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Upmc Health Plan Remote Jobs (NOW HIRING)

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Upmc Health Plan Remote information

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$99K

$154K

How much do upmc health plan remote jobs pay per year?

As of Jul 21, 2026, the average yearly pay for upmc health plan remote in the United States is $150,761.00, according to ZipRecruiter salary data. Most workers in this role earn between $152,000.00 and $153,000.00 per year, depending on experience, location, and employer.

What are the typical responsibilities and collaboration methods for a remote role at UPMC Health Plan?

In a remote position at UPMC Health Plan, daily responsibilities may include interacting with members or providers via phone, email, or video platforms, processing healthcare claims, coordinating care, or supporting IT and administrative functions, depending on the specific role. Team collaboration is often facilitated through virtual meetings, shared digital workspaces, and regular check-ins with supervisors and colleagues. Remote employees are expected to maintain strong communication skills, be self-motivated, and proactively seek support when needed to ensure high-quality service and alignment with team goals.

What are the key skills and qualifications needed to thrive as a UPMC Health Plan Remote employee, and why are they important?

To thrive in a UPMC Health Plan remote position, you generally need a background in healthcare administration, insurance, or customer service, often supported by relevant degrees or certifications. Familiarity with health plan management software, CRM systems, and telecommunication tools is typically required. Strong communication, self-motivation, and problem-solving abilities are essential soft skills for remote success. These skills and qualifications ensure efficient member support, regulatory compliance, and effective teamwork in a virtual environment.

What is a UPMC Health Plan remote job?

A UPMC Health Plan remote job is a position with UPMC Health Plan that allows employees to work from home or another off-site location instead of commuting to a physical office. These roles can include customer service, case management, claims processing, IT, and other administrative or healthcare-related tasks. Remote positions offer flexibility and may require reliable internet access, effective communication skills, and the ability to work independently. UPMC Health Plan supports remote employees with virtual training, online resources, and collaboration tools to ensure effective job performance.

What is the difference between Upmc Health Plan Remote vs Upmc Health Plan Customer Service Representative?

AspectUpmc Health Plan RemoteUpmc Health Plan Customer Service Representative
Work EnvironmentRemote, home-basedOffice or remote, depending on company policy
Required CredentialsHigh school diploma or equivalent; healthcare knowledge beneficialHigh school diploma or equivalent; excellent communication skills
Job FocusAdministrative support, member inquiries, plan detailsAssisting members with plan questions, claims, and coverage
Industry UsageCommon for remote healthcare rolesStandard customer service role within healthcare plans

Upmc Health Plan Remote positions typically involve working from home providing administrative and member support, requiring similar credentials as customer service roles. The main difference lies in the remote work setting versus in-office roles, with both roles focusing on healthcare plan assistance within the same industry.

More about Upmc Health Plan Remote jobs
What cities are hiring for Upmc Health Plan Remote jobs? Cities with the most Upmc Health Plan Remote job openings:
What are the most commonly searched types of Upmc Health Plan jobs? The most popular types of Upmc Health Plan jobs are:
What states have the most Upmc Health Plan Remote jobs? States with the most job openings for Upmc Health Plan Remote jobs include:
Infographic showing various Upmc Health Plan Remote job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $150,761 per year, or $72.5 per hour.
Senior Underwriter - Health Plan - Remote

Senior Underwriter - Health Plan - Remote

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$81K - $138K/yr

Full-time

Posted 20 days ago


Prime Therapeutics rating

7.8

Company rating: 7.8 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

15th of 104 rated pharmacies


Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Senior Underwriter - Health Plan - RemoteJob Description
The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime's book of business. Under minimal supervision, the Senior Underwriter serves as an expert consultant on matters pertaining to underwriting, performance guarantees and other financial considerations. Provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis. Maintains and applies knowledge of pricing strategies in the PBM industry. Maintains a positive working relationship with Sales, Marketing and Client Engagement and other key business owners within Prime.
Responsibilities
  • Evaluates the utilization and financial experience of customers and prospects, many of which are very complex
  • Performs claims re-pricing analyses for the most complex external claims data
  • Provides support to Sales, Marketing and Client Engagement, assisting in the development of client presentations and negotiations pertaining to pricing and guarantees
  • Consults with other departments such as Legal, IT, HPS and Marketing, and participates in meetings as required on issues that have financial implications
  • Other duties as assigned

Minimum Qualifications
  • Bachelor's degree in mathematics, accounting, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of related work experience in Finance or Accounting
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications
  • Prior work experience in the PBM and/or healthcare industry
  • In-depth knowledge of mathematical applications used in underwriting function is required, including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems
  • Ability to effectively present information and respond to questions in one-on-one or small group situations
  • Proficient in MS Office applications, particularly Excel, Word and PowerPoint

Preferred Qualifications
  • 2 years as a Senior Underwriter or Benefits Consultant
  • Proficient with Salesforce.com

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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