UPMC · 1 week ago
Supervisor, Compliance (Hybrid)
Pittsburgh, PA
Full-time
Hybrid
Senior Level
5+ years expUPMC Health Plan is seeking a Supervisor, Compliance to join their team. The role involves providing regulatory guidance and support for compliance operations, managing training needs, and ensuring adherence to policies and procedures within the organization.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Conducts research and provides regulatory guidance and advice to support the operations of the UPMC Insurance Services Division
Supports critical compliance operations activities including but not limited to: Conflict of interest review, Investigation support and Providing advice and guidance on questions relating to ethics and compliance and the ISD code of conduct
Creates and manages the ISDs compliance/ethics training related needs including awareness activities
Conducts role-based training as requested
Provides ethics and compliance related support to audit related inquiries
Leads the creation of reporting including but not limited to any required Board reporting
Updates and maintains policies and procedures applicable to the ISD Compliance Operations office
Stays current on best practices relating to creating robust ethics and compliance program
Manages the individual and program obligations relating to required reporting including but not limited to those at the state level that involve collection and verification of affidavits and other items
Provides assistance to the Compliance Program Operations Leadership team on other training initiatives, including but not limited to training resources, Annual Mandatory, Compliance Foundation Training program, and Code of Conduct
Supports the Compliance Program Operations, Compliance & Ethics team in management of the ISD Board Member document collection (Conflict of Interest and Biographical Affidavits), preservation, tracking and overall coordination and partnership with key stakeholders, internal and external
Responsible for oversight of accurate and timely reporting CCEO topics (Regulatory Reporting and Board documentation) when related to audit requests and licensing needs
Effectively lives, models, communicates and supports the values of UPMC and UPMC Health Plan
Work on other compliance related projects as required by CCEO Leadership
Qualification
Required
Bachelor's degree is required
5 years of experience in a compliance role in the insurance industry and/or managed care programs is required
Excellent written and oral communication skills and ability to critically review government regulations and policies and procedures
Proficiency in Microsoft Word product and ability to learn new and master software as needed
Must be self-motivated and capable of meeting deadlines
Strong, management, problem solving, and organizational skills required
Licensure, Certifications, and Clearances: Act 34
Preferred
At least 1 year previous supervisory experience strongly preferred
5 years of experience conducting regulatory analysis is a bonus
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
President and CEO
Frederick M. Hargett
Chief Financial Officer
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