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Provider Contracting Jobs in Remote, OR (NOW HIRING)

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

$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

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 ...

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All JobsProvider Contracting JobsProvider Contracting Jobs in Remote, OR

Provider Contracting information

What is the highest paying contractor job?

In provider contracting, senior roles such as Contract Directors or Vice Presidents often have the highest salaries, especially in large healthcare organizations. These positions typically require extensive experience, negotiation skills, and knowledge of healthcare policies, with salaries reaching six figures or more depending on the organization and location.

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 is the 3 month rule for jobs?

In provider contracting, the 3 month rule typically refers to a policy where contracts or agreements are reviewed or renewed every three months to ensure compliance and performance. It may also relate to the timeframe within which providers must submit documentation or meet certain requirements to maintain their status or reimbursement eligibility.

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.

How much does a contract specialist earn?

A contract specialist typically earns between $50,000 and $80,000 annually, depending on experience, location, and industry. Salaries can vary based on certifications, such as the Certified Federal Contracts Manager (CFCM), and the complexity of contracts managed.

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.

What is a contracting provider?

A contracting provider is a healthcare professional or facility that enters into a formal agreement with insurance companies or payers to deliver services at negotiated rates. These providers must adhere to specific contractual terms, billing procedures, and quality standards to participate in insurance networks and ensure reimbursement. Contracting providers often need to maintain credentialing and compliance with industry regulations.
Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in Remote, OR as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, and 5% Contract. Highlights an 80% Physical, 3% Hybrid, and 17% Remote job distribution.

Provider Relations Representative

Umpqua Health

Roseburg, OR • On-site

$59K - $68K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

PROVIDER RELATIONS REPRESENTATIVE
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 Provider Relations Representative is a key day-to-day contact between Umpqua Health (UH) and its contracted providers. The representative builds and maintains positive working relationships with providers and their staff, delivers provider education and support, helps resolve provider questions and issues, and supports provider satisfaction and engagement across the network. Representatives work under the direction of the Provider Relations Manager and collaborate with Network Contracting, Customer Care, and other departments.
Representatives may serve as a generalist supporting the broad provider network, or may specialize in a specific area of the network: Oral Health, Behavioral Health, or Health-Related Social Needs (HRSN). Specialized representatives develop deeper knowledge of the providers, services, and regulatory requirements in their area while performing the same core responsibilities.
ESSENTIAL JOB RESPONSIBILITIES
  • Serve as a primary point of contact for assigned providers, building and maintaining positive, professional relationships.
  • Respond to provider questions and help resolve issues related to claims status, eligibility, benefits, authorizations, and plan processes, escalating complex matters as appropriate.
  • Conduct provider visits, orientations, and check-ins, both in person and virtual, to support satisfaction and engagement.
  • Track and document provider interactions, issues, and resolutions in the appropriate systems.
  • Support the onboarding of newly contracted providers and communicate changes that affect providers.
  • Deliver provider education and training on plan policies, processes, the provider portal, and self-service tools.
  • Interpret and clarify UH policies and procedures for providers and their staff.
  • Distribute provider communications and updates, and confirm provider understanding.
  • Analyze and monitoring of Secret Shopper calls.
  • Support the provider survey process and relay provider feedback to the Provider Relations Manager and subcommittees.
  • Support the accuracy of provider information in the Provider Directory and Provider Manual by identifying and reporting needed updates.
  • Help identify network access gaps and potential providers, and refer them to the appropriate team.
  • Support regulatory and contractual requirements relevant to assigned providers, including timely documentation and reporting.
  • Support monitoring and oversight of the provider network by tracking provider concerns, access issues, service trends, and operational barriers, and coordinating follow up to help ensure provider experience, network performance, and compliance with plan requirements.
  • Develop and maintain subject-matter knowledge in the assigned area (Generalist, Oral Health, Behavioral Health, or HRSN).
  • Serve as a resource to colleagues and providers on area-specific benefits, requirements, and workflows.
  • Build and maintain relationships within the assigned provider or community-partner community.
  • Behavioral Health: apply behavioral health confidentiality and integration requirements, including 42 CFR Part 2, in all interactions.
  • Oral Health: apply oral health benefit, access, and basic dental claims knowledge in all interactions.
  • HRSN: support community-based organizations with attention to their capacity, onboarding needs, and the realities of partners that may be new to health plan processes.
  • For lead assignments, provide onboarding and peer training, answer day-to-day operational questions, help direct and prioritize team assignments, and serve as a go-to resource for complex workflows while remaining a non-supervisory individual contributor.
  • Identify problems, develop solutions, and implement chosen courses of action within the scope of the role.
  • Perform work in alignment with the organization's mission, vision, and values, and support its commitment to equity, diversity, and inclusion.
  • Comply with UH internal policies and procedures, the Code of Conduct, the Compliance Plan, and applicable federal, state, and local regulations.
  • Perform other assigned duties as required.
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
  • 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.
  • No suspension/exclusion/debarment from participation in federal health care programs (eg. Medicare/Medicaid)
  • Specialization-specific experience for specialized assignments:
  • Oral Health: 3 years' experience with dental providers or dental benefits.
  • Behavioral Health: 3 years' experience with mental health or substance use disorder providers, and familiarity with 42 CFR Part 2.
  • HRSN: experience working with community-based organizations or social-services providers.
  • Lead specialization assignments: demonstrated advanced knowledge in the assigned specialization, experience training or onboarding peers, and the ability to provide day-to-day guidance and coordinate work assignments without supervisory authority.

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.
  • 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
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band 16: $59,585- $68,525
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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