PacificSource Health Plans

Appeals Clinical Team Lead

PacificSource Health Plans

4 months ago
Springfield, OR
Onsite
Full Time
Manager
0 applicants
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PacificSource Health Plans
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About this role

Manager responsible for overseeing clinical appeals staff within PacificSource’s Appeals and Grievance and Health Services teams. The role focuses on staff management, training, and program development to ensure quality, compliance, and improved member outcomes in health plan appeals processes. Acts as a liaison with internal departments and external partners to implement process improvements and support evidence-based medical criteria.

Skills

Qualifications

Registered NurseLicensed Social WorkerUnrestricted State LicenseMultistate Licensure (within 6 months)
PacificSource Health Plans

About PacificSource Health Plans

pacificsource.com

PacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.

About PacificSource Health Plans

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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