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Upmc Health Plan Remote Jobs (NOW HIRING)

Ash

Health Plan Sales Lead (Remote)

New York, NY · Remote

$140K - $200K/yr

Own net-new health plan sales pipeline across regional and Medicaid payors in a defined geography. * Prospect, engage, and convert executive-level buyers across Quality Improvement, Population Health ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... California Health Plan experience preferred * Experience working with QNXT is a plus. Licenses and ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top employer ... California Health Plan experience preferred * Experience working with QNXT is a plus. Licenses and ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$80K - $98K/yr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... California Health Plan experience preferred * Experience working with QNXT is a plus. Licenses and ...

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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 Aug 9, 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:
What job categories do people searching Upmc Health Plan Remote jobs look for? The top searched job categories for Upmc Health Plan Remote jobs are:
Upmc Health Plan Remote jobs near you
Infographic showing various Upmc Health Plan Remote job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, 8% Part Time, 5% Temporary, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $150,761 per year, or $72.5 per hour.

Director, Government Contracts (Medicaid / Florida Health Plan) - Remote in Florida

Molina Healthcare

Tampa, FL • Remote

$107K - $208K/yr

Full-time

Re-posted 25 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

163rd of 304 rated insurance

Job description

JOB DESCRIPTION

Leads and directs team responsible for government contracts activities.  Responsible for development and administration of contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations in designated Molina markets.

Essential Job Duties

Leads and directs team responsible for management of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid, Medicare, duals Medicare-Medicaid Program (MMP) and Marketplace, including reviewing and implementing new program requirements and ensuring the plan complies with all health plan contractual and regulatory reporting requirements.
Serves as the lead for health care program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of all proposed and new contractual and regulatory standards, and ensuring the plan meets all filing requirements and ad hoc reporting requests in a timely manner and with quality deliverables.
Hires, onboards, trains, develops, mentors and performance manages reporting team of government contracts professionals and demonstrates accountability for team goals/deliverables.
Manages contract renewal activities.
Leads project teams involving staff from across the plan to implement new standards for which the government contracts department is accountable or otherwise involved.
Chairs committees and leads workgroups to carryout assigned responsibilities.
Assesses proposed state laws and regulations to determine potential impact, and provides written reports of findings to requesting plan and or corporate staff.
Develops department staff to serve as product line subject matter experts in research standards and program requirements.
Serves as a key liaison with state health care agencies and regulators.
Coordinates plan responses/reports to state health care agencies, regulators and partners regarding contractual and regulatory issues.
Identifies potential new business and bid opportunities.
 

Required Qualifications

At least 8 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and 5 years of experience in government health programs, or equivalent combination of relevant education and experience.
At least 3 years management/leadership experience.
Strong knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance.
Ability to work cross-functionally in a highly matrixed environment.
Strong interpersonal skills.
Strong organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Analytical reasoning ability and detail orientation.
Proficient in compiling data, creating reports, and presenting information.
Excellent verbal and written communication skills, including ability to communicate and present to internal and external stakeholders.
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Legal/compliance-related experience.
Strong Medicaid-specific experience.
Experience with state/federal government relations and relationship building with key governmental representatives.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

#PJHPO

#LI-AC1

Pay Range: $107,028 - $208,705.4 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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