Health Care Concierge, Associate- 24/7 Afterhours

The UPMC Health Plan Member Services Team is currently hiring Health Care Concierge Associates to be advocates for our members and to proudly wear the badge of UPMC Health Plan. With a close-knit work environment and a dedicated culture of service excellence, our Member Services Team educates and guides our members through coverage, claims, and other program inquiries.

UPMC Health Plan is proud to be an award-winning organization recognized for its commitment to excellence. This success is driven by the compassionate attention and expert support for our members every time they connect with our dedicated Health Care Concierges.

Despite the pay range listed, the current budget for this position is $19.10-$20.70/hr. Our employees receive comprehensive benefits and a defined career path for growth and advancement. We have a “Comprehensive on-the-job training program”. Employees for this role should reside within 90 miles of Pittsburgh or Erie.

We are seeking a highly motivated and detail-oriented Health Care Concierge Associate to join our 24/7 Member Services team. In this role, you’ll support both our WorkPartners and Member Services lines of business by serving as the first point of contact for individuals reporting work-related absences or inquiring about various benefits and leave programs

As a Health Care Concierge, you’ll assist callers with the submission of Day One Absence notifications and guide them through processes related to Short-Term Disability, ADA, FMLA, PLOA, Leave Management, Workplace Accommodations, and Workers’ Compensation/Commercial Workers’ Compensation claims. You’ll also provide information, route inquiries to the appropriate specialists, and escalate concerns as needed

This is a computer-based position that requires navigating multiple systems simultaneously, with the ability to multitask, listen, and type accurately in real time, and maintain high-quality customer service in a fast-paced environment.

Schedule & Availability:
Hours of Operation: 24 hours a day, 7 days a week
Hiring for the Following Shifts:
8:00 AM – 4:00 PM
9:00 AM – 5:00 PM
Must be available to work one weekend day as part of your regular schedule
Shift Assignment: Assigned by leadership based on business needs
Training Schedule: Training will take place during daylight hours, typically between 8:00 AM and 5:00 PM, regardless of your assigned shift
Holidays: This is a 365-day operation — availability on holidays is required
Overtime: Mandatory scheduled overtime may range from 30 to 90 minutes per day, including 9-hour Mondays. Advance notice is provided by the Wednesday before the work week