Network Contracting Analyst
Umpqua Health, Roseburg, OR, United States
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, 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 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
Bachelor’s degree in healthcare administration, Business, or related field preferred; equivalent experience considered
Minimum of 3–5 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 driver’s 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: $71,850- $84,420
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.
#J-18808-Ljbffr
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 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
Bachelor’s degree in healthcare administration, Business, or related field preferred; equivalent experience considered
Minimum of 3–5 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 driver’s 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: $71,850- $84,420
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.
#J-18808-Ljbffr