UPMC for You, Inc.
John Lovelace has had a lengthy and successful career in health care, initially as a behavioral health clinician in a series of public settings, later as an administrator. For the past twenty-five years, he has worked in Medicaid-focused managed care organizations, initially in public behavioral health and since 2004 as executive leader of UPMC Health Plan's Medicaid managed care plan (UPMC for You, Inc., a non-profit, provider-sponsored plan). UPMC for Kids, a non-profit Pennsylvania Children's Health Insurance Plan (CHIP), and UPMC for Life Complete Care, a Dual Eligible Special Needs Plan, were successfully initiated in 2006. UPMC for You is the largest and fastest growing Medicaid plan in Western Pennsylvania; UPMC for Kids, similarly, is the largest CHIP plan in Pennsylvania. UPMC Health Plan's public sector programs have been in the forefront of innovative programs addressing payment and delivery system reforms through grants and supports from national and regional foundations and the initiation of various programs to address social determinants of health.
In his executive position, John provides leadership, direction, and administration for the services provided by UPMC for You, which offers coverage to eligible Medical Assistance recipients through its contracts with the Pennsylvania Department of Human Services. He oversees Medicare, Medicaid and the Children's Health Insurance Program (CHIP) of UPMC Health Plan as well as a group of UPMC Medicare Advantage Dual Eligible Special Needs Plans. He also oversees UPMC Health Plan's Individual Advantage, a guaranteed renewable individual product, as well as Operations for UPMC ACA (Affordable Care Act) Individual and SHOP plans. He also oversees the operations of the UPMC Center for Social Impact.
Mr. Lovelace also serves as a member of the board of directors with Community Care Behavioral Health Organization, which is also part of the UPMC Insurance Services Division, as well as the UPMC Center for High Value Health Care and UPMC Home Nursing Agency. Beginning in January 2018, he has added oversight of the $3 billion Community HealthChoices program, which enrolls Dually Eligible Medicaid recipients, including those who utilize Managed Long Term Services and Supports, including long-stay nursing facilities.
John serves on many several national trade association board as well as on the boards of numerous local and regional non-profit organizations.
He holds master’s degrees in rehabilitation counseling from the University of Buffalo and in information science from the University of Pittsburgh.