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Are you ready to lead a high-performing team and make an impact in healthcare? At UPMC Health Plan, we're looking for a Claims Operations Supervisor who thrives on collaboration, innovation, and driving results. If you're passionate about developing people, improving processes, and ensuring excellence in claims performance, this role is for you.

Why join us?

You'll play a key role in shaping the success of our claims operations team-mentoring talented professionals, optimizing workflows, and ensuring we deliver accurate, timely results for our members.

This is a hybrid position with a monthly in-office commitment and occasional additional travel based on business needs.

What You'll Do

+ Lead and Inspire: Supervise a team of claims professionals, providing coaching, feedback, and development opportunities to help them succeed.

+ Drive Performance: Ensure claims are processed accurately and on time, meeting regulatory and quality standards.

+ Collaborate and Strategize: Work with other supervisors to allocate resources, manage special projects, and identify trends that improve operational performance.

+ Hire and Develop Talent: Participate in interviewing, onboarding, and training new team members.

+ Communicate Effectively: Foster transparency and engagement through team meetings, huddles, and one-on-one conversations.

+ Innovate and Improve: Use data and insights to challenge the status quo and implement process improvements.

+ Recognize and Motivate: Create a positive work environment that celebrates success and encourages growth.

What We're Looking For

+ Proven leadership experience in managing teams and driving operational excellence.

+ Strong organizational skills with the ability to plan, prioritize, and meet deadlines-even when projects require extra effort.

+ Exceptional communication and problem-solving skills to navigate challenges with professionalism.

+ A proactive mindset and willingness to innovate.

+ Commitment to personal growth and fostering development within your team.

+ Bachelor's degree in business, health care or management related field or equivalent experience.

+ Minimum 3 years of health insurance experience preferred

+ Minimum 3 years leadership experience (leading, mentoring, coaching, or teaching)

+ Excellent planning, communication, documentation, organization, analytical and problem solving abilities

+ Medical Terminology or medical billing experience

+ High level of professionalism, enthusiasm, and initiative on a daily basis

+ Working knowledge of Commercial, Medicaid and Medicare plans;Working knowledge regarding Coordination of Benefits

+ Ability to maintain quality and production designated standards established for handling work, problem solve effectively and organize workflow

+ Ability to handle multiple priorities in a fast-paced production environment

+ Some travel may be required.

+ Must be able to serve as a positive extension of the management team.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran