Umpqua Health
Provider Relations Representative - Behavioral Health
Umpqua Health, Roseburg, Oregon, United States, 97470
Provider Relations Representative - Behavioral Health
Join to apply for the
Provider Relations Representative - Behavioral Health
role at
Umpqua Health
Umpqua Health is a Coordinated Care Organization (CCO) in Roseburg, Oregon that connects over 40,000 Douglas County OHP members to physical, dental, and behavioral health services and benefits through an integrated network of providers. Umpqua Health is currently seeking a Provider Relations Representative to join our team.
Status:
Full Time
Schedule:
Monday - Friday 8:00-5:00PM Pacific Standard Time
Salary Range: $54,000 - $65,000 (Salary is dependent upon skill, education, and experience)
Location:
Remote
(Occasional travel to Roseburg or nearby locations)
Total Rewards Package: Health, Dental, Vision, Life, 401K, Paid Time Off, Tuition Assistance, Fitness Reimbursement, and more!
Must have reliable transportation
Purpose The purpose of the Provider Relations Representative (Behavioral Health) is to support our Behavioral Health provider network and drive excellence in care delivery by serving as a service‑driven and relationship‑oriented liaison between Umpqua Health and our healthcare providers. In this highly collaborative role, you will ensure that provider needs are met, concerns are addressed, and organizational standards are consistently upheld. Success in this position requires strong communication skills, keen attention to detail, and the ability to thrive in a dynamic and evolving healthcare environment.
Minimum Qualifications
Bachelor’s 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
Preferred Qualifications
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
Essential Duties
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 correctlyPerform 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 organization’s 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 Health’s Vision, Mission, and Organizational Values
For more information or to apply visit our website at www.umpquahealthcareers.com
UH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.
Drug‑free Workplace Umpqua Health is committed to providing a drug‑free workplace for its employees and the communities it serves. This position requires successful completion of pre‑employment screening which includes, but is not limited to, drug screen, criminal and federal background check, and other licensure requirement verifications.
About Umpqua Health At Umpqua Health, we’re more than just a healthcare organization; we’re 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, we’re dedicated to empowering healthier lives and building a stronger, healthier community together.
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Provider Relations Representative - Behavioral Health
role at
Umpqua Health
Umpqua Health is a Coordinated Care Organization (CCO) in Roseburg, Oregon that connects over 40,000 Douglas County OHP members to physical, dental, and behavioral health services and benefits through an integrated network of providers. Umpqua Health is currently seeking a Provider Relations Representative to join our team.
Status:
Full Time
Schedule:
Monday - Friday 8:00-5:00PM Pacific Standard Time
Salary Range: $54,000 - $65,000 (Salary is dependent upon skill, education, and experience)
Location:
Remote
(Occasional travel to Roseburg or nearby locations)
Total Rewards Package: Health, Dental, Vision, Life, 401K, Paid Time Off, Tuition Assistance, Fitness Reimbursement, and more!
Must have reliable transportation
Purpose The purpose of the Provider Relations Representative (Behavioral Health) is to support our Behavioral Health provider network and drive excellence in care delivery by serving as a service‑driven and relationship‑oriented liaison between Umpqua Health and our healthcare providers. In this highly collaborative role, you will ensure that provider needs are met, concerns are addressed, and organizational standards are consistently upheld. Success in this position requires strong communication skills, keen attention to detail, and the ability to thrive in a dynamic and evolving healthcare environment.
Minimum Qualifications
Bachelor’s 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
Preferred Qualifications
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
Essential Duties
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 correctlyPerform 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 organization’s 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 Health’s Vision, Mission, and Organizational Values
For more information or to apply visit our website at www.umpquahealthcareers.com
UH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.
Drug‑free Workplace Umpqua Health is committed to providing a drug‑free workplace for its employees and the communities it serves. This position requires successful completion of pre‑employment screening which includes, but is not limited to, drug screen, criminal and federal background check, and other licensure requirement verifications.
About Umpqua Health At Umpqua Health, we’re more than just a healthcare organization; we’re 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, we’re dedicated to empowering healthier lives and building a stronger, healthier community together.
#J-18808-Ljbffr