PacificSource Health Plans

Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 5 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Finance

The Senior Accountant is responsible for preparing GAAP, statutory, and regulatory financial reports for PacificSource and its subsidiaries. Additionally, the role manages the recurring income tax provision and compliance cycle across multiple regulated insurance entities.

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Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 5 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Finance

The Senior Accountant is responsible for preparing GAAP, statutory, and regulatory financial reports while managing the income tax provision and compliance cycle for affiliated insurance entities. This role also involves identifying process improvements and automation opportunities within reporting and tax workflows.

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Utilization Management Clinician

PacificSource Health Plans · Full Time · 6 days ago

PacificSource Health Plans

🌎 United States 💵 $70950 - $106K per year ⭐ 2-5 yrs exp 💼 Others

The Utilization Management Clinician assesses member health information to promote cost-effective care and coordinates necessary resources to achieve positive health outcomes. They also perform concurrent reviews, manage preauthorization requests, and serve as a primary resource for members navigating the healthcare system.

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Senior Fraud, Waste and Abuse (FWA) Investigator

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Fraud, Waste and Abuse Investigator manages complex healthcare audits and investigations to ensure compliance with state and federal regulations. They collaborate with cross-functional teams to identify patterns of fraud and present findings to management and regulatory agencies.

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Senior Fraud, Waste and Abuse (FWA) Investigator

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Fraud, Waste and Abuse Investigator manages complex healthcare audits and investigations across multiple specialized teams. They are responsible for identifying patterns of fraud, conducting fact-finding interviews, and ensuring regulatory compliance with state and federal laws.

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Senior Fraud, Waste and Abuse (FWA) Investigator

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Fraud, Waste and Abuse Investigator manages complex healthcare audits and investigations across multiple specialized teams. They are responsible for identifying patterns of fraud, conducting fact-finding interviews, and ensuring regulatory compliance with state and federal laws.

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APPLY

Senior Fraud, Waste and Abuse (FWA) Investigator

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Fraud, Waste and Abuse Investigator manages complex healthcare audits and investigations to ensure compliance with state and federal regulations. They collaborate with cross-functional teams to identify patterns of fraud, conduct fact-finding interviews, and serve as a subject matter expert for the organization.

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Senior Fraud, Waste and Abuse (FWA) Specialist

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior FWA Specialist serves as a subject matter expert responsible for developing and maintaining the organization's Payment Integrity and Fraud, Waste, and Abuse programs. This role leads investigations, manages regulatory reporting, coordinates audits, and collaborates with internal and external stakeholders to mitigate financial risks.

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Senior Fraud, Waste and Abuse (FWA) Specialist

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior FWA Specialist serves as a subject matter expert responsible for developing and maintaining the organization's Payment Integrity and FWA program framework. This role involves leading investigations, managing regulatory reporting, coordinating audits, and collaborating with internal and external stakeholders to prevent and recover fraudulent payments.

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Senior Fraud, Waste and Abuse (FWA) Specialist

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior FWA Specialist serves as a subject matter expert responsible for developing and maintaining payment integrity and fraud, waste, and abuse programs. This role involves coordinating audits, managing regulatory reporting, and collaborating with internal and external stakeholders to detect and prevent financial risks.

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Senior Fraud, Waste and Abuse (FWA) Specialist

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 5-10 yrs exp 💼 Others

The Senior FWA Specialist serves as a subject matter expert responsible for supporting and advancing payment integrity and fraud, waste, and abuse programs. This role involves developing policies, managing audits, coordinating with regulatory agencies, and analyzing claims data to identify and mitigate financial risks.

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Payment Integrity and Fraud, Waste and Abuse Team Lead

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $83310.45 - $145K per year ⭐ 5-10 yrs exp 💼 Others

The Team Lead oversees daily operations for Payment Integrity and Fraud, Waste, and Abuse (FWA) programs, including staff supervision and performance management. They coordinate claims adjustment activities, recovery inventory, and cross-functional collaboration to ensure payment accuracy and regulatory compliance.

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Payment Integrity and Fraud, Waste and Abuse Team Lead

PacificSource Health Plans · Full Time · 9 days ago

PacificSource Health Plans

🌎 United States 💵 $83310.45 - $145K per year ⭐ 5-10 yrs exp 💼 Others

The Team Lead oversees daily operations for Payment Integrity and Fraud, Waste, and Abuse (FWA) programs, including staff supervision and performance management. They coordinate claims adjustments, recovery inventory, and cross-functional initiatives to ensure regulatory compliance and cost avoidance.

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Quality Control Business Analyst

PacificSource Health Plans · Full Time · 10 days ago

PacificSource Health Plans

🌎 United States 💵 $44982.98 - $71972.77 per year ⭐ 0-2 yrs exp 💼 Software Development

Audit and report on the accuracy of enrollment and billing transactions while ensuring compliance with Federal and State Exchange guidelines. Collaborate with IT and Finance to support system configuration, reconcile accounts receivable, and implement process improvements.

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Quality Control Business Analyst

PacificSource Health Plans · Full Time · 10 days ago

PacificSource Health Plans

🌎 United States 💵 $44982.98 - $71972.77 per year ⭐ 0-2 yrs exp 💼 Software Development

Audit and report on the accuracy of enrollment and billing transactions while ensuring compliance with Federal and State Exchange guidelines. Collaborate with IT and Finance to support system configuration, reconcile accounts receivable, and implement process improvements for data integrity.

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Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 12 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Finance

Responsible for preparing GAAP, statutory, and regulatory financial reporting for PacificSource and its subsidiaries. The role also manages the recurring income tax provision and compliance cycle across multiple regulated insurance entities.

accounting insurance security tax workday communication reporting critical-thinking testing compliance

APPLY

Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 12 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Finance

Responsible for preparing GAAP, statutory, and regulatory financial reporting for PacificSource and its subsidiaries. The role also manages the income tax provision and compliance cycle across multiple regulated insurance entities.

accounting insurance security tax workday communication reporting critical-thinking testing compliance

APPLY

Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 12 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Finance

Responsible for preparing GAAP, statutory, and regulatory financial reporting for PacificSource and its subsidiaries. The role also manages the income tax provision and compliance cycle across multiple regulated insurance entities.

accounting insurance security tax workday communication reporting critical-thinking testing compliance

APPLY

Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs and guidelines that align with the company's philosophy and organizational culture. Partner with business leaders to manage job evaluations, salary benchmarking, and compliance with federal and state laws.

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Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs and guidelines aligned with the company's philosophy to attract and retain talent. Manage direct compensation processing, conduct market benchmarking, and ensure compliance with federal and state regulations.

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APPLY

Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs to support the company's philosophy and talent retention. Manage direct compensation administration, conduct market benchmarking, and ensure compliance with federal and state laws.

customer-service creative security hris workday data-analysis communication reporting hiring organization compliance human-resources

APPLY

Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs to support the company's philosophy and talent retention. Manage direct compensation administration, conduct market benchmarking, and ensure compliance with federal and state laws.

customer-service creative security hris workday data-analysis communication reporting hiring organization compliance human-resources

APPLY

Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs and guidelines that align with the company's philosophy and organizational culture. Partner with business leaders to manage job evaluations, salary benchmarking, and the administration of direct compensation within the Workday HRIS.

customer-service creative security hris workday data-analysis communication reporting hiring organization compliance human-resources

APPLY

Senior Compensation Specialist

PacificSource Health Plans · Full Time · 13 days ago

PacificSource Health Plans

🌎 United States 💵 $65296.83 - $111K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and administer compensation programs and guidelines aligned with the company's philosophy to attract and retain talent. Manage direct compensation administration, conduct market benchmarking, and ensure compliance with federal and state laws.

customer-service creative security hris workday data-analysis communication reporting hiring organization compliance human-resources

APPLY

Senior Risk Adjustment Analyst

PacificSource Health Plans · Full Time · 17 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Risk Adjustment Analyst ensures accurate data submission to regulatory entities like CMS and optimizes risk models for HCCs and HEDIS performance. The role involves collaborating with internal and external partners to improve processes, maintain documentation, and provide mentorship to junior analysts.

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Senior Risk Adjustment Analyst

PacificSource Health Plans · Full Time · 17 days ago

PacificSource Health Plans

🌎 United States 💵 $74601.93 - $126K per year ⭐ 5-10 yrs exp 💼 Others

The Senior Risk Adjustment Analyst ensures accurate data submission to regulatory entities like CMS and optimizes risk models for HCCs and HEDIS performance. The role involves collaborating with internal and external partners to improve processes, maintain documentation, and provide mentorship to junior analysts.

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Utilization Management Clinician (Tuesday - Saturday)

PacificSource Health Plans · Full Time · 17 days ago

PacificSource Health Plans

🌎 United States 💵 $70950 - $106K per year ⭐ 2-5 yrs exp 💼 Others

Coordinate healthcare delivery by performing utilization management services and concurrent reviews to ensure cost-effective, quality care. Collaborate with multidisciplinary teams to manage member benefits, preauthorizations, and discharge planning.

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Utilization Management Clinician (Tuesday - Saturday)

PacificSource Health Plans · Full Time · 17 days ago

PacificSource Health Plans

🌎 United States 💵 $70950 - $106K per year ⭐ 2-5 yrs exp 💼 Others

Coordinate healthcare delivery by performing utilization management services and concurrent reviews to ensure cost-effective, quality care. Collaborate with multidisciplinary teams to manage member benefits, preauthorizations, and discharge planning.

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Manager, Inpatient and Post Acute Services

PacificSource Health Plans · Full Time · 24 days ago

PacificSource Health Plans

🌎 United States 💵 $91587.15 - $160K per year ⭐ 10+ yrs exp 💼 Others

Oversees utilization management operations for inpatient, post-acute, and DSNP services to ensure cost-effectiveness and regulatory compliance. Leads a clinical team and collaborates with interdisciplinary providers to optimize member-centric care and discharge planning.

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