Appeals Clinician (Monday - Friday)
PacificSource Health Plans
About this role
The Appeals Clinician represents the clinical component of member and provider appeals for a health plan by summarizing clinical findings and presenting them to medical leadership for final determination. The role involves synthesizing evidence-based information, applicable policies, and claims data to support appeal reviews. This position supports regulatory compliance and collaborates across departments to ensure quality and member-focused outcomes.
Skills
Qualifications
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
Recent company news
OregonLive.comOregon-based health insurer to eliminate 325 additional jobs amid mounting financial pressures
Oct 28, 2025
The Register-GuardWhat to know about PacificSource Health Plans in Lane County
Oct 15, 2025
Yahoo FinanceAM Best Withdraws Credit Ratings of PacificSource Health Plans
Oct 21, 2025
The Lund ReportOregon's PacificSource laying off 300 people, a sixth of its workforce
Oct 24, 2025
Modern HealthcareMedicare Advantage marketing targeted by state regulators
Nov 13, 2025
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
Unlock Company Insights
View leadership team, funding history,
and employee contacts for PacificSource Health Plans.
Salary
$71k – $106k
per year