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Umpqua Health Jobs (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site

$85K - $105K/yr

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 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

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 ...

Umpqua Health

Care Coordinator

$80K - $92K/yr

Care Coordinator Remote 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 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

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 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

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 ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

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 ...

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

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 ...

Umpqua Health

Director, Customer Care

Roseburg, OR · On-site

$113K - $132K/yr

DIRECTOR, CUSTOMER CARE ONSITE 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 ...

Umpqua Health

Director, Customer Care

Roseburg, OR · On-site

$113K - $132K/yr

DIRECTOR, CUSTOMER CARE ONSITE 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 ...

Umpqua Health

Director, Customer Care

Roseburg, OR · On-site

DIRECTOR, CUSTOMER CARE ONSITE 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 ...

Umpqua Health

Care Coordinator

Roseburg, OR · On-site +1

$80K - $92K/yr

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 ...

Umpqua Health

Care Coordinator

Roseburg, OR · Remote

$80K - $92K/yr

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 ...

Umpqua Health

Care Coordinator

$80K - $92K/yr

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 ...

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How much do umpqua health jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for umpqua health in the United States is $30.75, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $39.66 per hour, depending on experience, location, and employer.

What can I expect from the work environment and team culture at Umpqua Health?

Umpqua Health fosters a collaborative, patient-centered work environment where team members are encouraged to communicate openly and support each other in delivering quality care. Employees work alongside professionals from various disciplines, including clinical staff, administrative personnel, and care coordinators, providing opportunities for cross-functional learning and professional growth. The organization values diversity, ongoing education, and innovation, offering opportunities for advancement and skill development. You’ll find a supportive atmosphere that invests in both employee well-being and the health of the communities served.

What are the key skills and qualifications needed to thrive in the Umpqua Health position, and why are they important?

To thrive at Umpqua Health, candidates typically need a background in healthcare administration, clinical practice, or health plan operations, along with relevant education or licensure based on the specific position. Familiarity with healthcare management software, electronic health record (EHR) systems, and regulatory compliance is highly valuable. Strong interpersonal skills, attention to detail, and a commitment to serving diverse populations set applicants apart. These skills ensure effective patient care, efficient operations, and a positive impact on community health outcomes.

What is a Umpqua Health job?

A Umpqua Health job refers to a position within Umpqua Health, a healthcare organization that provides medical services and managed care in Douglas County, Oregon. Jobs at Umpqua Health vary and may include roles in administration, clinical care, customer service, and healthcare management. Employees work to improve patient outcomes, promote community wellness, and support healthcare operations. Open positions can range from entry-level to specialized healthcare roles requiring certifications or degrees.

More about Umpqua Health jobs
What job categories do people searching Umpqua Health jobs look for? The top searched job categories for Umpqua Health jobs are:
Umpqua Health jobs near you
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 7 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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