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UPMC Health Plan
 
One Chatham Ctr
112 Washington Pl
Pittsburgh , PA   15219-3441   USA
412-454-7500
888-383-UPMC
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View 2008 Directory Profile
 
Company Website:
http://www.upmchealthplan.com
Newsroom
Company Hierarchy
Subsidiary(s)/ Affiliate(s)

 
Business Focus:
HIP: HMO
Health Insurance Plan (HIP)
HIP: Preferred Provider Organization (PPO)
Company Description:
UPMC Health Plan, the second-largest health insurer in Western Pennsylvania, is owned by the University of Pittsburgh Medical Center (UPMC), one of the nation's top-ranked health systems. As part of an integrated health care delivery system, UPMC Health Plan partners with UPMC and community network providers to improve clinical outcomes as well as the health of the greater community. According to the U.S. News & World Report/NCQA's listing of "America's Best Health Plans," UPMC Health Plan is the top-ranked health plan in Pennsylvania and one of the top-10 health plans in the nation. The Health Plan is also the highest-ranked managed care company in the nation for breast cancer screening for the third consecutive year. The integrated partner companies of the UPMC Insurance Services Division -- which includes UPMC Health Plan, Work Partners, EAP Solutions, UPMC for You (Medical Assistance), and Community Care Behavioral Health -- offer a full range of group health insurance, Medicare, Children's Health Insurance Program, Medical Assistance, behavioral health, employee assistance, and workers' compensation products and services to over 900,000 members. Our local provider network includes UPMC as well as community providers, totaling more than 80 hospitals and more than 7,000 physicians in a 28-county region.
 

Company Contacts:
Media Contact(s)
Gina Pferdehirt
[Director, Public Relations & Community Relations]
 
Clare Collins
 
Gloria Kreps
[Director - Media Relations]
 
Bill Modoono
 
Derrick Stratman
[Communications Manager]
 

Company Officials:
Leslie Davis
[UPMC CEO]
 
Jeffrey A. Romoff
[UPMC Health System President]
 
Tal Heppenstall
[President - UPMC Enterprises]
 
Diane P. Holder
[President of UPMC Health Plan and the UPMC Insurance Services Division]
 
David Sharbaugh
[Founder and President SmartRoom]
 
Francis Solano
[President of Community Medicine]
 
David Weir CSP, ARM
[President of UPMC WorkPartners]
 
Mary Beth Jenkins
[Chief Operating Officer]
 
Kim Orth
[President - UPMC Commercial Products]
 
Robert Bart MD
[Chief Medical Information Officer]
 
Robert Edwards
[Chief Medical Officer - Ambulatory Services Division]
 
Oscar Marroquin MD, FACC
[President - Physician Services Division]
 
Tami Minnier
[Chief Quality Officer]
 
Geoffrey Neimark MD
[Chief Medical Officer of Community Care Behavioral Health]
 
Joel Nelson
[Chief Clinical Officer]
 
Michael Rowe
[Senior Medical Director]
 
James Schuster MD, MBA
[Chief Medical Officer - Insurance Services Division]
 
Steven Shapiro MD
[Chief Medical and Scientific Officer]
 
Donald Yealy
[Chief Medical Officer]
 
Vanessa Campbell
[Director - Clinical Pharmacy]
 
Camille Clarke-Smith
[Program Director]
 
Dennis Daley
[Senior Clinical Director in the Substance Use Services Behavioral Health Integration Division]
 
Chester Good
[Senior Medical Director for the Center For Value-based Pharmacy Initiatives]
 
Maria Guyette
[Medical Director - Medicare Advantage]
 
MaCalus V. Hogan
[Chief - UPMC Mercy Orthopaedics]
 
Tejaswita Karve PhD
[Senior Director, CMS Quality & Stars Program]
 
Aman Mahajan
[SVP of Health Innovation]
 
Chronis H. Manolis RPh
[Senior Vice President - Pharmacy]
 
Maribeth McLaughlin
[President and Chief Nurse Executive]
 
Teodoro Norman
[Associate Vice President - Medicaid Clinical Operations]
 
Stephen Parkins MD
[VP - Medical Affairs]
 
Michael Parkinson MD, MPH
[Senior Medical Director of Health and Productivity]
 
Stephen E. Perkins MD
[Vice President of Medical Affairs]
 
Ram Ramalingam
[Executive Medical Director]
 
Gwendolyn Sowa MD, PhD
[Medical Director]
 
Rebecca Taylor PharmD, MBA
[Senior Director of Pharmacy]
 
Adele L. Towers MD MPH FACP
[Medical Director of Risk Adjustment]
 
Johanna Vidal-Phelan
[Senior Medical Services Director of Quality and Pediatrics]
 
Andrew Watson MD, MLitt, FACS
[Medical Director - Telemedicine]
 
Nickalas Watsula
[Executive Director - Medical Assistance and SNP Operations]
 
Carrie Whitcher MHA
[Chief Quality Officer]
 
Martha Yablonsky
[Clinical Director - Behavioral Integration]
 
Robert DeMichiei
[Executive Vice President and Chief Financial Officer]
 
Angela Moczan
[CFO, Medicare Products]
 
Kim Jacobs
[Vice President - Product & Consumer Innovation]
 
Pamela Peele PhD
[Chief Analytics Officer]
 
Georgia Dodds Foley
[SVP and Chief Risk, Compliance, and Ethics Officer]
 
Sheryl Kashuba
[Chief Legal Officer]
 
Daniel Vukmer
[SVP Business Development - Chief Legal Officer]
 
Anne Palmerine
[VP of Customer Engagement and Enrollment]
 
Lynne D. Manganaro
[Director - Network Management and Development]
 
Sandra E. McAnallen
[Vice President - Network & Provider Relations]
 
Rita Orr
[Director Of Network Development]
 
Michael Sweeney
[Vice President - Provider Relations, Contracting and Reimbursement]
 
Debra J. Zeh BSN, RN
[Senior Director, Quality Improvement, Provider Performance]
 
Chris Carmody
[Senior Vice President - Information Services Division]
 
John Fairbaugh MSN, RN-BC
[Chief Clinical Information Officer]
 
Edward McCallister
[Chief Information Officer]
 
Matt Milko
[CISO]
 
Allen Naidoo PhD
[Vice President Health and Business Analytics]
 
Sharon Czyzewski
[Vice President - Human Resources]
 
John Galley
[SVP and Chief Human Resources Officer]
 
James E. Taylor PhD
[Chief Diversity and Inclusion Officer]
 
Paul Wood
[Vice President and Chief Communications Officer]
 
Kira Bowers MBA
[Corporate Improvement Specialist]
 
Brenton Burns
[EVP - UPMC Enterprises]
 
April Golenor
[Chief Medicare Officer]
 
Aaron Horsfield MHA, MPH
[Administrative Fellow]
 
Ray Prushnok
[Executive Director - UPMC Center for Social Impact]
 
Dennis Wheeler
[Senior Business Development Executive]
 
View Additional Employees and Representatives
View Past Employees/Others with Past Affiliations

Company News/Coverage:
UPMC: Programs Intended to Reduce Health Insurance Premiums May Make Coverage Less Affordable for the Middle Class
Ethisphere Again Names UPMC as One of the World's Most Ethical Companies
After 40 Years at UPMC, Diane Holder to Retire at Year End
New Online Tool Connects UPMC Health Plan Members with Providers Trained to Serve the Unique Needs of LGBTQIA+ Populations
U.S. News & World Report Names UPMC for Life One of the "Best Insurance Companies for Medicare Advantage" for 2024
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