Special Functions Clinician
PacificSource Health Plans(18 days ago)
About this role
The Special Functions Clinician plays a key role in auditing, policy review, and compliance within the health services department, collaborating across teams to ensure regulatory adherence, proper claims processing, and quality improvement initiatives. The position involves working with various internal and external stakeholders, leveraging data analytics, and supporting health care quality and cost management.
Required Skills
- auditing
- Data Analytics
- Claims Management
- Policy Review
- Regulatory Compliance
- Healthcare Policies
- Quality Improvement
- Claims Systems
- Health Insurance
- Coding
Qualifications
- RN or Clinically Licensed Practitioner
- Bachelor’s or Master’s Degree in Healthcare Administration or Business
- Certified Professional Coding
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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