This position will focus on integrating various health/wellness services, including occupational and non-occupational programs, loss control, Workers' Compensation, short-term disability, employee assistance and onsite clinical program to form a comprehensive population health and productivity platform.
The Senior Director of Health and Product Integration will oversee and align the strategies of our Health Plan and Work Partners to implement health and cost mitigation strategies for UPMC Health System.
In this role, you will be responsible for overseeing operations including patient safety & quality, patient experience and access, strategic planning, provider relations, human resources management, regulatory and financial performance.
In this role, you will be responsible for the delivery of outstanding customer care in all aspects of Technical Operations activities including installation, service,construction, design, materials management, and daily workloads.
In this role, the candidate will participate in cadence calls with the BU and sales team to provide regular voice of customer feedback on market trends, product enhancements, and competitive information.
In this role, the selected candidate will execute and coordinate the Utilization Review and Case Management functions at System hospital sites and coordinates with the Director and peer Case Management leadership regarding payer contracts performance and the function of precertification, concurrent review and denial management.
In this role, you will assists in establishing and implementing policy related to OP clinical service including, but not limited to, professional licensure, registration and/or certification; risk management; clinical operations and clinical compliance; and staff and patient safety.
The Director of State Operations will assist the Vice President State and regional directors, as assigned, in the operational, service delivery, public relations and marketing aspects of the state for the purpose of maintain excellence in service delivery and efficient operations.
In this role, the selected candidate will establish and leverage internal and external relationships with third party vendors, service providers, sales, marketing, business development and account management representatives; focusing all resources on high quality, integrated services delivery to clients.
In this role, the selected candidate will provide guidance and builds skills in the areas of methods improvement, work measurement, process/work flow, facilities layout; participates on hospital committees and teams as the Quality Mgmt Department representative and Care Management liaison.