PacificSource Health Plans

Appeals Clinical Team Lead

PacificSource Health Plans(2 months ago)

Bend, OROnsiteFull TimeManager$96,408 - $128,434 (estimated)Health Services / Appeals and Grievance
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About this role

The Appeals Clinical Manager at PacificSource leads the clinical appeals function within the Health Services team, ensuring alignment with organizational values and supporting members' access to quality, affordable care. The role focuses on oversight of the appeals program, program development, and coordination with other departments and community partners.

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Required Skills

  • Leadership
  • Coaching
  • Supervision
  • Training
  • Process Improvement
  • Lean Methodology
  • Communication
  • Critical Thinking
  • Decision Making
  • Influencing

+11 more

Qualifications

  • Registered Nurse
  • Licensed Social Worker
  • Unrestricted State License
  • Multistate Licensure (OR, MT, ID, WA)
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.

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