Special Functions Clinician
PacificSource Health Plans(1 day ago)
About this role
The Special Functions Clinician supports PacificSource by conducting audits, developing policies, reviewing claims, and collaborating with internal teams to ensure compliance, accuracy, and quality of care. They work closely with medical directors and various departments to optimize health services, manage high-cost cases, and improve operational efficiency.
Required Skills
- audit
- Claims Management
- Data Analytics
- Policy Development
- Healthcare Compliance
- Claims Systems
- Medical Coding
- Health Insurance
- Clinical Knowledge
- Process Improvement
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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