Sr. Director Network and Contracting

Salary :

$147,390 - 200,000 yearly

Company : Umpqua Health

Job Type : Full Time

Roseburg, Or

Number of Applicants

000+

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Job Description - Sr. Director Network and Contracting

Position Title: Senior Director, Networking & Contracting

Department: Finance

Status: Full Time, Exempt position

Schedule: Monday through Friday - 8:00am - 5:00pm

Location: Hybrid position - On-site & remote work required

Salary: Wage Band 24: $147,390 - $200,000

Only hiring from the state of Oregon, preferably applicants residing in Douglas County

POSITION PURPOSE

The Senior Director of Network and Contracting provides strategic leadership for Umpqua Health’s provider network strategy and oversees all contracting activities to ensure access to high-quality, cost-effective care for members. This role is responsible for managing the Provider Relations, Credentialing, and Contracting/Network Development departments, ensuring operational excellence and compliance with regulatory requirements. The Senior Director drives innovative reimbursement strategies, including value-based care and bundled payments, and fosters strong relationships with providers, health systems, and payors to support organizational growth and performance.

ESSENTIAL JOB RESPONSIBILITIES

Define and implement network strategy aligned with organizational goals and regulatory standards.
Develop innovative contracting and reimbursement models, including value-based arrangements and alternative payment structures.
Provide executive-level guidance on network adequacy and compliance with Oregon Health Authority (OHA) requirements.
Lead and manage the Provider Relations, Credentialing, and Contracting/Network Development teams, ensuring collaboration and accountability.
Establish departmental goals, performance metrics, and continuous improvement initiatives.
Mentor and develop leadership within departments to build organizational capacity.
Oversee negotiation, drafting, and execution of provider contracts, including hospitals, physician groups, and ancillary services.
Ensure contracts meet financial performance targets and regulatory standards.
Monitor provider performance and implement strategies to address gaps and inefficiencies.
Ensure adherence to state and federal regulations, including Medicare and Medicaid requirements.
Support audits, reporting, and credentialing compliance activities.
Analyze contract performance and develop strategies to optimize cost and quality outcomes.
Collaborate with finance and analytics teams to model reimbursement scenarios and forecast financial impact.
Build and maintain strong relationships with providers, health systems, and payors to ensure network stability and growth.
Represent Umpqua Health in external meetings and negotiations as needed.

CHALLENGES

Working with a variety of personalities, maintaining a consistent and fair communication style.
Satisfying the needs of a fast paced and challenging company.

QUALIFICATIONS, KNOWLEDGE, SKILLS AND ABILITIES

Minimum Qualifications

Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required; Master’s degree preferred. Fifteen year advanced experience will be considered in lieu of degree.
Minimum 8 years of provider contracting experience in a managed care environment.
Minimum 3 years of leadership experience managing multiple operational teams.
Proven experience with value-based contracting and network development strategies.

Knowledge, Skills, and Abilities

In-depth understanding of managed care, provider contracting, credentialing, and reimbursement methodologies.
Expertise in Medicare Advantage, Medicaid, value-based contracting, and alternative payment models.
Advanced negotiation and strategic planning skills.
Strong leadership and team development capabilities.
Excellent communication and relationship-building skills.
Ability to lead multiple departments and complex projects simultaneously.
Ability to think creatively and strategically to solve problems and drive innovation.

PHYSICAL DEMANDS & WORK CONDITIONS

Ability to sit for extended periods and use computer systems for documentation and communication.
Frequent phone communication and virtual meetings.
Field work includes home visits in varying environments; must be able to travel locally.
Home Office Setup: Must have a designated workspace that supports ergonomic standards (desk, chair with lumbar support, monitor at eye level).
Noise Level: Moderate, typically from phone calls or virtual meetings.
Technology Requirements: Reliable internet connection, computer, headset, and other necessary peripherals.
Ergonomic Considerations: Proper posture, adjustable seating, and monitor placement to prevent musculoskeletal strain. Employers often provide guidelines or stipends for ergonomic equipment
Environmental Factors: Adequate lighting and ventilation; avoidance of prolonged work in non-ergonomic spaces (e.g., couches or beds).
Work Hours: Regular, predictable attendance in the Pacific time zone.

EQUAL EMPLOYMENT OPPORTUNITY

UH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.

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.

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Sr. Director Network and Contracting

Job Description - Sr. Director Network and Contracting

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