What are the responsibilities and job description for the Coordinator, Provider Relations position at 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. 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.
Umpqua Health strongly encourages applications from candidates of color as well as veterans, aiming to foster a work environment that is linguistically and culturally diverse and inclusive. Please note that at this time, Umpqua Health does not offer visa sponsorship.
As a Provider Relations Coordinator, you will serve as the vital link between Umpqua Health and our healthcare providers. Your responsibilities will include creating comprehensive training programs tailored to the needs of our providers, fostering and maintaining strong, collaborative relationships, and ensuring strict adherence to industry standards and regulations. You will play a pivotal role in promoting exceptional service delivery, enhancing the quality of care for our members, and driving continuous improvement initiatives. Additionally, you will be instrumental in gathering and analyzing feedback from providers to identify areas for improvement and implementing strategies to address them. Your efforts will directly contribute to the overall success and reputation of Umpqua Health.
Your Impact:
Umpqua Health strongly encourages applications from candidates of color as well as veterans, aiming to foster a work environment that is linguistically and culturally diverse and inclusive. Please note that at this time, Umpqua Health does not offer visa sponsorship.
As a Provider Relations Coordinator, you will serve as the vital link between Umpqua Health and our healthcare providers. Your responsibilities will include creating comprehensive training programs tailored to the needs of our providers, fostering and maintaining strong, collaborative relationships, and ensuring strict adherence to industry standards and regulations. You will play a pivotal role in promoting exceptional service delivery, enhancing the quality of care for our members, and driving continuous improvement initiatives. Additionally, you will be instrumental in gathering and analyzing feedback from providers to identify areas for improvement and implementing strategies to address them. Your efforts will directly contribute to the overall success and reputation of Umpqua Health.
Your Impact:
- Develop and implement training programs that educate healthcare providers on Umpqua Health’s services, protocols, and standards, ensuring they are well-equipped to provide high-quality care
- Conduct regular training sessions, webinars, and workshops to address provider questions, keep them informed about updates, and ensure their practices align with our guidelines
- Collaborate with internal teams to develop training materials that are accurate, up-to-date, and compliant with regulatory requirements
- Monitor provider performance by establishing and tracking key performance indicators to evaluate the quality of care provided by our healthcare partners. Identify areas for improvement and provide feedback to enhance service delivery
- Conduct audits and reviews to ensure providers meet contractual obligations and adhere to industry regulations. Proactively identify issues and implement corrective actions
- Act as the primary point of contact for healthcare providers, responding to their inquiries, resolving issues, and fostering strong, collaborative relationships
- Facilitate communication by maintaining open lines of communication between Umpqua Health and providers to exchange information, share best practices, and address concerns. Ensure timely dissemination of policy changes and updates
- Liaise with regulatory bodies, including the Oregon Health Authority (OHA) and External Quality Review Organizations (EQRO), to understand regulatory deliverables, requirements, and timelines
- Support continuous improvement by gathering feedback from providers to continually enhance training programs and provider support services. Advocate for process improvements that benefit both Umpqua Health and our provider network
- Perform other duties as assigned by management to help drive our Vision, fulfill our Mission, and abide by our Organization’s Values
- Bachelor's degree in Healthcare Administration, Business Administration, or equivalent work experience
- Minimum of 3 years of experience in provider relations, healthcare administration, or a related field
- Strong understanding of healthcare operations, regulations, and industry trends
- Excellent communication, negotiation, and interpersonal skills
- Ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines
- Experience in developing and delivering training programs preferred
- Knowledge of quality improvement methodologies and practices is a plus