What are the responsibilities and job description for the Administrator, Third Party Compliance (Hybrid)- Pittsburgh, PA position at UPMC?
UPMC Health Plan has an exciting opportunity for an Administrator, Third Party Compliance position in the TPCO department. This is a full time position working Monday through Friday 9 a.m. to 5 p.m. This will be a hybrid position consisting of working from home and in office.
The Admin, Third Party Compliance reports to the Manager, Third Party Compliance Oversight. This position monitors and evaluates the performance of delegated third parties to ensure ongoing compliance with CMS, federal, and state requirements, as well as contractual obligations. The role partners closely with business and operational leaders, leveraging strong analytical, communication, and relationship‑building skills to identify and mitigate risk, drive corrective actions, and enable compliant, efficient operations.
Responsibilities:
- Build effective relationships with internal stakeholders and external third parties to ensure adherence to federal/state regulations and contractual requirements.
- Execute the annual TPCO auditing and monitoring plan, including risk‑based assessments and required attestations for delegated entities.
- Maintain complete and current oversight documentation (e.g., inventories, risk ratings, attestations) and support internal/external audits and regulatory inquiries.
- Develop, enhance, and socialize reporting, dashboards, and metrics that monitor third‑party performance, risk trends, and leading indicators.
- Identify issues and oversee corrective action plans (CAPs) through timely closure, validating remediation and sustainability.
- Monitor and communicate new or updated regulatory requirements to business partners; drive implementation activities and confirm operational readiness.
- Prepare clear, concise updates for leadership on oversight activities, risks, and trends; recommend data‑driven actions.
- Support cross‑functional initiatives that strengthen compliance, operational alignment, and vendor performance.
- Provide direct support to the Manager, Third Party Compliance Oversight including managing the overall TPCO program, preparing presentations and leadership updates, facilitating key meetings, tracking action items and milestones, and escalating risks/issues appropriately.