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UPMC Physician Account Executive - Philadelphia in Philadelphia, Pennsylvania

Description

Are you a self-directed individual with a passion for relationship-building in an outward-facing role? UPMC Health Plan's National Network Management Team has an exciting opportunity for a Physician Account Executive!

This Physician Account Executive will manage the UPMC Health Plan’s provider network in Southeastern PA. The ideal candidate will have an account management background in an outward-facing role, as well as superior critical thinking, interpersonal and detail management skills.

The Physician Account Executive will manage relationships with strategic high-volume physician practices within the UPMC Health Plan service area and provide assistance and support to other assigned physician practices and its staff, enabling them to resolve daily operational issues, as necessary. In addition, he/she will evaluate the effectiveness of physician practice clinical and operational processes and assist the practice in developing action plans and identifying resources to impact change.

The Physician Account Executive will also present provider reports to physicians and staff and lead a team of professionals, who will be instrumental in improvement of patient outcomes, member satisfaction and cost control. Additionally, he/she will work with a broad spectrum of UPMC Health Plan personnel, network providers, and external resources to complete all tasks related to network management projects, goals, and objectives.

Responsibilities:

  • Track and document success and report results to practice and to management.

  • Monitor ongoing performance of practices and report findings to physicians to help improve clinical and operational performance.

  • Create and lead team to impact change.

  • Distribute provider reports, lead development and implementation of action plans.

  • Manage relationships with key high volume accounts within the UPMC Health Plan physician network.

  • Provide information on plan resources to assist.

  • Meet with targeted physician practices to assess practice patterns and make recommendations to improve provider performance.

  • Identify, document and distribute best practice information.

  • Manage special projects assigned by manager and department director.

  • Meet deadlines and turnaround times set by manager and department director (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both).

  • Assist in development of plans, by market segment to increase UPMC Health Plan patient base with key accounts. Determine provider role in these activities.

  • Assist Manager in coordination of staff development and training. Mentor by accompanying Network Managers to appointments when needed.

Qualifications

  • B.A. degree in business, health care, finance, or related field or 5 years of experience in managed care/physician office setting required.

  • Excellent verbal and written communication skills, analytical and organizational skills are required.

  • Extensive problem solving experience is required.

  • Account management experience preferred.

  • Presentation experience and experience working with physicians.

  • Goal-oriented and have experience with development and implementation of action plans.

  • Leadership skills are desired.

  • Excellent project management, analytical, organizational, and customer service skills are required.

  • Ability to work within an aggressive service-based environment.

  • Ability to continuously interact effectively with all Health Plan departments is critical.

  • Ability to effectively manage relationships with assigned strategic practices and keep accurate records of all activity for reporting purposes.

  • Ability to develop and analyze focused action plans for key accounts.

  • Minimal direction required.

  • Ability to present information to management in a clear and professional manner.

  • Results-oriented and self-motivated. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

REQNUMBER: 279838127

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