Purpose:
The UPMC Health Plan is looking for someone who enjoys investigating medical claims issues, supporting providers, and build strong partnerships to fill the role of Provider Network Advocate!

The Provider Network Advocate (PNA) 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 occasional travel throughout the area._

Responsibilities: