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Upmc Remote Jobs (NOW HIRING)

UPMC

Tele-Radiology Physician

Pittsburgh, PA · Remote

The UPMC Department of Radiology is currently recruiting for 3 open positions within the clinical division. The clinical division consists of 70+ remote and onsite radiologists providing radiology ...

Healthpilot Technologies LLC

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Independent Medicare Agent (Remote)

Phoenix, AZ · Remote

$104K - $136K/yr

Remote Company Overview At Healthpilot, we're passionate about helping seniors get into the right ... Humana, UnitedHealthcare, Aetna, WellCare, Essence, SCAN, Clover Health, HCSC, UPMC, and more Who ...

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Upmc Remote information

What is a UPMC remote job?

UPMC remote jobs are employment opportunities offered by the University of Pittsburgh Medical Center (UPMC) that allow employees to work from home or another offsite location. These positions span a variety of fields, including healthcare administration, telemedicine, customer service, IT, and more. Remote jobs at UPMC provide flexibility for employees while supporting the organization's mission to deliver quality healthcare. Applicants can find remote opportunities on the UPMC Careers website and should review specific job descriptions for details about remote work eligibility and requirements.

What are some common challenges faced by remote employees at UPMC and how are they addressed?

Remote employees at UPMC may encounter challenges such as staying connected with their teams, managing work-life boundaries, and accessing secure systems. UPMC addresses these by providing robust communication tools like Microsoft Teams, regular virtual check-ins, and dedicated IT support. Additionally, they offer training on cybersecurity and best practices for remote work, ensuring employees feel supported and engaged while working from home.

What are the key skills and qualifications needed to thrive in a remote position at UPMC, and why are they important?

To thrive in a UPMC remote position, you generally need relevant professional credentials or degrees for your field, strong computer literacy, and experience in healthcare or administrative environments. Familiarity with electronic health records (EHR) systems, secure communication platforms, and specialized healthcare software is often required. Excellent time management, self-motivation, and clear virtual communication skills set standout remote employees apart. These abilities ensure high-quality, efficient work, patient confidentiality, and effective collaboration from a distance.

What is the difference between Upmc Remote vs Upmc Remote Medical Assistant?

FeatureUpmc RemoteUpmc Remote Medical Assistant
CertificationsVaries by role, often requires relevant licenses or certificationsCertified Medical Assistant (CMA) or Registered Medical Assistant (RMA)
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealthcare, hospital systems, telehealthHealthcare, outpatient clinics, telehealth
Job ResponsibilitiesAdministrative, patient scheduling, telehealth supportClinical support, patient intake, data entry

Upmc Remote encompasses a variety of remote healthcare roles, including administrative and clinical positions. Upmc Remote Medical Assistant is a specific clinical role requiring CMA or RMA certification, focusing on patient support and clinical tasks. Both roles are remote but differ in certification requirements and daily responsibilities.

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What job categories do people searching Upmc Remote jobs look for?

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Infographic showing various Upmc Remote job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Director, Utilization Management (Remote)

Pittsburgh, PA • Remote

UPMC Health Plan
Insurance Services • 1 - 5K employees
Learn more about UPMC Health Planexternal

Full-time

Posted 16 days ago

Job description

Purpose:
The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC Health Plan members. This fully remote role will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health Plan members. Oversees adherence to quality and utilization standards through committee delegations, and further establishes an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers.

UPMC offers a premier benefits package, designed to care for your total well-being - physically, emotionally, and financially - paired with endless opportunities for career advancement and growth. Discover the culture, the teams, and the passions that drive us to make Life Changing Medicine happen.
Responsibilities:

  • Provide leadership direction for provider credentialing processes.
  • Physicians must devote sufficient time to the CHC-MCO to provide timely medical decisions, including after-hours consultation, as needed
  • Provide leadership and direction in meeting Quality Improvement and Care Management goals directed at improvements in member health status outcomes and established business strategies.
  • Provide expedited review and determination of medically pressing issues in accordance with the established policies of the Health Plan.
  • Actively participates in the daily utilization management and quality improvement review processes, including concurrent, prospective and retrospective reviews, member grievances, provider appeals, and potential quality of care concerns.
  • Keep current with accepted standards and professional developments in the areas of quality improvement and utilization management.
  • Communicate and educate network providers regarding clinical guidelines, pathways, protocols, and standards related to quality and utilization processes.
  • Responsible for reporting the communication of reportable communicable diseases in accordance with statute.
  • Interacts with physicians regarding opportunities to improve member satisfaction and compliance with Utilization Management and Quality Improvement policies and procedures.
  • Work with the DOH State and District Office Epidemiologists in partnership with the designated county/municipal health department staff to appropriately report reportable conditions in accordance with 28 Pa. Code 27.1 et seq.
  • Daily interventions support implementation of the Health Plan's Quality Improvement and Care Management Programs.
  • Represent the Health Plan in external accreditation and certification activities.
  • Act as first level physician reviewer for all cases referred by the Quality Improvement and Care Management Departments.
  • Daily activities support adherence to quality and utilization standards and establish an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers.
  • Doctor of Medicine or Doctor of Osteopathy from an accredited school Required
  • The ideal candidates will have a minimum of 5-10 years of clinical experience
  • Managed Care experience preferred
  • Experience with Payor UM highly preferred
  • Preference will be given to candidates with board certification in Internal Medicine, Family Medicine, Geriatric Medicine or Emergency Medicine
    Licensure, Certifications, and Clearances:
  • Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO)
  • PA Medical License


UPMC is an Equal Opportunity Employer/Disability/Veteran

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