UPMC Health Plan is seeking a Physician Account Executive to support the National Network Management Department. This position will predominantly be working from home and should be based in Eastern PA. Occasional travel may be required to meet with providers or attend conferences. 

This role will manage relationships with LTSS providers within the UPMC Health Plan service area. Provide assistance and support to other assigned LTSS providers and their staff enabling them to resolve daily operational issues, as necessary. Evaluate the effectiveness of the LTSS providers’ clinical and operational processes and assist the practice in developing action plans and identifying resources to impact change. 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.