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UPMC Health Plan
One Chatham Ctr
112 Washington Pl
Pittsburgh , PA   15219-3441   USA
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Company Website:
Company Hierarchy
Subsidiary(s)/ Affiliate(s)

Business Focus:
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:
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
David Weir CSP, ARM
[President of UPMC WorkPartners]
Mary Beth Jenkins
[Chief Operating Officer]
Namita Ahuja MD
[Senior Medical Director, Medicare and Geriatric Programs]
Oscar Marroquin MD, FACC
[Chief Clinical Analytics Officer]
Alefiyah Mesiwala MD
[Senior Medical Director, Value-based Care and Innovation]
Tami Minnier
[Chief Quality Officer]
Michael Rowe
[Senior Medical Director]
James Schuster MD, MBA
[chief Medical Officer]
Steven Shapiro MD
[Chief Medical and Scientific Officer]
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]
MaCalus V. Hogan
[Chief - UPMC Mercy Orthopaedics]
Tejaswita Karve PhD
[Senior Director, CMS Quality & Stars Program]
Chronis H. Manolis RPh
[Senior Vice President - Pharmacy]
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]
Swaminathan Ramalingam MD, MBA
[Executive Medical Director]
Gwendolyn Sowa MD, PhD
[Medical Director]
Adele L. Towers MD MPH FACP
[Medical Director of Risk Adjustment]
Andrew Watson MD, MLitt, FACS
[Medical Director - Telemedicine]
Nickalas Watsula
[Executive Director - Medical Assistance and SNP Operations]
Robert DeMichiei
[Executive Vice President and Chief Financial Officer]
Angela Moczan
[CFO, Medicare Products]
Kim Jacobs
[Vice President - Product & Consumer Innovation]
Scott Lammie
[SVP - Business Development]
Kimberly L. Cepullio
[SVP - Sales and Account Management]
Gina Pferdehirt
[Director, Public Relations & Community Relations]
Sheryl Kashuba
[Chief Legal Officer]
K.C. Turan
[Chief Risk, Compliance & Ethics Officer]
Daniel Vukmer
[SVP Business Development - Chief Legal Officer]
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]
Edward McCallister
[Chief Information Officer]
Allen Naidoo PhD
[Vice President Health and Business Analytics]
Sharon Czyzewski
[Vice President - Human Resources]
James E. Taylor PhD
[Chief Diversity and Inclusion Officer]
Paul Wood
[Vice President and Chief Communications Officer]
Kira Bowers MBA
[Corporate Improvement Specialist]
April Golenor
[Chief Medicare Officer]
Aaron Horsfield MHA, MPH
[Administrative Fellow]
Erin Kelly
[Senior Advisor - UPMC Center for High-Value Health Care]
John Lovelace
[President - UPMC For You, Inc.]
Kimberly L. Orth
[President - Commercial Products]
Dennis Wheeler
[Senior Business Development Executive]
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Company News/Coverage:
ACHP Blog: Community Health Plans Advancing Access to COVID-19 Testing
UPMC Health Plan Creates Solutions to Meet the Needs of Medicare and Special Needs Populations Amid COVID-19 Response
UPMC Insurance Services: Workpartners Launches Brain Manager, an EAP Resource Specifically Designed to Help Employees Cope During the COVID-19 Pandemic
UPMC Health Plan Helps Members Through the Coronavirus Pandemic
UPMC Health Plan Removing Barriers to Coronavirus Testing
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