Provider Relations Representative

Provider Relations Representative
Umpqua Health

Umpqua Health is seeking a service-driven and relationship-oriented Provider Relations Representative to support our provider network and drive excellence in care delivery. In this highly collaborative role, you will serve as a key liaison between Umpqua Health and our healthcare providers, ensuring provider needs are met, concerns are addressed, and standards are upheld across the system. Success in this role requires grit, strong communication skills, and the ability to thrive in a dynamic and evolving healthcare environment.

Key Responsibilities
As a Provider Relations Representative, you will develop, implement, and deliver engaging provider training programs that promote high-quality, compliant care. You will act as a trusted point of contact for healthcare providers, responding to inquiries and resolving concerns promptly and professionally. Your role will involve capturing and analyzing provider feedback and complaints to drive service recovery and long-term satisfaction.

You will also design, distribute, and evaluate provider surveys to gather actionable insights and inform continuous improvement efforts. Collaboration with regulatory bodies such as the Oregon Health Authority (OHA) and the External Quality Review Organization (EQRO) will be essential to support compliance and ensure providers meet all quality and performance standards. Additionally, you will track and report on key provider performance metrics to identify opportunities for strategic alignment and network enhancements.

Building and maintaining strong provider relationships through ongoing communication, support, and resource sharing is central to this role. You will work cross-functionally to advocate for improvements in provider experience, including training, communications, and operational workflows. Other duties may be assigned by management to support Umpqua Health’s Vision, Mission, and Values.

Qualifications
The ideal candidate will hold a bachelor’s degree in Healthcare Administration, Business Administration, or a related field—or possess an equivalent combination of education and relevant experience. A minimum of three years of experience in provider relations, healthcare administration, health plan operations, or a related field is required.

Candidates should have experience working with medical or hospital-based insurance plans and a solid understanding of healthcare regulatory requirements. Strong interpersonal and written communication skills are essential, along with the ability to build rapport and represent the organization professionally. The role demands a proven ability to resolve provider complaints and proactively identify service improvement opportunities.

Proficiency in data collection, survey analysis, and performance reporting is necessary to drive insights and support decision-making. The successful candidate will be highly organized, capable of managing multiple priorities in a fast-paced environment, and enthusiastic about collaboration, continuous improvement, and delivering a best-in-class provider experience.

About 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. Umpqua Health serves Douglas County, Oregon, where we prioritize personalized care and innovative solutions to meet the diverse needs of our members. 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. Join us in making a difference at Umpqua Health.

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.