development environments, taking abstract concepts and ideas and formulating a detailed software deliverable + Experience in developing on cross-functional systems + Deep knowledge of developing complete systems + Familiar with the SDLC + Highly driven and self-motivated to exceed expectations + Ability to work independently and demonstrated ability to lead in a team-based environment + Proficient in both oral and written communication Preferences: + SQL + NoSQL + Azure Cloud + Cosmos + Familiarity with ETL processing and experiences with ETL tools such SSIS, Informatica, Azure Data Factory (or similar ETL software). Nice to have: + SnowFlake + Azure Event Hub/Event Grid/ Azure Streaming + Back End development Licensure, Certifications, and Clearances:Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Health Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday variable daytime hours. This will be a remote position based in Allegheny County and will require 50-75% travel primarily within Southwest PA. The Physician Educator serves as a liaison between the Health Plan and the participating providers of the UPMC Health Plan Network. The Physician Educator is the primary resource for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment models of payment. The Physician Educator is responsible for education of the participating providers and their staff. This includes assessment of learning needs, assessment of workflow processes and identification of barriers that impact correct coding documentation. The Physician Educator is responsible for implementation of strategic plans and coordination of all aspects of provider and practice education, including but not limited to scheduling, tracking, follow-up, workflow integration, medical record documentation, coding, and electronic health records. The Physician Educator distributes provider reports to physicians and practice management staff to assist them in improving their outcomes related to risk adjustment. In addition, the Physician Educator is responsible for evaluating medical record documentation through the medical record review process and providing feedback and recommendations for improvement. The Physician Educator will provide feedback to Operations-Risk Adjustment management and work collaboratively and cooperatively with Network Management, Reimbursement and other Health Plan department as required. The Physician Educator maintains a positive and helpful attitude as a liaison to the participating providers of the UPMC Health Plan. A general understanding of Health care insurance and Medicare managed care is highly preferred for this position, Responsibilities: + Develop and maintain collaborative relationships with assigned providers/practices within the UPMC Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. + Assess workflow processes in physician practices that impact the ability to maximize Health Plan revenue achieved through the various risk adjustment payment models. + Identify trends and barriers that interfere with correct coding and documentation practices in the physician practice sites, including but not limited to workflow, electronic health records, and clearinghouses. + Adhere to CMS coding and documentation guidelines. + Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue. + Analyze and distribute reports to providers that summarize their performance related to coding and documentation and risk adjustment. + Develop and implement strategic action plans based on findings of assessment of physician practice workflows and medical record documentation reviews. + Maintain confidentiality of chart review results and member information. + Maintain a current and in-depth knowledge of CMS guidelines related to risk adjustment, coding, documentation, as well as knowledge of new models of risk adjustment that impact Health Plan revenue. + Track all educational activities and trends and patterns of providers/practices. + Assist practice with integration of correct coding and documentation standards into workflow. + Troubleshoot issues that impact the integration of correct coding and documentation and maximization of Health Plan revenue. + Monitor on-going performance of physicians and practices and report findings to the providers, practice administrators, and Risk Adjustment management. Identify sites within the network to offer public education on coding and documentation and provide classes on a regular basis. + Identify and document best practices related to coding, documentation, and workflow and share with practice administrators and risk adjustment physician educator staff. + Collaborate with practices that have entered into shared savings arrangements with UPMC Health Plan and assist them with identifying strategies that will improve their quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. + Collaborate with Risk Adjustment management staff in the development and implementation of the annual Risk Adjustment prospective campaigns. + Collaborates with Network Management, Reimbursement, Claims, and other Health Plan departments as required. + Bachelor's Degree required or comparable work experience will be considered. + Minimum 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit. + 2-3 years of teaching experience in a clinical setting preferred. + 2-3 years of progressive leadership experience preferred. + Extensive knowledge of coding and documentation requirements including ICD-10-CM, CPT-4, and HCPCS. In-depth knowledge of medical terminology, anatomy and physiology, pharmacology, and pathology required. + Excellent verbal and written communication skills, analytical skills, and organization skills required. + Extensive problem-solving experience is required. + Experience working with physicians and physician practices. Goal-oriented and experience with development and implementation of action plans. + Excellent customer service required. + Ability to interact with public in a diplomatic and tactful manner and represent the Health Plan effectively. + Ability to manage relationships with assigned practices and maintain records of all activities. + Ability to develop action plans as required. + Proficient computer skills. + Self-motivated with the ability to work with minimal supervision. Licensure, Certifications, and Clearances: Licensure/certification required CRC, CCS, CPC-P, CPMA, CPPM within 6 months of hire. + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran