job

About the Company:

UPMC Health Plan, headquartered in Pittsburgh, Pennsylvania, is among the nation’s fastest-growing health plans. It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider. As part of an integrated health care delivery system, UPMC Health Plan is committed to providing its members better health, more financial security, and the peace of mind they deserve. UPMC Health Plan partners with UPMC and community network providers to produce a combination of knowledge and expertise that provides the highest quality care at the most affordable price. The UPMC Insurance Services Division – which includes UPMC Health Plan, WorkPartners, UPMC for Life, UPMC for You, UPMC for Kids, and Community Care Behavioral Health – offers a full range of group health insurance, Medicare, Special Needs, CHIP, Medical Assistance, behavioral health, employee assistance, and workers’ compensation products and services to 4.5 million members. Their local provider network includes UPMC as well as community providers, totaling more than 140 hospitals and more than 23,300 physicians throughout Pennsylvania and parts of Ohio, West Virginia, and Maryland.

For more information about UPMC Health Plan, please visit: www.upmchealthplan.com.

About the Position:

The Senior Director, Account Management is responsible for the overall account management activities of the UPMC Health Plan’s large, mid, and small market commercial insurance products, including account implementation, account retention, and customer communications/relationships.

We seek candidates with a keen understanding of the industry and who can strategically manage large groups. The ideal candidate will bring leadership skills and the ability to build relationships. This is a great opportunity for someone to join a tenured team with a strong culture and a sense of community.

Select Responsibilities:

• Responsible for all account management functions in the Western PA market, including managed care products, funding mechanisms, and consumer directed services.
• Implement company initiatives such as managed drug formulary, legislative and regulatory mandates, and new products and services.
• Protect existing client base by developing strategies to increase market penetration and to prevent account termination.
• Hire, train, and retain a competent staff of account managers, including staff development.

Qualifications & Experience:

• Master’s degree in Business Administration preferred.
• Seven to ten years account management experience in the health insurance industry or managed care industry is required.
• Proven track record in managing a business unit and client relationships.
• Financial/Marketing analysis experience required.
• Excellent organizational and analytical skills.

About Pittsburgh:

Pittsburgh is full of natural beauty – there are 15,000 acres of public parks and green spaces in the city’s urban core and more than 13 state parks in the surrounding region. Pittsburgh has its sights set squarely on a sustainable future – Pittsburgh International Airport is pioneering a new microgrid field with eight acres of solar panels and the airport’s own natural gas. You’ll find world-class architecture in more than 90 unique neighborhoods, each with its distinctive character and charm. Residents here unwind by biking along the region’s 400 miles of trails, wandering through the lush botanic gardens, and basking in the glow of the city’s stunning fall foliage, just to name a few activities. The city is a huge player in the arts, with more than 32 museums, 30 concert venues, and 19 public libraries gifted by steel magnate and philanthropist Andrew Carnegie. Pittsburgh has a robust nonprofit and philanthropy scene, bolstered by generous residents and their donations. Plus, you’ll actually be able to enjoy all that Pittsburgh has to offer, thanks to the city’s low cost of living and doing business. The median price for a single-family home is more than 40% less than the national average.
Source: livability.com, sponsored by the PA Department of Community and Economic Development

Explore the area: visitpittsburgh.com, livability.com/pa/pittsburgh

To further explore this opportunity, express interest, or share referrals, please contact Alex Drury:

Alex Drury, Principal
Morgan Consulting Resources, Inc. ~ Healthcare Executive Search
Alex@morganconsulting.com

POSITION DESCRIPTION

Position: Senior Director, Account Management
Company: UPMC – Insurance Services Division
Reports to: COO, Commercial Products
Location: Hybrid/Pittsburgh, PA

Overview

The Senior Director, Account Management is responsible for the overall account management activities of the UPMC Health Plan’s large, mid, and small market commercial insurance products, including account implementation, account retention, and customer communications/relationships.

Responsibilities

• Responsible for all account management functions in the Western PA market, including managed care products, funding mechanisms, and consumer directed services.
• Implement company initiatives such as managed drug formulary, legislative and regulatory mandates, and new products and services.
• Protect existing client base by developing strategies to increase market penetration and to prevent account termination.
• Hire, train, and retain a competent staff of account managers, including staff development.
• Responsible for membership forecasting, development of goals, and budgeting.
• Lead staff members in new account implementation, renewal negotiations, retention planning, and relationship building as well as overall customer communications.
• Provide input and act as a liaison for Medicare and Medicaid account management activities.

Qualifications

• Bachelor’s degree in Business Administration or related field required. Master’s degree in Business Administration preferred.
• Seven to ten years account management experience in the health insurance industry or managed care industry is required.
• Proven track record in managing a business unit and client relationships.
• Financial/Marketing analysis experience required.
• Excellent organizational and analytical skills.
• Must possess a working knowledge of all business functions, including media relations, sales and marketing, accounting, medical management, provider relations, community relations, and human resources.
• Excellent written and oral communication skills.
• Proficiency in Microsoft Office Products.

Licensure, Certifications, and Clearances

• PA Health and Accident License required within 90 days of hire.
  Insurance Sales License.
• UPMC is an Equal Opportunity Employer/Disability/Veteran

Position Description »