Purpose:
The UPMC Health Plan is seeking a partner to fulfill the role of Provider Network Advocate to support network growth through provider onboarding, network management, and strategic initiatives that enhance provider quality and performance.

The Provider Network Advocate (PNA) - Ancillary Network, will support the Provider Network Liaison (PNL) team and will investigate issues with other ISD departments. The PNA will assist with outreach to providers to investigate operational initiatives, identify root causes and take action to resolve the issue. Investigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives. The PNA will outreach to providers related to key departmental goals, via phone, email and personal visits as requested.

This role is Hybrid and will require a minimum of 3 days per week onsite in Downtown Pittsburgh, as well as occasio...