Umpqua Health · 10 hours ago
Project Manager, Business and Technical
Umpqua Health is a community-driven Coordinated Care Organization (CCO) focused on improving health and well-being in Douglas County, Oregon. The Project Manager, Business and Technical will lead strategic initiatives to enhance organizational efficiency and member services while ensuring compliance with regulations.
Health CareHospitalTraining
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
Qualification
Required
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
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
Benefits
Generous benefit packages including PTO
Health/Vision/Dental Insurance
401k with a company match
Gym membership reimbursement
Tuition reimbursement
And more
Company
Umpqua Health
Umpqua Health helps improve the health and well-being of the community by delivering easily accessible and quality healthcare.