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  • Manager, Actuary - Medical Cost Economics (Remote)

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    The Department of Health Economics is seeking a Managing Actuary! This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in close collaboration with leaders across the organization. This includes managing an experienced team responsible for analyzing medical cost utilization and unit cost data, developing strategies to improve experience relative to external benchmarks, evaluating and communicating leading indicators of financial performance, identifying top trend drivers and affordability opportunities, and supporting the development of strategies across cross-functional teams. The Managing Actuary will require a diverse set of skills and experience, including data and analytics expertise, a deep understanding of medical and pharmacy claims, broad-based business and health economics acumen, a strategic mindset, and an ability to influence and leverage cross-functional teams in a non-traditional actuarial environment. Strong organizational skills are essential to effectively manage multiple priorities, oversee complex projects, and ensure timely delivery of high-quality analytical outputs. This position will supervise 2-4 supporting staff, including actuarial analysts, in the performance of duties. As a Managing Actuary at UPMC, you will be given support for professional designations through continuing education opportunities. This is a work-from-home position located anywhere within the continental US with the potential for infrequent travel into Pittsburgh (up to 2-3 times a year) for meetings/conferences. Responsibilities: + Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. + Direct a team to produce detailed actuarial and financial models which communicate drivers of financial performance of all lines of business to facilitate corporate decision-making and the development of strategies and goals. + Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks + Analyze trends in spending and utilization. + Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions. + Bring clarity to complex problems using exceptional communication skills when engaging with senior leadership and technical audiences. + Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations and deliver results to leadership. + Creatively leverage a wide range of datasets to inform key analyses. + Build strong relationships with Actuarial, Analytics, and Finance teams across the enterprise. + Ensure that departmental work products meet the highest standards of quality. + Manage and develop a team of 2-4 supporting staff including actuarial analysts. + Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required. + ASA or FSA certification by Society of Actuaries required; FSA preferred. + Six and a half (6.5) years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. + Management experience preferred. + Experience with commercial and government health programs is preferred. + In-depth understanding of health insurance market dynamics. + Excellent problem-solving and analytical skills. + Excellent oral and written communication skills. + Adaptability and ability to prioritize effectively. + Strong PC skills. + Data retrieval skills and relational database experience. + Data visualization experience is preferred.Licensure, Certifications, and Clearances: + Licensure/Certification: ASA or FSA certification by Society of Actuaries required. + Membership in the American Academy of Actuaries required.UPMC is an Equal Opportunity Employer/Disability/Veteran
    $138k-275k yearly est. 34d ago
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  • PA or CRNP - Gastroenterology - UPMC Digestive Health Care Greenville - Remote

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    **Join Our Team at UPMC: Physician Assistant or Nurse Practitioner** **The University of Pittsburgh Physicians (UPP) Division of Gastroenterology, Hepatology, & Nutrition is hiring a full-time remote Physician Assistant (PA) or Certified Registered Nurse Practitioner (CRNP) for our Greenville practice, located in a welcoming small-town community. The APP will provide care in a remote setting with Monday-Friday daylight hours, no weekends, and no call.** Why You'll Love This Role + Balanced Schedule + Provide care for new and returning patients and participate in GI consults at UPMC Horizon-Shenango Valley. + Be part of a team that values communication, mentorship, and professional growth. + Conduct remote telemedicine visits. + Collaborate with physicians and APPs to deliver high-quality GI care. See what being an Advanced Practice Provider can do for UPMC and what UPMC can do for Advanced Practice Providers - it's _more_ than just a job! What Can You Bring to UPMC? + Contribute to UPMC's mission of Life Changing Medicine + Set the standards for the level and quality of care for the care delivery team + Provide patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. + Establish and maintain collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. + Demonstrate a commitment to the community and to your health care profession What Can UPMC Do for You? + A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future + Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program + Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave + Competitive pay for the work that you do - base pay, merit, and premium pay + Sign-on Bonus available if applicable Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The APP is responsible to set the standards for the level and quality of care. The APP has responsibility, authority, and accountability for the provision of care through supervision by and collaboration with a physician. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. The role of the APP encompasses the beginnings of leadership, partnership, collaboration, and supervision. The APP establishes and maintains collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. The APP begins to demonstrate a commitment to the community and to their healthcare profession. _The successful candidate will be placed according to years and months of experience for employment purposes._ Responsibilities: + Applies basic professional practice knowledge and skills appropriate for practice setting. Communicates effectively, both verbally and in documentation. Demonstrates critical thinking in all areas of professional practice. Learns to incorporate acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality, and satisfaction. Formulates a plan of care that considers individual patient needs. Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice. Seeks guidance and asks questions to continuously improve professional practice. Builds relationships with patients, families, and colleagues. Identifies ethical situations within patient care or within the workplace and seeks assistance. Professionally accepts assignments that gradually increase patient load and complexity. + Actively engages in clinical development of all members of the healthcare team. Requests opportunities to learn advanced professional practice techniques from senior healthcare team members. Seeks, accepts, and utilizes performance feedback from peers, preceptors, and unit/department Leaders as a learning opportunity and to improve practice. Demonstrates enthusiasm for continuous learning and identifies and creates a plan for the continuation of learning and development. Identifies patient and family needs for education and provides basic education to support the episode of care. Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis. + Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence-based practice by asking questions, demonstrating interest, participating in journal clubs. Clinical practice demonstrates knowledge of how quality and innovation impacts patient satisfaction, safety, and clinical quality outcomes. Identifies opportunities for improvement in the clinical area. + Demonstrates the ability to communicate clearly and effectively with all members of the health care team. Begins to demonstrate awareness of cultural diversity, horizontal violence, and impairment in the health professions. Cares for patients and self by supporting safety in the workplace. + Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in change initiatives. Leads by investing and building healthy relationships among colleagues and other disciplines. Shows the ability to set priorities. Begins to serve as an engaged member of a team supporting colleagues in service to patients and families and may participate in task forces or other initiatives. + Demonstrate the knowledge and skills necessary to provide care and/or interact appropriately with the patients served as specified below + Demonstrate knowledge of the principles of growth and development over the life span + Possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs + Provide the care needs as described in the department policy and procedures **Special Skills and Abilities Required** + Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families + Ability to work productively and effectively within a complex environment + Handle multiple/changing priorities and specialized equipment + Critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care + Good clinical judgment + Critical thinking skills necessary to exercise and lead others in application of acceptable standards of practice + Mobility and visual manual dexterity + Physical stamina for frequent walking, standing, lifting, and positioning of patients This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice. **Licensure, Education, Certifications, and Clearances** **Certified Registered Nurse Practitioner (** **CRNP):** ** ** + The successful completion of an approved nurse practitioner program is required + BSN, MSN is preferred + Professional nursing experience and/or nurse practitioner experience is preferred + Current state RN license and CRNP certification are required + National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing + Current CPR certification is required + Act 33 Clearance will be required + Act 73 Clearance will be required + Act 34 Clearance required **Physician Assistant (PA):** + A graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA) is required + BS or MS candidate is preferred + Experience as a physician assistant and/or experience in a clinical setting is preferred + Current state PA license certified by the National Commission on Certification of Physician Assistants (NCCPA) is required + Current CPR certification is required + Act 33 Clearance will be required + Act 73 Clearance will be required + Act 34 Clearance required **Senior Level** + Minimum 3 years of experience or Completion of a post-graduate residency + The successful completion of an approved Nurse Practitioner or a graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA) program is required + BSN, MSN preferred for CRNP, BS or MS preferred for PA + Completion of National Certification + Must achieve a Solid/Strong/Good performance rating or higher on annual performance evaluation for consideration and to maintain status annually + Completion of an OAPP approved professional contribution within one year of hire or promotion into the position. + Must have department chair approval for promotion + ACLS or ITLS or NALS or PALS or ACLS or other certifications listed must meet AHA standards that include both a didactic and skills demonstration component within 30 days of hire. OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. **UPMC is an Equal Opportunity Employer/Disability/Veteran**
    $33k-53k yearly est. 21d ago
  • Paramedic - Correctional Med-Addiction Services; 72 hrs Biweekly; Nights

    Metrohealth 4.7company rating

    Fulton, OH job

    Biweekly Hours: 72.00 Shift: 645p-0715a- Rotating The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary: Performs direct patient care duties under the direction of a Physician, Advanced Provider and/or as directed by the charge nurse. Performs administrative, clerical, and clinical duties as assigned. Complies with the policies and procedures of The MetroHealth System. Maintains patient safety and patient confidentiality at all times. Maintains accurate and timely documentation of care that reflects the patient's condition, treatment, and response to care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications: Qualifications: Required: High school diploma or passage of a high school equivalency exam. Current certification by the State of Ohio as an EMT-Paramedic. Minimum one year of experience as a Paramedic. Current certification in BLS from the AHA and Advanced Cardiac Life Support (ACLS). Preferred: None Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products.
    $31k-38k yearly est. 3d ago
  • Registered Nurse- Adult Telemetry 9W

    Metrohealth 4.7company rating

    Fulton, OH job

    Bi-weekly Hours: 72.00 Shift: 7p-7a; Rotating weekends, Rotating holidays ***Up to $10,000 sign on bonus for RNs with qualifying experience*** For nearly two centuries, the MetroHealth System's mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Acute Care Adult Specialty units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and telemetry monitoring capability. Join our Acute Care Adult Telemetry Unit (9 West)! Primary Patient Population: Telemetry Mixed Disease Process Primary skills utilized/learned: Cardiac monitoring, central line dressing changes Various drains, wound care, IV insertions Time management, critical thinking, delegating Personnel RN will work with: LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, PT/OT, WOCN, Social Work, Case Management Number of beds on unit: 24 beds Awards or Recognitions the unit has received: Pressure Injury Prevention Champions Daisy Award Winners MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. Preferred Qualifications: BSN Professional Certification recognized by the Magnet Association
    $61k-74k yearly est. 3d ago
  • RN Clinical Nurse-Glick - 6 East

    Metrohealth 4.7company rating

    Cleveland, OH job

    Bi-weekly Hours: 72.00 Shift: 7a-7p/7p-7a; rotating weekends, rotating holidays ***Up to $10,000 sign on bonus for RNs with qualifying experience*** For nearly two centuries, the MetroHealth System's mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Acute Care Adult Specialty units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and telemetry monitoring capability. Join our Acute Care Adult Post-Surgical Unit/Acute Medical Unit (6 East)! Primary Patient Population: Post-surgical patients from approximately 14 different service lines Bariatric recovery Gender Affirming procedural recovery Acute Medical Primary skills utilized/learned: Care for NG, Corpaks, tracheostomies, chest tubes, wound vacs, various drains Time management, critical thinking, delegating Excellent unit for both new grads and experienced RNs Personnel RN will work with: LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, Social Workers, PT/OT, Speech Therapy, Dieticians Number of beds on unit: 34 bed spaces (14 private rooms, 10 semi-private rooms) Awards or Recognitions the unit has received: Team Award Recipient MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtains within 90 days of hire. Preferred Qualifications: BSN Professional Certification recognized by the Magnet Association
    $49k-64k yearly est. 3d ago
  • Registered Nurse - RN

    Metrohealth 4.7company rating

    Ohio City, OH job

    Bi-weekly Hours: 72.00 Shift: 7p-7a; Rotating weekends, Rotating holidays ***Up to $10,000 sign on bonus for RNs with qualifying experience*** For nearly two centuries, the MetroHealth System's mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Acute Care Adult Specialty units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and telemetry monitoring capability. Join our Acute Care Adult Telemetry Unit (9 West)! Primary Patient Population: Telemetry Mixed Disease Process Primary skills utilized/learned: Cardiac monitoring, central line dressing changes Various drains, wound care, IV insertions Time management, critical thinking, delegating Personnel RN will work with: LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, PT/OT, WOCN, Social Work, Case Management Number of beds on unit: 24 beds Awards or Recognitions the unit has received: Pressure Injury Prevention Champions Daisy Award Winners MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. Preferred Qualifications: BSN Professional Certification recognized by the Magnet Association
    $52k-71k yearly est. 3d ago
  • Paramedic - Correctional Med-Addiction Services; 72 hrs Biweekly; Nights

    Metrohealth 4.7company rating

    Ohio City, OH job

    Biweekly Hours: 72.00 Shift: 645p-0715a- Rotating The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary: Performs direct patient care duties under the direction of a Physician, Advanced Provider and/or as directed by the charge nurse. Performs administrative, clerical, and clinical duties as assigned. Complies with the policies and procedures of The MetroHealth System. Maintains patient safety and patient confidentiality at all times. Maintains accurate and timely documentation of care that reflects the patient's condition, treatment, and response to care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications: Qualifications: Required: High school diploma or passage of a high school equivalency exam. Current certification by the State of Ohio as an EMT-Paramedic. Minimum one year of experience as a Paramedic. Current certification in BLS from the AHA and Advanced Cardiac Life Support (ACLS). Preferred: None Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products.
    $31k-38k yearly est. 3d ago
  • Housekeeper (Environmental Services Associate)

    UPMC 4.3company rating

    UPMC job in Seneca, PA or remote

    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
    $25k-30k yearly est. 36d ago
  • Clinical Auditor/Analyst Intermediate - Remote

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst Intermediate! The Clinical Auditor/Analyst Intermediate is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts as a SME for the department in representing management in meetings, training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises better best practice within the department. The Clinical Auditor/Analyst Intermediate creates, maintains and analyzes auditing reports related to their assigned work plan and communicates the results with management. Other responsibilities include but are not limited to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and prepayment review of unlisted codes. Claims analysis and the use of fraud and abuse detection software tools will be an integral part of the function of this position. Responsibilities will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management to facilitate the resolution of issue or cases. Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed; analysis of billing by providers/physicians, and providing trending, analysis and reporting of auditing data. The Clinical Auditor/Analyst Intermediate will routinely interact with providers, law enforcement and/or regulatory entities in the course of their duties. Responsibilities: + Respond to fraud, waste, and abuse referrals and/or complete data analysis and related audits as assigned. + Utilize fraud detection software to assess and monitor for potential FWA. + Review and analyze claims, medical records and associated processes related to the appropriateness of coding, clinical care, documentation, and health plan business rules. + Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances, prescribing of controlled substances, or medically appropriate services. + Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines, Health Plan policies and any applicable National Coverage Determination (NCD) or Local Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation in HealthPlaNET, Mars, Epic and/or Cerner. + Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the appropriate CPT codes/DRGs were assigned and supported in the medical record documentation. + Attend in person or virtual recipient restriction hearings. + Review Medical Pended Queue claims to understand and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors, various committees, and other appropriate Health Plan departments. + As necessary, assist in the development of new policies concerning future Health Plan payment of identified issue. + Assess, investigate and resolve complex issues. + Write concise written reports including statistical data for communication to other areas of UPMC Health Plan and to communicate with department heads for identification of various problem issues, how they affect the Health Plan, and to make recommendations for resolution of the issue. + Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. + Conduct provider education, as necessary, regarding audit results. Communicate effectively with Medical Directors and ancillary departments as necessary to address issues and concerns. + Participate as needed in special projects and other auditing activities. Provide assistance to other departments as requested. + Understand customers including internal Health Plan Departments (i.e. Claims staff, Customer Service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) to understand issues, identify solutions and facilitate resolution. + Serve as an SIU representative at internal and external meetings, document and present findings to SIU Staff and document as appropriate in the SIU FWA Case Management Database. + Assist in the development and revision of SIU policies and procedures. Identify trends for improvements internally, such as claims payment, to determine appropriate training needs and suggest modification to company policies and procedures. + Perform audit peer reviews for Clinical Auditor/Analysts. + Provide new-hire training to Clinical Auditor/Analysts. Performing administrative appeals/preparing medical necessity appeals for Medical Directors for second level appeals. Participate in training programs to develop a thorough understanding of the materials presented. + Obtain CPE or CEUs to maintain nursing license, and/or professional designations. + Design and maintain reports, auditing tools and related documentation. Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse (RN). Bachelor of Science in Nursing (BSN) or the equivalent combination of education, professional training and work experience. Five years of clinical experience. Three years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. Ability to analyze data, maintain designated production standards, and organize multiple projects and tasks. In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. Knowledge of health insurance products and various lines of business. Detail-oriented individual with excellent organizational skills. Keyboard dexterity and accuracy. High level of oral and written communication skills. Proficiency with Microsoft Office products (Excel, Access, OneDrive, OneNote and Word). Licensure, Certifications, and Clearances: AAPC or AHIMA Certified (CPC, CPMA, CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse (RN) + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal *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
    $73k-93k yearly est. 9d ago
  • Sr. Diabetes Educator, CDCES - Magee Women's Hospital

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    UPMC is hiring a full-time Sr. Diabetes Educator, CDCES to join their Maternal Fetal Medicine office at Magee Women's Hospital! This is an American Diabetes Association, Education Recognition Program with our hospital outpatient maternal fetal medicine diabetes center that specializes in blood sugar management for pregnant patients with diabetes. The Sr. Diabetes Educator provides diabetes education in outpatient setting and manages diabetes care according to standards and in consultation with the physician (when needed). Hours for this position will start with Monday through Friday, daylight hours, with the option to transition to 4 10-hour shifts after orientation and training. This position will also allow for some work from home flexibility after completion of orientation. No evenings, weekends, or holidays! Previous Dietitian experience is preferred but not required. Responsibilities: + Provides education according to the National Standards for Diabetes Self-Management Education in association with all aspects of health care for the person with diabetes. + Demonstrates a service-oriented approach to her/his position by conveying courtesy, respect, enthusiasm and a positive attitude. + Instructs patients and family members/significant others in the implementation of Healthy lifestyles, Blood glucose testing, Medication management, Risk reduction, Insulin administration, Insulin pumps + Accurately documents all patient interactions and ensures appropriate and complete billing for diabetes education services + Educators are expected to provide training and updates on diabetes education to staff. + Manages on-going care for patients (consulting with physician as appropriate) by answering questions, reviewing home glucose monitoring results, reviewing diabetes medications accordingly and monitoring glycemic control + Provides support services for diabetes care/education when applicable. + Act as a resource/advisor for new Diabetes Educators + Assesses diabetes patients' educational needs and create a care plan in outpatient, inpatient or community setting + Participates in achieving/maintaining American Diabetes Association Recognition of Health System's educational programs in outpatient, inpatient or community setting + Adjusts medication/insulin doses according to established protocols. + Bachelor's Degree in Nursing or related health care field required + Minimum of 3 years of clinical experience Experience in diabetes education strongly recommended Must obtain a Solid/Strong/Good or higher on a Performance Evaluation to be promoted to this level. Must maintain a Solid/Strong/Good or higher on annual performance evaluation to maintain status. Annual completion of a VP approved professional contribution selected from one of the corporate goals. Must have VP approval for promotion. Licensure, Certifications, and Clearances: BLS or CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + ACSM Certified Exercise Physiologist (ASCM-CEP) OR Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO) OR Doctor of Podiatric Medicine OR Licensed Master Social Work (LMSW) OR Master Certified Health Education Specialist (MCHES) OR Occupational Therapist (OT) OR Optometrist OR Pharmacist OR Physical Therapist (PT) OR Physician Assistant Certified (NCCPA) OR Psychologist OR Registered Dietitian (RD) OR Registered Dietitian Nutritionist (RDN) OR Registered Nurse (RN) + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Diabetes Care and Education Specialist (CDCES) *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
    $58k-70k yearly est. 9d ago
  • Financial Counselor

    UPMC 4.3company rating

    UPMC job in Erie, PA or remote

    Join our Medical Oncology team as a Financial Counselor in Erie, 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 Erie, 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, daylight hours. 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. + Experience working with health insurance and authorizations is preferred.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $27k-32k yearly est. 28d ago
  • Patient Service Coordinator (Medical Assistant/Front Office Role)

    UPMC 4.3company rating

    UPMC job in Steubenville, OH

    Join UPMC Hillman Cancer Center as a Patient Service Coordinator! Do you love working with patients and want to broaden your experience in the front office? If so, our Patient Service Coordinator role could be the perfect fit for you! What You'll Do: In this hybrid role, you'll combine your clinical expertise with front-office responsibilities to keep our practice running smoothly and deliver an exceptional patient experience. + Front Office Excellence: Greet and register patients, schedule appointments, verify insurance, and collect co-pays-all while providing outstanding customer service. + Clinical Support: Assist providers and clinical staff with patient care, including taking vital signs, rooming and triaging patients, stocking supplies, and maintaining clean, organized spaces. Why You'll Love This Opportunity: + Expand your skill set and learn new aspects of the healthcare industry while continuing to use your patient care expertise. + Work in a fast-paced, friendly, and supportive environment where your contributions truly make a difference. + Enjoy work-life balance with daylight hours, Monday through Friday-no evenings, weekends, or holidays! If you're passionate about patient care and eager to grow your career, apply today and join a team that's changing lives every day! Responsibilities: + Completes vital signs, specimen testing and EKGs as needed. + Organizes daily schedule of patients, greet patients and assigns rooms. + Orders supplies for unit as necessary. + Maintains competency requirements. + Coordinates the ordering of blood products in collaboration with RNs, Blood Bank and Laboratory. + Greets each person entering the clinic, identifies self and role. Explains processes and procedures to new patients and assists with paperwork. + Participate in interdisciplinary activities such as staff meetings and other committees as assigned. + Other Duties as Assigned. + Maintain high visibility. Stationed in a prominent area in the clinic that is readily identifiable and accessible to customer. + Anticipates and responds to meet customer needs. + Respond appropriately to crisis situation as a team member. + Participates in interdisciplinary activities such as staff meetings and other committees as assigned. + Assists in the registration of patients to include verification and confirmation of health insurance coverage. + Immediately report any situation that may impact safety of patients, visitors and staff. + Provides front desk coverage as assigned. + Continuously monitors environment and facilitates correction of any detraction from the appearance, comfort and safety of the clinic. + Account for all customers in the clinic. + Provides lobby/waiting room coordination and supervision. + Serve as liaison between customer and clinic staff. + Collects 100% of copays daily and correctly balances at the end of each day. + Coordinates scheduling to include testing. + Coordinates and manages the bone marrow biopsy schedule for multiple practitioners and bone marrow technician. + High School graduate or equivalent required. + Minimum of three years of direct patient care and or phlebotomy experience. + Must have basic computer skills and knowledge of medical terminology, examination, diagnostic and treatment room responsibilities. + Possesses strong interpersonal skills and the ability to work with individuals from multi-disciplinary groups. + Possesses excellent organizational skills.Licensure, Certifications, and Clearances: + Medical Assistant or Phlebotomy licensure preferred + 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
    $28k-33k yearly est. 34d ago
  • Major Gift and Planned Giving Officer - UPMC Washington

    UPMC 4.3company rating

    UPMC job in Washington, PA or remote

    **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
    $43k-60k yearly est. 60d+ ago
  • Senior AI Architect, IT

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    Purpose: The Senior AI Architect position requires a high degree of technical expertise in at least 2 relevant domains such as AI solution development, data science, security, cloud, integrations, Healthcare IT or similar. As a Senior AI Architect, you will be challenged with aligning the AI strategy with the business strategy of multiple projects and/or department initiatives. You will lead the creation of best practices, policies, procedures, and other applicable AI documentation. You will collaborate with data scientists and other AI professionals to augment digital transformation efforts by identifying and piloting use cases. You will align technical implementation with existing and future requirements by gathering inputs from multiple stakeholders - business users, data scientists, security professionals, data engineers and analysts, and those in IT operations. Fully Remote Opportunity! Must be able to work eastern standard time. Responsibilities: The AI architect role spans the life cycle of AI solution development. The following paragraphs summarize the key responsibilities at each AI development stage. + Develop Business Case - The AI architect works with business stakeholders and business owners to develop the architecture needed and clearly define the outcomes and success metrics. + Data Discovery - The AI architect must work with information/data architects, analytics team members and data scientists to identify and make available the data required. In addition, the AI architect must be sensitive to the data's privacy, security and compliance issues. + Model Selection- Depending on the business outcome sought, the AI solution development team will need to select the right foundation model to deliver the services needed. The AI architect will support the identification of the foundation model and ensure that it can address the needs of the business architecture. + Model Training and Testing-The AI architect must work with stakeholders from across the IT organization to ensure that the right environment and computing resources are available for training and testing. This extends to ensuring that the data needed for testing and training is made available to the development team. The AI architect also supports the development of a training and testing plan, as well as the analysis of results and opportunities for improvement. + Model Deployment- The AI architect will work with business and IT stakeholders to develop a roll-out plan for the AI solution. + Continuous Monitoring- The AI architect will support the development of the monitoring plan and participate in the governance model if needed. + Bachelor's Degree in a related field with 10 years of relevant work experience OR 14 years total relevant work experience. + Holds deep technical mastery and business knowledge across multiple technology domains. + Strategic thinking and analytical skills with demonstrated ability to combine broad technical, business, clinical and political factors. + Has a broad background implementing different architectures to meet differing needs. + Strong written and verbal communication skills and possesses good presentation skills. + Demonstrated ability to direct the implementation of diverse technologies in a complex organization. + Diplomacy and interpersonal skills to lead others to provide inputs for the purpose of sharing with customers, partners, and higher management on vision and need for key technologies. + Demonstrated experiences innovating beyond the state of the art. + Maximizing technical efficiency and setting technical direction. MUST HAVES: + Understand the workflow and pipeline architectures of ML and deep learning workloads. An in-depth knowledge of components and architectural trade-offs involved in data management, governance, model building, deployment and production workflows of AI. + Demonstrates a good understanding of product management, agile principles and development methodologies + Translates business and technical requirements into an architectural blueprint to achieve business objectives; documents all AI solution architecture design and analysis work + Supports the development and delivery of data strategy for AI solution training, testing and deployment + Creates architectural designs to guide and contextualize AI solution development across products, services, projects and systems, including applications, technologies, processes and information + Leads evaluation, design and analysis for the implementation of an AI solutions architecture across a group of specific business applications or technologies, based on enterprise business strategies, business capabilities, value streams, business requirements and enterprise standards. + Develops data management strategies for AI model development, training and deployment + Articulates the business impact of AI solutions that translate technical performance into business success metrics + Deliver presentation skills to relevant stakeholders and technical audiences + Demonstrates a broad background implementing different architectures to meet differing needs. + Experience in software development and coding in various languages (C#, .NET, Java etc.) PREFERRED: + Healthcare IT experience preferred. + Has a Healthcare Payers knowledge of business and processes + Deliver presentations to senior-level executives + Experience with such AI techniques as natural-language processing (NLP); computer vision; deep learning tools, such as PyTorch, TensorFlow and AI/ML; libraries, such as GitHub and Hugging Face **Licensure, Certifications, and Clearances:** N/A **UPMC is an Equal Opportunity Employer/Disability/Veteran**
    $97k-120k yearly est. 5d ago
  • Medical Assistant - Outpatient Oncology

    UPMC 4.3company rating

    UPMC job in Steubenville, OH

    Join Our Team at UPMC Hillman Cancer Center - Medical Oncology Medical Assistant Schedule: Monday-Friday, Daylight Hours 8:00 am - 4:30 pm No evenings, weekends, or holidays required! Are you passionate about patient care? Do you thrive in a hands-on healthcare environment? At UPMC Hillman Cancer Center, we're dedicated to making a difference. As a Medical Assistant, you'll work alongside our Life Changers to provide high-quality patient care. Build meaningful relationships with patients and create a safe, comforting environment. In this role, you will assist physicians with patient care by focusing on clinic operations, rooming patients, triaging, taking vital signs, and performing comfort rounds. Your responsibilities will include clerical, environmental, and organizational tasks, registering patients, scheduling tests, exams, and treatments, maintaining stocked supplies, and ensuring clean exam rooms. _Why UPMC?_ + We prioritize patient well-being and employee satisfaction. + Enjoy tuition reimbursement up to $6,000/year for you and your dependents at any accredited institution. + Advance through our Medical Assistant career ladder, tailored to your education and experience. + Be part of a department that's constantly evolving to meet the future of cancer care. Ready to Make a Difference? If you're a team player with a passion for patient care and thrive in a dynamic environment, we'd love to meet you. Apply today and take the next step in your healthcare career with UPMC Hillman Cancer Center. Responsibilities: + Check schedules and organize patient flow. Accompany patients to the exam/procedure room. Assist patients as needed with walking, transfers, dressing, collecting specimens, preparing for exams, etc. Collect patient information/history; take vitals, perform screenings per provider guidelines. Relay instructions to patients/families. + Send/receive patient medical records in accordance with Health Insurance. Portability and Accountability Act (HIPAA) and other state and federal regulations. + Prepare patient rooms, set up instruments and equipment according to department protocol. Clean exam/procedure rooms, instruments and equipment between patient visits to maintain infection control. Clean according to the scheduled maintenance program and keep appropriate records. Manage inventory of supplies; restocking exam/procedure rooms. + Comply with the requirements of appropriate regulatory agencies (i.e. OSHA, CLIA, PA Department of Health). Maintain strict confidentiality related to medical records and other data. Comply with all UPMC Health System policies and procedures. + Answering calls and providing pertinent information including patient education as directed. + Obtain lab/x-ray reports, hospital notes, referral information, etc. Complete forms/requisitions as needed. Schedule appointments. Verify insurance coverage and patient demographics. Prepare and manage charts to ensure information is completed and filed appropriately. Other front office responsibilities, as required. UPMC has a robust career ladder for Medical Assistants. Explore this opportunity to see how you can use your skills to make a difference! _Applicants will be placed in the appropriate job title & salary based on their experience and education._ + High school diploma or equivalent is required. + Must have basic computer skills and knowledge of medical terminology, examination, diagnostic and treatment room responsibilities. + Previous MA experience is preferred Licensure, Certifications, and Clearances: + 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
    $28k-33k yearly est. 7d ago
  • Financial Analyst, Senior

    UPMC 4.3company rating

    UPMC job in Harrisburg, PA or remote

    UPMC Corporate Payor Contracts is hiring a Financial Analyst, Senior to join our team! We are seeking an individual with healthcare knowledge and strong data analytic skills in the population health space. The ideal candidate will perform data analysis of value-based healthcare programs and be responsible for tracking potential reimbursement, collating and sharing that information across UPMC and the clinically integrated network. This individual will be responsible for creating dashboards and budgets that display revenue opportunity and monitor program(s) performance. This individual will disseminate information for population health-based opportunities derived from data driven insights. Strong Excel skills required. This role will be a hyrbid model with work from home as well as being on site in Harrisburg. The position will work Monday through Friday during daylight hours. Look no further and apply today! Responsibilities + Interpret value based programs and transactions for users who must make economic or business decisions. + Review costs and perform cost benefit analysis related to projects and/or programs. + Analyze financial data and extract payor data and define relevant information; interpret data for the purpose of determining past financial performance and/or to project a financial probability. + Perform moderately complex statistical, cost, and financial analysis of data reported in the various financial systems. + Develop quality, utilization, and financial reports for forecasting, trending, and results analysis. + Record, classify, and summarize financial transactions and events in accordance with generally accepted accounting principles. + Collect and study data to determine costs of business activities. Recommend budget adjustments, and other cost improvement measures + Bachelor's degree in finance or related business field required. + Minimum of one year of related work experience required. + OR High School Diploma/GED and three years of related work experience. + Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. + Power BI experience preferred. + Population health and payer relations experience preferred. + Epic, electronic health record experience preferred. Licensure, Certifications, and Clearances: + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal UPMC is an Equal Opportunity Employer/Disability/Veteran + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $69k-93k yearly est. 7d ago
  • Network Convergence Engineer -Intermediate

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    UPMC is looking for a Network Convergence Engineer -Intermediate to join their team. This position will be primarily ON-SITE, you will work 4 days a week ON-SITE and get 1 day a week to work remote/from home. We are targeting local candidates in and around the PA area. Description The Converged Network Engineer - Intermediate works closely with all UPMC departments and business units, ISD departments and/or groups, as required, to meet business objectives, resolve problems, provide technical assistance in accordance with assigned responsibilities, and when necessary, coordinates with other telecommunications resources in carrying out the assigned responsibilities. This position also interacts with vendors and suppliers. Responsibilities: + Functions in an upper level position, with responsibility for timely service delivery as well as project management. + Work on medium to large-scale projects in addition to providing services, as determined by the management team. + Possesses advanced knowledge of the PBX system, voice mail and wiring support design and function. Provides technical assistance to departmental personnel, clients, vendors, and other parties as assigned. + Interfaces with others on system infrastructure problems and advises management on technical problems, priorities, and methods. + Contributes to systems infrastructure plans based on an understanding of the customer's organizational direction, technical context and business needs. + Participates in day-to-day orders, Special Projects, and trouble tickets to include Move, Add, and Change requests for the data and/or voice network. + Contributes to the creation of new policies and procedures for Maintenance Plan and Continuity of Operations Plan. + Provides network performance statistics and reports and recommends technical enhancements to the network. + The Converged Engineer - Intermediate is responsible for handling and working in all aspects of the UPMC Enterprise Communications Group. This includes responsibilities on the telephony systems, PBXs, data networks, wireless networks, and data network infrastructure. Converged Network Engineers are responsible for using Nokia, Cisco, Alcatel-Lucent, and Avaya products, as well as a working knowledge of encryption solutions, private branch exchanges (PBX), and local and wide area networks and wireless networks (LAN/WAN/WLAN). + Reviews, organizes, communicates and records all requests for voice services. + Responsible for creating, managing, tracking, and reporting the status of assigned projects, using the specified project management software. Coordinates, with other Engineers in the delivery to telecommunications and networking services. + Reviewing, organizing, communicating and recording requests for Telecommunications systems, including adds, moves and changes on PBX, Voice Mail, Networking, wiring support, and maintenance of all voice related databases at UPMC and affiliated business units. + Constructs, tests and implements integrated network, hardware and software solutions, distributed computing solutions, and/or physical and logical communications networks for the customer. + Researches, evaluates and stays current on emerging tools, techniques and technologies. + Responsible for the day to day maintenance and support of the data communications equipment and systems within UPMC and affiliated business units for connectivity requests and/or reported problems. + Ensures customer satisfaction with the resolution or circumvention of hardware, software, and/or circuit problems including the assessment of bandwidth requirements based upon empirical data. + Configuration of data communications devices, design and implementation of local and wide area networking, problem determination knowledge in these areas. Qualifications * Typically has 2+ years of converged communications infrastructure design and support experience. * Required Experience/Skills/Attributes: o Experience conducting site surveys and organizing the documentation into an Engineering Plan. o Up-to-date Avaya voice product experience. o Up-to-date PBX experience. * Hands-on skills to include: o Aura Communication Manager, ACD call center, CMS, unified messaging, SIP/H.323 trunking, SIP services, G430/450, S8800. o Intermediate to expert level skills required in networking to support converged applications including voice/video/WLAN Strong interpersonal, written and oral skills. o From time to time, candidates may be asked to present project outline to customers. o Ability to conduct research on products with various vendors to accommodate changing customer requirements. o Ability to work in a team-oriented collaborative environment while being highly motivated to take the lead on projects. * Desired Experience/Skills/Attributes: o Experience with Microsoft products including Windows 2000 Server, Active Directory, and Exchange Unified Messaging would be a plus. o Experience with Cisco Enterprise solution products. o Understanding of Cisco router, switch, and ASA products. o Ability to troubleshoot access-lists, IPv4 and IPv6 issues across varying protocols such as OSPF, BGP, and Static Routing. o Hands-on administration experience with Linux/Solaris Licensure, Certifications, and Clearances: Act 34 Preferred Licensure: CCNA - Cisco Cert Networking Assoc NRS1 - Nokia Ntwrk Routing Spec I ACIS - Avaya Cert Integration Spec ACCA - Avaya Call Center Admin CXTECH - AVST Certified CX Tech SBCADMIN - Avaya SBC Admin ITIL - IT Infrastructure Library UPMC is an Equal Opportunity Employer/Disability/Veteran
    $72k-92k yearly est. 2d ago
  • Registered Nurse

    Metrohealth 4.7company rating

    Northfield, OH job

    Bi-weekly Hours: 72.00 Shift: 7p-7a; Rotating weekends, Rotating holidays For nearly two centuries, the MetroHealth System's mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. Join our Cleveland Heights Emergency Department! Primary Patient Population: Acutely ill pediatric to adult patients Behavioral Health patient population Primary skills utilized/learned: Patient Assessments Patient Triage IV insertion, blood draws, Foley catheter insertion Time management, critical thinking, delegating Personnel RN will work with: Paramedics, Patient Care Nursing Assistants (PCNAs), Providers Number of beds on unit: 20 beds Awards or Recognitions the unit has received: Acute Stroke Ready MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA BLS, ACLS or obtained within 90 days of hire. Current PALS certification or obtained within 6 months of hire. Current TNCC certification or obtained within 1 year of hire. PRN must possess current certifications upon hire. Preferred Qualifications: BSN Professional Certification recognized by the Magnet Association
    $52k-72k yearly est. 3d ago
  • Systems Analyst - Senior

    UPMC 4.3company rating

    UPMC job in Pittsburgh, PA or remote

    UPMC is hiring a Senior Systems Analyst to join their team. This opportunity offers a work life balance, culture of learning and knowledge sharing, and supportive leadership. If you have strong project management, communication skills, and technical knowledge APPLY NOW! Work Location: Fully Remote Work Hours: Core hours 9:00 - 3:00p.m., with flexible start times for the full 8 hours. Purpose: Under the general direction of the management team and senior staff, the Systems Analyst - Senior requires a proficient level of experienced analytical services, defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs. Responsibilities: + Leading IT projects by maintaining and monitoring schedules and milestones. + Analyze budgets and forecasts to ensure cost control and financial transparency. + Provide clear updates on overall project progress, major risks, and key decisions. + Communicate deadlines to keep milestones on track, prevent costly delays, and maintain budget alignment. + Monitor financials through monthly burndowns and reforecast regularly to ensure timely delivery. + Documentation: Complete detail-oriented documentation for new and moderately complex processes. Responsible for the quality and validity of produced documents. 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 support issues. Act as a mentor to less experienced staff in resolution of Level 2 and Level 3 issues. Ability to handle problem management as appropriate. + Project Management: Take ownership of a project and have the ability to distribute tasks to team members and meet milestone completion. Update all project management and time tracking tools accordingly. + SDLC (System Development Life Cycle): Have a proficient understanding of multiple system/application development life cycles. + Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. + Data Quality: Maintain data quality at all times. + Vendor Relationships: Interact with vendors (technical issues, project initiatives) independently, as necessary. Ability to act as the point person for issue escalation. + Report Writing/Analysis: Write and analyze complex reports. Make modifications to complex reports. + Mentor less experienced team members. Communicate with the business/act as business analyst. + End User Training: Ability to create training content. Facilitate more detailed user training sessions. Ability to train peers. + Process Improvement: Ability to manage process improvement efforts. Create and update processes, as necessary. Ability to independently recognize opportunity for process improvements. + Application Upgrades and Implementation: Identify new functionality and/or hardware requirements related to application upgrades and implementations. 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 across multiple platforms as necessary. + 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. + 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. + System Integration: May be responsible for coordination of tasks and resources related to system integration, validation of testing and implementation. + *Performs in accordance with system-wide competencies/behaviors. + *Performs other duties as assigned. * Typically, has 5+ 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. * 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. * Responds to unfamiliar, undefined, unexpected, or unstable situations with the professionally prescribed standard response Recognizes subtle problems with system design or performance and acts appropriately to improve the condition, seeking validation of actions in advance as appropriate. (Preferred) * Effective in relationships with business partners, professional peers, and other team members Coaches less experienced IT professionals Must meet IT Career Level Criteria for Individual/Team Contributors. (Preferred) Top 3 Skills Needed: * Strong Project Management (especially agile methodologies) * Technical Understanding * Communication Preferred: * 7+ years of experience with modern technology and application support through education or practical experience * Preferred Experience with Agile/SAFe Agile development lifecycles * Current or Past UPMC employee or contractor Licensure, Certifications, and Clearances: Act 34, Preferred Licensure:ACBT - Avaya CBTCXADMIN - AVST Cert CX AdminITIL - IT Infrastructure Library UPMC is an Equal Opportunity Employer/Disability/Veteran
    $84k-107k yearly est. 7d ago
  • Paramedic - Correctional Med-Addiction Services; 72 hrs Biweekly; Nights

    Metrohealth 4.7company rating

    Cleveland, OH job

    Biweekly Hours: 72.00 Shift: 645p-0715a- Rotating The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary: Performs direct patient care duties under the direction of a Physician, Advanced Provider and/or as directed by the charge nurse. Performs administrative, clerical, and clinical duties as assigned. Complies with the policies and procedures of The MetroHealth System. Maintains patient safety and patient confidentiality at all times. Maintains accurate and timely documentation of care that reflects the patient's condition, treatment, and response to care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications: Qualifications: Required: High school diploma or passage of a high school equivalency exam. Current certification by the State of Ohio as an EMT-Paramedic. Minimum one year of experience as a Paramedic. Current certification in BLS from the AHA and Advanced Cardiac Life Support (ACLS). Preferred: None Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products.
    $31k-39k yearly est. 3d ago

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UPMC may also be known as or be related to Brian R Hamlin M D, UPMC, UPMC GROUP, University of Pittsburgh Medical Center, University of Pittsburgh Medical Center (UPMC) and Upmc.