Provider Relations Representative

• Bachelors degree in related field or equivalent experience.
• 3 years of provider relations healthcare administration health plan operations or related field.
• Knowledge of health plan operations Managed Care Coordinated Care Organizations.
• Advanced proficiency in Microsoft Office tools capability to learn new software.
• Proficiency in data collection survey analysis and performance reporting.
• Detail oriented able to multitask and prioritize multiple competing deadlines.

• Project management experience.
• Ability to work independently and take the lead on assigned projects.
• Team players with a collaborative mindset and commitment to health equity and community care.
• No suspension/exclusion/debarment from participation in federal health care programs (eg. Medicare/Medicaid)
• Proficient computer skills including MS Office suite
• Experience considering the impacts of the work on multiple communities including communities of color in technical analysis.
• Experience working on a diverse team
• Experience working with different communication styles
• Bi-lingual translation or translation capabilities a plus

• Develop implement and deliver provider training programs that promote high-quality compliant care.
• Be the direct contact for providers when issues arise need education or resources help navigate contract agreements.
• Build and maintain positive working relationships with colleagues and provider personnel.
• Coordinate and participate in community provider events.
• Distribute notices and updates to the provider network. Answer questions and provide education.
• Project work as assigned.
• Participate in internal and external audits as needed.
• Communicate provider demographic information changes to appropriate personnel and ensure changes were made correctly.
• Perform provider orientations and ongoing provider education including onboarding and updating orientation materials.
• Collaborate with internal stakeholders on process improvement initiatives focused on enhancing the providers ability to meet network standards and the overall provider experience.
• Travel to off-site meetings and events as necessary.
• Comply with organizations internal policies and procedures Code of Conduct Compliance Plan along with applicable Federal State and local regulations.
• Perform other duties as assigned to support Umpqua Healths Vision Mission and Organizational Values.

About Umpqua Health

At Umpqua Health were more than just a healthcare organization; were a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County Oregon where we prioritize personalized care and innovative solutions to meet the diverse needs of our members. Our comprehensive services include primary care specialty care behavioral health services and care coordination to ensure our members receive holistic integrated healthcare. Our collaborative approach fosters a supportive environment where every team member plays a vital role in our mission to provide accessible high-quality healthcare services. From preventative care to managing chronic conditions were dedicated to empowering healthier lives and building a stronger healthier community together. Join us in making a difference at Umpqua Health.

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind ensuring that all employment decisions are based on qualifications merit and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment including hiring training promotion and compensation without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age veteran status or any other protected category under federal state or local law.