Provider Network Liaison - Central, PA

Purpose: UPMC Health Plan is seeking a Provider Network Liaison to serve as the primary relationship manager and trusted partner for assigned physician practices, specialty providers, and hospital systems throughout Central Pennsylvania.

In this highly visible role, you will act as the single point of contact for provider groups, helping them navigate operational needs while driving quality improvement initiatives, value-based care programs, and performance outcomes.

You'll collaborate with physicians, practice administrators, office staff, and health plan leaders to implement strategies that improve quality measures, enhance patient outcomes, and support provider success.

This job is directly responsible for managing relationships with assigned hospital system and physician (primary care and specialty) partners.

Relationship management for these entities should include becoming the main point of contact between the assigned entities and UPMC Health Plan.

For those in a value-based arrangement, this role is also responsible for implementing the value creation strategy for each of the primary care provider groups, specialist groups and facilities (Partners) enrolled in the UPMC Health Plan's Value-based Reimbursement program.

In this role, the Provider Network Liaison works directly with providers, office staff, and hospital leadership to support them in activities that will allow for Partners to achieve clinical, quality, and financial performance goals and/or ROI targets identified for the Partner's member population.

This role also has subject matter expertise in continuous quality improvement and can work with providers and their office staff to identify and design new processes and practice workflows that will enable the transformation of care delivery to better support Partners in achieving their goals.

The this role 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.

Some tasks will be focused on network issues related to claims payment, network configuration, or other related areas.

The individual in this role must be able to work collaboratively in a matrixed environment, have strong interpersonal skills, be organized and self-directed, and enthusiastically represent the Organization and its mission and goals.

This is a hybrid role and requires 3 days onsite at our Camp Hill, PA location.