Umpqua Health

Compensation

Full Description

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. Position Title: Project Manager, Business and Technical Department: Program / Project Management Office Status: Full Time, Exempt position Schedule: Monday through Friday - 8:00am - 5:00pm Location: Remote position (occasional travel as required) Salary: Wage Band 20: $ 85,990 - $105,340 • Salary is dependent upon skills, experience, and education. • Generous benefit packages including PTO, Health/Vision/Dental Insurance, 401k with a company match, gym membership reimbursement, tuition reimbursement, and more. • Full-time position. Must reside in Oregon. POSITION PURPOSE The Project Manager plays a critical role in leading strategic and operational initiatives that support the success of Umpqua Health’s Medicaid Managed Care Plan. This position is responsible for planning, executing, and delivering projects that improve organizational efficiency, enhance member services, and ensure compliance with state and federal regulations. The Project Manager will collaborate across departments to align project goals with organizational priorities and drive measurable outcomes. ESSENTIAL JOB RESPONSIBILITIES • Lead the planning, execution, and monitoring of technical and operational projects, ensuring alignment with Medicaid program goals and organizational strategy. • Develop detailed project plans including scope, timelines, milestones, resource allocation, and risk mitigation strategies. • Coordinate cross-functional teams including IT, compliance, contracting, finance, and clinical operations to ensure successful project delivery. • Manage projects related to provider network development, credentialing, claims systems, and member services enhancements. • Ensure projects comply with Oregon Health Authority (OHA), CMS, and NCQA standards. • Monitor project performance using KPIs and dashboards; report progress to executive leadership. • Facilitate stakeholder engagement and communication, including presentations, status updates, and issue resolution. • Maintain accurate documentation including project charters, meeting minutes, deliverables, and audit trails. • Support strategic planning and contract execution by aligning project outcomes with Medicaid reimbursement models and provider performance goals. • Working with a variety of personalities, maintaining a consistent and fair communication style. • Satisfying the needs of a fast-paced and challenging company. 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 Business Administration, Healthcare Administration, Information Technology, or related field. • Project Management Professional (PMP) certification or equivalent (required within six months of hire). • 3–5 years of experience managing projects in a healthcare or managed care setting. • Demonstrated success in leading Medicaid-related initiatives or systems implementations. • Proficiency in Microsoft Office Suite and project management platforms. • No suspension/exclusion/debarment from participation in federal health care programs (e.g. Medicare/Medicaid) PREFERRED QUALIFICATIONS • Master’s degree in a related field. • Experience with Oregon Medicaid programs and contracting. • Familiarity with provider enrollment systems and credentialing workflows. • Advanced skills in strategic planning, data analytics, and performance improvement. • Experience considering the impacts of the work on multiple communities, including communities of color, in technical analysis. • Bi-lingual translation or translation capabilities a plus KNOWLEDGE, SKILLS & ABILITIES • Medicaid managed care operations, including provider contracting, claims, and credentialing. • Regulatory frameworks including CMS, OHA, and NCQA. • Project lifecycle methodologies (Agile, Waterfall, Hybrid).Proficiency in project management tools (e.g., MS Project, SmartSheets, Visio). • Strong analytical and problem-solving skills. • Effective communication and stakeholder engagement. • Budget management and financial forecasting. • Lead cross-functional teams and manage competing priorities. • Translate complex regulatory and operational requirements into actionable project plans. • Adapt to evolving healthcare policy and organizational needs. • Maintain confidentiality and uphold compliance standards. 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.