Provider Network & Quality Improvement Liaison

UPMC; Camp Hill, Northern (Cumberland County, KY); Hybrid; USD 90,000 - 110,000; Full time

Job summary

UPMC Health Plan is seeking a Provider Network Liaison to serve as the primary relationship manager for assigned physician practices, specialty providers, and hospital systems in Central Pennsylvania. The role focuses on quality improvement initiatives, value-based care programs, and performance outcomes across partners.

You will act as the on-site contact, collaborate with providers and practice staff, and work in a hybrid setup requiring three days onsite in Camp Hill, PA, with travel to

Qualifications

• Experience managing provider network relationships.
• Knowledge of value-based reimbursement programs.
• Strong interpersonal and organizational skills.
• Ability to work in a matrixed environment.

Responsibilities

• Serves as the on-site quality improvement and best practices champion for coordinating field-based efforts to support Partners in quality-focused programs.
• Identify and develop performance improvement strategies to help Partners achieve goals.
• Collaborate with Partners to implement performance improvement strategies with the internal team.
• Track progress on Partner-specific value-based reimbursement plans and related metrics.
• Distribute provider reports and lead development and implementation of action plans.
• Assess current state and redesign workflows to support best practices and data-driven insights.
• Apply continuous quality improvement methodologies to drive change.
• Act as subject matter expert for quality (Medicare STARS, HEDIS) and translate insights into best practices.
• Assist Partners and staff with use of population health management and quality tools.
• Support daily operational issues including claims and network inquiries.
• Triages requests to internal UPMC Health Plan teams when necessary.

Skills

Relationship management

Stakeholder collaboration

Quality improvement

Project coordination

Data analysis

Tools

Quality tools

Job description

UPMC Health Plan is seeking a Provider Network Liaison to serve as the primary relationship manager for assigned physician practices, specialty providers, and hospital systems in Central Pennsylvania. The role focuses on quality improvement initiatives, value-based care programs, and performance outcomes across partners.

You will act as the on-site contact, collaborate with providers and practice staff, and work in a hybrid setup requiring three days onsite in Camp Hill, PA, with travel to