Quality Assurance and Operation Integrity, Senior Manager of Technology- (Hybrid)

UPMC•Pittsburgh, PA

5d•Hybrid

About The Position

UPMC Health Plan is hiring a Senior Manager of Technology, Quality Assurance and Operational Integrity (QAOI). This is a hybrid role, with three in-office days each week at UPMC’s headquarters in the U.S. Steel Tower in downtown Pittsburgh. This is a Monday through Friday daylight position. The Senior Manager, QAOI Technology assumes responsibility for a broad and complex scope of Quality Assurance and Operational Integrity (QAOI) functions, including technology and system administration supporting external audit coordination and oversight, quality assurance, operational integrity, and quality assurance and risk management across the Insurance Services Division (ISD). The incumbent directs and oversees a wide range of QAOI initiatives spanning multiple functional areas that impact stakeholder programs and operational performance. This role is responsible for providing leadership and strategic direction to highly skilled professionals, team leads, and managers to ensure ISD business objectives are met or exceeded. The Senior Manager serves as the representative leader and accountable owner for all assigned areas of responsibility and regularly engages with mid‑level and senior leaders across ISD to drive alignment, accountability, and effective outcomes.

Requirements

Bachelor's Degree required.
8 years related experience (quality assurance, operational controls, risk management, auditing, or customer service).
3 years experience leading others (lead/supervisor/managerial role) while executing strategic objectives and/or goals.
Must also be able to influence with or without direct reporting relationships.
Proven ability executing tactics across multiple functional areas.
Must possess strong business acumen with proficiency of a healthcare portfolio of products, services, and/or functional departments strongly preferred.
Ability to create an environment of accountability and performance excellence.
Able to manage multiple tasks and projects with the ability to forge strong interpersonal relationships.
High degree of professionalism, enthusiasm, and initiative daily.
Able to demonstrate excellent organizational, interpersonal, communication and presentation skills.
Must be stakeholder focused and value creation oriented.
Proficient with MS Teams, Excel, Word, and Power Point.
Ability to use audit technology and tools.

Nice To Haves

Degree in computer science, information technology or related technology discipline is highly preferred.
Experience in Technology is highly preferred.
CIA certification preferred.
Experience with budget management ensuring expenditures within financial budget goals strongly preferred.
Technology and system administration experience.
Project management experience
Compliance IT risk management experience.
Experience with MS Azure DevOps and Power Apps.
Experience with compliance and audit technology.
CIA, Six Sigma, Project Management preferred.

Responsibilities

Maintain a positive work environment for staff with emphasis on the employee work experience.
Create and maintain a culture of accountability and excellence.
Responsible to recruit, develop, and motivate a high caliber staff to support departmental and organizational objectives. Build a cohesive, professional, and self-directed team.
Maintain internal operational integrity as well as team production and quality standards.
Successful management of assigned scope of multiple or complex responsibilities spanning across multifunctional QAOI teams.
Develop clear outcome-driven strategies and tactics to achieve goals, and department objectives.
Successfully implement QAOI projects and initiatives - benchmarking and reporting measurable impacts.
Keep pulse on company initiatives and projects that may impact QAOI. Active, value-creation approach. This includes effectively managing the stakeholder perception and experience, as well as leveraging relationships to keep pulse on ISD initiatives and projects that may require quality assurance preparation/controls.
Serve as QAOI liaison to vendors, external entities, and potential clients with participation in demonstrations of the departments services and accomplishments.
Identify causes for variances and recommending corrective action interventions, systemic solutions, or necessary short-term actions.
Provide cost benefits analysis of team activities along with benchmarking and progress metrics/measurements.
Design, develop, implement, and support solutions to meet the quality assurance, risk management, operational controls, and financial requirements of the Stakeholder/ ISD.
Provide stakeholder/service excellence using a proactive, value-creation approach.
Fiscally responsible and sound in the preparation and management of the department budget.