Manager, Special Projects (Hybrid)

UPMC Community Care Behavioral Health is hiring a full-time Manager, Special Projects to join the Physical Health Behavioral Health Integration department. This role will work in a hybrid structure with 3 days in the office each week - Monday, Wednesday, Thursday - and will require periodic travel to meet with providers. Candidates may reside within Pennsylvania and will report to their nearest Community Care office. We currently have offices in the following locations in Pennsylvania:

Pittsburgh, Hollidaysburg, Exton, Media, Erie, Camp Hill, Williamsport, DuBois, Moosic, State College, and Tobyhanna.

The ideal candidate will have prior experience with behavioral health and an RN license or background in public health.

The Manager, Special Projects is responsible for managing all new and ongoing projects as determined by the clinical leadership and the senior management team. This person will coordinate multiple projects at once while combining clinical and non-clinical data.



Responsibilities:

• Work closely and collaboratively with internal multidisciplinary team.
• Ensure all applicable NCQA, URAC, DHS and other regulatory standards are met.
• Lead efforts to complete Quality Improvement Activity summaries of these activities.
• Communicate information about identified projects to other members of the organization through meetings, training, and educational forums.
• Assist with training responsibilities for providers, Members, and staff on identified issues.
• Coordinate collection and completion of all necessary material.
• Provide services to Professional Advisor, Quality and Care Management departments as indicated for all HealthChoices and commercial contracts.
• Inform senior management of items that are completed and pending.
• Responsible for closely monitoring the organization's progress toward the goals and identifying areas where progress and lack of progress is occurring.

• Bachelor's degree or RN license.

• 4 years of operations and/or clinical experience required

• Behavioral health experience strongly preferred.
• Drivers license and own vehicle strongly preferred.
• Demonstrated experience with Quality and/or operations activities.
• Experience in managed care preferred.
• Ability to maintain effective professional liaison with all levels of executive and management staff.
• Excellent clinical, written, and oral communication skills.
• Independent problem solving based on sophisticated knowledge of relevant monitoring standards and clinically pertinent issues related to the planning, implementation, and evaluation of the identified projects.
• Ability to propose and implement creative solutions to identified trends or problem areas with recommendations for improvement.
• Responsiveness to deadlines and has work completed on or before deadline 95%of the time.
• Demonstrated knowledge of identified projects.
  
  
  
  Licensure, Certifications, and Clearances:
  
  
  
  UPMC is an Equal Opportunity Employer/Disability/Veteran