Appeals Clinical Team Lead
PacificSource Health Plans(2 months ago)
About this role
The Appeals and Grievance Manager oversees the clinical appeals team, ensuring quality, compliance, and effective delivery of health services related to member appeals and grievances. The role supports program development and cross-department coordination to help members access quality, affordable care.
Required Skills
- Leadership
- Coaching
- Staff Supervision
- Process Improvement
- Lean Methodologies
- Communication
- Analytical Skills
- Organizational Skills
- Case Management
- Utilization Review
+2 more
Qualifications
- Registered Nurse (RN)
- Licensed Social Worker (LSW)
- Unrestricted State License (as required)
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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