Selected: πΊπΈ United States β Remote USA.
Selected: π Date Added.
π 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.
𦬠Montana β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π September 3
1001 - 5000
Mental Health Parity Coordinator supporting PacificSourceβs health insurance compliance with MHPAEA. Coordinating parity analyses, audits, documentation, and corrective actions across behavioral health operations.
π² North Carolina β Remote
π΅ $56.8k - $96.5k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π September 3
1001 - 5000
Mental Health Parity Coordinator supporting PacificSourceβs health-plan compliance with MHPAEA and state parity laws. Coordinating NQTL analyses, audits, documentation, risk mitigation, and regulatory reporting.
π Florida β Remote
π΅ $56.8k - $96.5k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
π² North Carolina β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
π Florida β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
π Florida β Remote
π΅ $91.6k - $160.3k / year
β° Full Time
π Senior
π΄ Lead
π Manager
π» Ghost score 20%
π 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.
π° Missouri β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
π Florida β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
β·οΈ Utah β Remote
π΅ $71k - $106.4k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 20%
π 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.
π² North Carolina β Remote
π΅ $108.5k - $184.4k / year
β° Full Time
π΄ Lead
π Network Operations
π» Ghost score 22%
π 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.
πΊπΈ United States β Remote
π΅ $108.5k - $184.4k / year
β° Full Time
π΄ Lead
π Network Operations
π» Ghost score 22%
π 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.
π July 29
1001 - 5000
Senior Fraud, Waste and Abuse Specialist ensuring payment integrity and compliance in healthcare. Leading program development, audits, and regulatory reporting.
π 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.
πΊπΈ United States β Remote
π΅ $65.3k - $111k / year
β° Full Time
π Senior
π» Ghost score 33%
π 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.
π Florida β Remote
π΅ $65.3k - $111k / year
β° Full Time
π Senior
π©βπ©βπ§βπ¦ Human Resources (HR)
π» Ghost score 36%
π July 23
1001 - 5000
Provider network operations director overseeing relations, credentialing, data, interoperability, and budgets. Leading healthcare provider network strategy and teams at PacificSource.
π° Missouri β Remote
π΅ $108.5k - $184.4k / year
β° Full Time
π΄ Lead
π Network Operations
π» Ghost score 47%
π 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.
π Florida β Remote
π΅ $74.6k - $126.8k / year
β° Full Time
π Senior
π² Risk
π» Ghost score 38%
π 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.
π² North Carolina β Remote
π΅ $91.6k - $160.3k / year
β° Full Time
π Senior
π΄ Lead
π Manager
π» Ghost score 52%