Selected: 🆕 Date Added.
🕒 4 days ago
1001 - 5000
Utilization Management Clinician coordinating evidence-based care and health plan services for PacificSource members in Montana. Reviewing utilization, discharge planning, referrals, and provider resources.
🕒 September 3
1001 - 5000
Mental Health Parity Coordinator supporting PacificSource’s health insurance compliance with MHPAEA. Coordinating parity analyses, audits, documentation, and corrective actions across behavioral health operations.
🌲 North Carolina – Remote
💵 $56.8k - $96.5k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
✨ Health Coordinator
👻 Ghost score 20%
🕒 September 3
1001 - 5000
Mental Health Parity Coordinator supporting PacificSource’s health-plan compliance with MHPAEA and state parity laws. Coordinating NQTL analyses, audits, documentation, risk mitigation, and regulatory reporting.
🐊 Florida – Remote
💵 $56.8k - $96.5k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
✨ Health Coordinator
👻 Ghost score 20%
🕒 August 31
1001 - 5000
Care Management Clinician coordinating individualized care plans and healthcare resources for PacificSource health plan members. Advocating for safe, equitable, cost-effective care.
🌲 North Carolina – Remote
💵 $71k - $106.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
✨ Clinician
👻 Ghost score 20%
🕒 August 31
1001 - 5000
Care Management Clinician coordinating individualized care plans and healthcare resources for PacificSource health plan members in Florida. Advocating for safe, equitable, cost-effective care.
🕒 August 25
1001 - 5000
PacificSource health plan UM manager overseeing inpatient, post-acute, and DSNP utilization management. Leading clinical teams, compliance, care transitions, budgets, and performance improvement.
🕒 August 24
1001 - 5000
Utilization Management Clinician coordinating evidence-based, cost-effective care for PacificSource health plan members. Reviewing admissions, authorizations, discharge plans, and healthcare resources.
🏰 Missouri – Remote
💵 $71k - $106.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
✨ Clinician
👻 Ghost score 20%
🕒 August 24
1001 - 5000
Utilization Management Clinician coordinating evidence-based, cost-effective care for PacificSource health plan members. Reviewing authorizations, inpatient stays, discharge planning, and member resources.
🕒 August 24
1001 - 5000
Utilization Management Clinician coordinating quality, cost-effective care for PacificSource health plan members. Reviewing authorizations, managing inpatient cases, and supporting discharge planning.
🕒 August 18
1001 - 5000
Provider network operations director overseeing healthcare provider relations, credentialing, data, and interoperability at PacificSource. Leading strategy, compliance, teams, budgets, and provider education across Medicaid, Medicare, and Commercial lines.
🌲 North Carolina – Remote
💵 $108.5k - $184.4k / year
⏰ Full Time
🔴 Lead
🌐 Network Operations
👻 Ghost score 22%
🕒 August 18
1001 - 5000
Provider network operations director overseeing healthcare data, credentialing, interoperability, and provider relations at PacificSource. Leading strategy, compliance, teams, budgets, and performance across Medicaid, Medicare, and Commercial lines.
🇺🇸 United States – Remote
💵 $108.5k - $184.4k / year
⏰ Full Time
🔴 Lead
🌐 Network Operations
👻 Ghost score 22%
🕒 July 29
1001 - 5000
Senior Fraud, Waste and Abuse Specialist developing and maintaining Payment Integrity programs at PacificSource. Managing compliance oversight, fraud prevention, and operational expertise in the healthcare sector.
🕒 July 29
1001 - 5000
Senior Fraud, Waste and Abuse Specialist ensuring payment integrity and compliance in healthcare. Leading program development, audits, and regulatory reporting.
🕒 July 29
1001 - 5000
Senior Fraud, Waste and Abuse Specialist at PacificSource developing healthcare compliance programs. Leading initiatives for fraud prevention and reporting within the organization.
🇺🇸 United States – Remote
💵 $65.3k - $111k / year
⏰ Full Time
🟠 Senior
✨ Fraud Specialist
👻 Ghost score 33%
🕒 July 25
1001 - 5000
Senior Compensation Specialist at PacificSource responsible for developing and administering compensation programs to aid talent attraction and retention efforts. Evaluating compensation levels while ensuring compliance with laws and regulations.
🐊 Florida – Remote
💵 $65.3k - $111k / year
⏰ Full Time
🟠 Senior
👩👩👧👦 Human Resources (HR)
👻 Ghost score 36%
🕒 July 23
1001 - 5000
Provider network operations director overseeing relations, credentialing, data, interoperability, and budgets. Leading healthcare provider network strategy and teams at PacificSource.
🕒 July 21
1001 - 5000
Senior Risk Adjustment Analyst at PacificSource responsible for data submissions and risk adjustment processes. Collaborating with teams to enhance quality improvement and compliance efforts.
🕒 July 14
1001 - 5000
Manager overseeing PacificSource health plan utilization management for inpatient, post-acute, and DSNP services. Leading clinical teams, compliance, audits, budgets, and care-transition improvements.
🌲 North Carolina – Remote
💵 $91.6k - $160.3k / year
⏰ Full Time
🟠 Senior
🔴 Lead
👔 Manager
👻 Ghost score 52%