PRC Program Lead, Health & Wellness

Coquille Indian Tribe; Coos Bay (OR); On-site; USD 75,000 - 90,000; Full time

Job summary

The Coquille Indian Tribe’s Ko-Kwel Wellness Center in Coos Bay is seeking a seasoned PRC administrator to coordinate and facilitate Purchased & Referred Care within the Health & Wellness Division. You will supervise staff, manage data systems, audit claims, pre-authorize funds, and ensure compliant operations across multiple facilities.

The role requires collaboration with IT health information personnel, vendor negotiations, and reporting responsibilities.

Qualifications

• Associate’s degree in Public Health, Healthcare Administration, Business or a related field.
• 3 years of management and supervisory experience in a public health or medical outpatient setting.
• Knowledge of HIPAA privacy and confidentiality guidelines.
• Current and valid driver’s license in good standing.
• First Aid/CPR certification required or ability to obtain within 90 days of employment.

Responsibilities

• Provides leadership and oversight to the PRC Registration Specialist.
• Assists with development and implementation of budgetary processes.
• Administers the PRC program; maintains PRC data systems and data utilization in program operations.
• Drafts PRC policy and procedure modifications for presentation to advisory and governing bodies.
• Functions as an Oregon Health Authority Medicaid Community Partner.
• Negotiates discounts with vendors and providers.
• Collaborates with vendors to provide care and case management for patients.

Skills

People management

Budget management

Grant administration

Communication skills

HIPAA knowledge

Policy development

Education

Associate’s degree in Public Health, Healthcare Administration, Business or a related field

Job description

The Coquille Indian Tribe’s Ko-Kwel Wellness Center in Coos Bay is seeking a seasoned PRC administrator to coordinate and facilitate Purchased & Referred Care within the Health & Wellness Division. You will supervise staff, manage data systems, audit claims, pre-authorize funds, and ensure compliant operations across multiple facilities.

The role requires collaboration with IT health information personnel, vendor negotiations, and reporting responsibilities.