Job Description | JOB TITLE | Provider Relations Coordinator | REPORTS TO | Manager, Provider Relations |
| STATUS | FT, Non-Exempt | WAGE RANGE | 16 (2024) |
| DEPARTMENT | Provider Relations | WORK LOCATION | Remote (With occasional travel when needed) |
| POSITION PURPOSE |
- The purpose of the Provider Relations Coordinator is to support access to high-quality care by managing accurate provider data. As a key liaison between providers and internal teams, this role will enhance provider satisfaction, streamline operational workflows, and contribute to UHA’s mission of improving health outcomes for our community.
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| ESSENTIAL JOB RESPONSIBILITIES |
- Input and regularly update provider demographic, credentialing and affiliation data using PNDA and other internal systems to ensure accuracy, compliance and up to date reporting capabilities.
- Receive, update and maintain delegated rosters and other provider rosters.
- Serve as a primary contact for provider inquiries related to roster, demographics, terminations/additions, etc.
- Collaborate with internal teams to analyze trends in provider data to identify gaps in network adequacy.
- Data entry and provider data maintenance.
- Assist in updating and creating Provider Relations policies/procedures and standing operating procedure (Sops).
- Assist with organizing provider meetings and correlating materials.
- Initiate data entry of provider-related demographic information changes and oversee completion of change requests for the network.
- Conduct activities to support organization’s assessment of provider access and availability.
- Assist in network adequacy studies.
- Assist the Department with internal and external audits.
- Project work, as assigned.
- Maintains positive working relationships with colleagues and provider personnel.
- Travel to community when there is a business need.
- 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.
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| CHALLENGES |
- Working with a variety of personalities, maintaining a consistent and fair communication style.
- Satisfying the needs of a fast paced and challenging company.
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| QUALIFICATIONS |
Minimum Qualifications- Bachelor’s degree in related field, or equivalent experience.
- Three years’ experience managing provider data and/or supporting provider operations within a health delivery system.
- Prior experience in a Managed Care Organization, Coordinated Care Organization, or health system.
- No suspension/exclusion/debarment from participation in federal health care programs (eg. Medicare/Medicaid)
- Proficient computer skills, including MS Office suite
Preferred Qualifications- Credentialing experience and/or provider relations.
- Demonstrated attention to detail in managing large datasets.
- Excellent written and verbal communications skills.
- Experience considering the impacts of the work on multiple communities, including communities of color, in technical analysis.
- Proven ability to prioritize, manage competing deadlines, and stay organized in a fast paced, evolving environment.
- Team players with a collaborative mindset and a commitment to health equity and community care.
- Advanced proficiency in MS Office tools and working knowledge of provider data management systems, experience with reporting and analytic tools is a plus. 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.
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| PHYSICAL DEMANDS |
| A typical office environment requires standing, sitting, walking, bending, and lifting up to 25 plus pounds. |
| EQUAL EMPLOYMENT OPPORTUNITY |
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. |
| JOB DESCRIPTION ACKNOWLEDGEMENT |
| I have reviewed the attached job description as outlined above and understand that I am responsible for all duties as outlined and other tasks as may be assigned. I understand that if I need accommodation to perform the essential functions of my job that I must contact my supervisor or Human Resources as soon as possible to begin an interactive process. |
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| Note: This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. |
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. 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.