Job Description
NETWORK CONTRACTING ANALYST
HYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470 EMPLOYMENT TYPE: Full-Time Exempt About Umpqua Health
At Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County Oregon. We provide integrated whole-person care through primary care specialty care behavioral health services and care coordination. Our collaborative approach ensures members receive high-quality personalized care while supporting a stronger healthier community.
POSITION PURPOSE The Network Contracting Analyst provides operational and analytical support to the Contracting and Network Department team at Umpqua Health. This role supports the provider contracting lifecycle by assisting with contract documentation tracking network updates and ensuring accurate and timely maintenance of provider and contract data in alignment with organizational and regulatory requirements. The position requires strong attention to detail organizational skills and the ability to collaborate across departments to support contract integrity network accuracy and compliance.
ESSENTIAL JOB RESPONSIBILITIES - Support management of physician group facility corporate and network contracts in alignment with PADU (Preferred Acceptable Discouraged Unacceptable) guidelines
- Assist in the development preparation execution and maintenance of provider contracts within contract management systems
- Support provider recruitment and contracting efforts to improve network access reduce grievances and support cost containment strategies including Medical Loss Ratio (MLR) goals
- Maintain ongoing communication and relationships with providers escalating complex negotiation issues to senior contracting staff as needed
- Assist in evaluating network performance and identifying potential gaps related to network adequacy standards
- Review contract language to ensure alignment with organizational requirements coordinating with legal and senior contracting staff as needed
- Support development and maintenance of fee schedules and reimbursement models in collaboration with internal teams
- Provide education and guidance to internal stakeholders on contracting processes and procedures
- Assist with preparation and submission of required contracting deliverables to the Oregon Health Authority (OHA)
- Collaborate with internal departments to gather data and documentation for regulatory reporting
- Support delegated credentialing oversight activities by monitoring compliance and tracking requirements
- Participate in departmental projects committees and process improvement initiatives
- Perform other duties as assigned
CHALLENGES
- Working with a variety of personalities maintaining a consistent and fair communication style.
- Satisfying the needs of a fast-paced and challenging company.
MINIMUM QUALIFICATIONS - Bachelors degree in healthcare administration Business or related field preferred; equivalent experience considered
- Minimum of 35 years of experience in healthcare contracting provider relations or network operations (Medicaid experience preferred)
- Working knowledge of Medicaid Medicare or Commercial healthcare systems including basic understanding of compliance and credentialing processes
- Experience working with provider contracts contract systems or healthcare administrative workflows
- Strong analytical and problem-solving skills with attention to detail
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment
- Strong written and verbal communication skills with ability to interact with providers and internal teams
- Ability to work independently while also collaborating within a team environment
- High level of confidentiality integrity and professionalism
- Valid drivers license and current automobile insurance with ability to travel locally as required
PREFERRED QUALIFICATIONS - Experience working with Oregon Health Plan (OHP) or Coordinated Care Organizations (CCOs)
- Exposure to network adequacy reporting or provider network analysis
- Experience supporting contract negotiations (not lead negotiator role)
- Familiarity with fee schedules or reimbursement structures
- Bilingual skills are preferred including translation ability
SCHEDULE Monday through Friday - 8:00am - 5:00pm ; standard business hours with flexibility to meet service timelines.
SALARY Wage Band 18: $71850- $84420 BENEFITS - Salary is dependent on skills experience and education
- Generous benefits package including vacation PTO sick leave federal holidays and birthday leave
- Medical dental and vision insurance
- 401(k) with company match (fully vested immediately)
- Company-sponsored life insurance and additional benefits
- Fitness reimbursement program
- Tuition reimbursement and more
Why Umpqua Health
We are committed to advancing health equity by collaborating across communities addressing systemic barriers and ensuring fair access to care and resources. At Umpqua Health every team member plays a vital role in making a meaningful impact empowering healthier lives and strengthening the communities we serve.
Inclusive Culture We foster a respectful inclusive environment where employees feel valued supported and empowered.
Growth & Development We support ongoing learning through mentorship clear career pathways and professional development opportunities.
Work/Life Balance We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
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.
Required Experience:
Manager
Job Tags
Full time, Contract work, Local area, Immediate start, Monday to Friday