Appeals Clinical Team Lead
PacificSource Health Plans(2 months ago)
About this role
A manager-level clinical leader within PacificSource focused on supporting members' access to quality, affordable healthcare through oversight of the appeals function. The role operates at the intersection of clinical standards and health plan operations, collaborating across departments and community partners. Requires a licensed clinical professional to provide clinical oversight and program stewardship.
Required Skills
- Leadership
- Supervision
- Coaching
- Process Improvement
- Utilization Management
- Appeals Management
- Clinical Knowledge
- Communication
- Analytics
- Organization
Qualifications
- Registered Nurse
- Licensed Social Worker
- State Nursing/Social Work License
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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