Project Manager, Business and Technical

• Salary is dependent upon skills experience and education.
• Generous benefit packages including PTO Health/Vision/Dental Insurance 401k with a company match gym membership reimbursement tuition reimbursement and more.
• Full-time position. Must reside in Oregon.

• Lead the planning execution and monitoring of technical and operational projects ensuring alignment with Medicaid program goals and organizational strategy.
• Develop detailed project plans including scope timelines milestones resource allocation and risk mitigation strategies.
• Coordinate cross-functional teams including IT compliance contracting finance and clinical operations to ensure successful project delivery.
• Manage projects related to provider network development credentialing claims systems and member services enhancements.
• Ensure projects comply with Oregon Health Authority (OHA) CMS and NCQA standards.
• Monitor project performance using KPIs and dashboards; report progress to executive leadership.
• Facilitate stakeholder engagement and communication including presentations status updates and issue resolution.
• Maintain accurate documentation including project charters meeting minutes deliverables and audit trails.
• Support strategic planning and contract execution by aligning project outcomes with Medicaid reimbursement models and provider performance goals.
• Working with a variety of personalities maintaining a consistent and fair communication style.
• Satisfying the needs of a fast-paced and challenging company.

• Working with a variety of personalities maintaining a consistent and fair communication style.
• Satisfying the needs of a fast-paced and challenging company.

• Bachelors degree in Business Administration Healthcare Administration Information Technology or related field.
• Project Management Professional (PMP) certification or equivalent (required within six months of hire).
• 35 years of experience managing projects in a healthcare or managed care setting.
• Demonstrated success in leading Medicaid-related initiatives or systems implementations.
• Proficiency in Microsoft Office Suite and project management platforms.
• No suspension/exclusion/debarment from participation in federal health care programs (e.g. Medicare/Medicaid)

• Masters degree in a related field.
• Experience with Oregon Medicaid programs and contracting.
• Familiarity with provider enrollment systems and credentialing workflows.
• Advanced skills in strategic planning data analytics and performance improvement.
• Experience considering the impacts of the work on multiple communities including communities of color in technical analysis.
• Bi-lingual translation or translation capabilities a plus

• Medicaid managed care operations including provider contracting claims and credentialing.
• Regulatory frameworks including CMS OHA and NCQA.
• Project lifecycle methodologies (Agile Waterfall Hybrid).Proficiency in project management tools (e.g. MS Project SmartSheets Visio).
• Strong analytical and problem-solving skills.
• Effective communication and stakeholder engagement.
• Budget management and financial forecasting.
• Lead cross-functional teams and manage competing priorities.
• Translate complex regulatory and operational requirements into actionable project plans.
• Adapt to evolving healthcare policy and organizational needs.
• Maintain confidentiality and uphold compliance standards.
  
  

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.