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Provider Contracting Jobs in Remote, OR (NOW HIRING)

SOSi

Cloud Engineer

Myrtle Point, OR · On-site

$52.25 - $69.75/hr

The contractor shall coordinate with other Work Order contractors (e.g., WO-003) to reconcile prepay or reservation usage against actual consumption and provide monthly reports on compute and storage ...

TechData Service Company LLC

Be Seen First

Director, Medical Reviewer (Contractor)(Remote) LPTK10113

OR · Remote

$125 - $150/hr

We are seeking an experienced Director, Medical Reviewer, Contractor, to support our Client ... Provide clear medical rationale in company comments and case assessments. * Ensure timely and ...

SOS International LLC

Cloud Engineer

Myrtle Point, OR

$52.25 - $69.75/hr

The contractor shall coordinate with other Work Order contractors (e.g., WO-003) to reconcile prepay or reservation usage against actual consumption and provide monthly reports on compute and storage ...

SOSi

Cloud Engineer

OR · On-site +1

$52.25 - $69.75/hr

The contractor shall coordinate with other Work Order contractors (e.g., WO-003) to reconcile prepay or reservation usage against actual consumption and provide monthly reports on compute and storage ...

SOSi

Cloud Engineer

OR · On-site

$52.25 - $69.75/hr

The contractor shall coordinate with other Work Order contractors (e.g., WO-003) to reconcile prepay or reservation usage against actual consumption and provide monthly reports on compute and storage ...

SOSi

Senior Data Scientist

Myrtle Point, OR

The contractor shall provide a Rough Order of Magnitude (ROM) Estimate Report before each analytics project, detailing expected Full-Time Equivalent (FTE) hours, compute costs, storage consumption ...

SOSi

Data Scientist

OR

The contractor shall provide a Rough Order of Magnitude (ROM) Estimate Report before each analytics project, detailing expected Full-Time Equivalent (FTE) hours, compute costs, storage consumption ...

SOSi

Data Scientist

OR · On-site +1

The contractor shall provide a Rough Order of Magnitude (ROM) Estimate Report before each analytics project, detailing expected Full-Time Equivalent (FTE) hours, compute costs, storage consumption ...

SOSi

Senior Data Scientist

OR

The contractor shall provide a Rough Order of Magnitude (ROM) Estimate Report before each analytics project, detailing expected Full-Time Equivalent (FTE) hours, compute costs, storage consumption ...

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Showing results 1-20

All JobsProvider Contracting JobsProvider Contracting Jobs in Remote, OR

Provider Contracting information

See Remote, OR salary details

$61.4K

$79.3K

$129.4K

How much do provider contracting jobs pay per year?

As of Jun 11, 2026, the average yearly pay for provider contracting in Remote, OR is $79,250.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,100.00 and $79,900.00 per year, depending on experience, location, and employer.

What is the difference between Provider Contracting vs Provider Relations Specialist?

AspectProvider ContractingProvider Relations Specialist
Primary FocusNegotiating and managing provider contractsBuilding and maintaining provider relationships
ResponsibilitiesContract negotiations, rate setting, complianceProvider communication, issue resolution, outreach
Required SkillsNegotiation, understanding of contracts, industry regulationsCommunication, customer service, relationship management
Work EnvironmentOffice-based, healthcare organizations, insurance companies

Provider Contracting focuses on negotiating and managing provider agreements, ensuring compliance and optimal rates. In contrast, Provider Relations Specialists prioritize maintaining strong provider relationships, addressing concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

What are the key skills and qualifications needed to thrive as a Provider Contracting Specialist, and why are they important?

To thrive as a Provider Contracting Specialist, you need strong negotiation skills, analytical abilities, and a background in healthcare administration or business, often supported by a bachelor's degree. Familiarity with contract management software, claims processing systems, and regulatory compliance tools is typically required. Exceptional communication, relationship-building, and attention to detail are vital soft skills for success in this role. These competencies ensure effective contract negotiations, compliance with regulations, and the development of strong provider networks that benefit both patients and organizations.

What are some common challenges faced in a Provider Contracting role, and how can they be managed effectively?

Professionals in Provider Contracting often encounter challenges such as negotiating mutually beneficial agreements, keeping up with evolving healthcare regulations, and balancing provider expectations with organizational goals. Effective management of these challenges requires strong communication and negotiation skills, as well as staying current on industry trends and compliance requirements. Building collaborative relationships with providers and internal teams, maintaining clear documentation, and leveraging data analytics can help streamline the contracting process and achieve successful outcomes.

What is provider contracting?

Provider contracting is the process by which healthcare organizations, such as insurance companies or health plans, establish agreements with medical providers, such as hospitals, physicians, and clinics. These contracts outline the terms of service, payment rates, and responsibilities for both parties. The goal is to ensure that patients have access to a network of qualified providers at agreed-upon costs, while providers receive timely and consistent reimbursement for their services.
Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in Remote, OR as of June 2026, with employment types broken down into 64% Full Time, 3% Part Time, 31% Contract, and 2% Nights. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $79,250 per year, or $38.1 per hour.
Contracting Specialist Benefits and Claims

Contracting Specialist Benefits and Claims

Umpqua Health

Roseburg, OR • On-site

$84K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description


CONTRACTING SPECIALIST BENEFITS AND CLAIMS
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, we’re more than a healthcare organization—we’re 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 Benefit and Claims Oversight Specialist is responsible for ensuring accurate, timely, and compliant administration of health plan benefits and claims through Umpqua Health’s Third-Party Administrator (TPA). This role does not supervise internal staff but holds full oversight responsibility for TPA performance, compliance, and adherence to contractual and regulatory requirements. The position also manages provider contract distribution, benefit administration communications, and interpretation of contract requirements. Acting as the primary liaison between Umpqua Health and the TPA, this role drives accountability, resolves claims issues, and supports organizational goals for quality and efficiency.
ESSENTIAL JOB RESPONSIBILITIES
TPA Oversight & Compliance
  • Oversee Third-Party Administrator (TPA) performance, ensuring accuracy, timeliness, and adherence to service-level agreements.
  • Lead audits and compliance reviews to ensure alignment with federal and state regulations, contractual obligations, and organizational standards.
  • Manage and resolve escalated claims and benefit issues, ensuring timely and effective outcomes.
Provider Contract & Benefit Administration
  • Oversee distribution, tracking, and validation of provider contracts to ensure accuracy and compliance.
  • Interpret and operationalize Oregon Health Authority (OHA) and Umpqua Health Network (UHN) contractual requirements.
  • Ensure accurate configuration and maintenance of benefits, fee schedules, and authorization rules within claims systems.
  • Direct data integrity efforts across TPA and internal systems, ensuring consistent application of business rules.
Claims Oversight & Issue Resolution
  • Provide leadership in the resolution of complex claims issues, disputes, and exceptions.
  • Ensure accurate interpretation and application of benefit structures by the TPA.
  • Serve as a key escalation point for internal teams and external partners.
Process Improvement & Policy Management
  • Develop and implement policies and procedures to strengthen claims oversight and benefit administration.
  • Identify operational gaps and lead process improvement initiatives to enhance efficiency, accuracy, and compliance.
Reporting & Stakeholder Communication
  • Serve as the primary liaison for TPA-related performance and escalation matters.
  • Deliver regular reporting, insights, and strategic recommendations to leadership.
  • Perform other duties as assigned.

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

MINIMUM QUALIFICATIONS
  • Bachelor’s degree in healthcare administration, Business, or a related field required
  • Minimum of 5 years of experience in health plan claims processing and benefit administration, preferably with TPA oversight responsibilities
  • Strong understanding of managed care operations and regulatory compliance
  • Proficiency in claims systems and Microsoft Office Suite
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication skills, including negotiation abilities
  • Ability to manage vendor relationships and enforce accountability
  • Ability to analyze and interpret data to determine appropriate configuration changes
  • Ability to accurately interpret state and/or federal benefits, contracts, and additional business requirements and translate them into configuration parameters
  • Ability to coordinate and facilitate coding updates related to benefit plans, provider contracts, fee schedules, and system tables through the user interface
  • Ability to apply previous experience and knowledge to research and resolve claim and encounter issues, including pended claims, and communicate system update needs to TPAs
  • Ability to manage fluctuating workloads and prioritize tasks to meet deadlines and the needs of the user community
  • Demonstrated accountability, integrity, innovation, and collaboration in a professional setting
PREFERRED QUALIFICATIONS
  • Certified Coder (preferred)
  • Bilingual translation or translation capabilities a plus
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $84,000-95,900
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.

 

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