PacificSource Health Plans

Senior Accountant, Financial Reporting and Tax

PacificSource Health Plans · Full Time · 3 hours 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.

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Senior Investigator

PacificSource Health Plans · Full Time · 2 days ago

PacificSource Health Plans

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

The Senior Investigator manages fraud, waste, and abuse audits and investigations across specialized teams to ensure compliance with laws and company policies. Key duties include conducting in-depth investigations, performing fact-finding interviews, and presenting findings to corporate compliance committees.

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Fraud, Waste, and Abuse (FWA) Program Manager

PacificSource Health Plans · Full Time · 2 days ago

PacificSource Health Plans

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

Design, implement, and manage the company's Fraud, Waste, and Abuse (FWA) program and payment integrity processes. This includes tracking complaints, conducting investigations, and reporting compliance activities to leadership and regulatory agencies.

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Manager, Inpatient and Post Acute Services

PacificSource Health Plans · Full Time · 3 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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Director, Provider Network Operations

PacificSource Health Plans · Full Time · 3 days ago

PacificSource Health Plans

🌎 United States 💵 $108K - $184K per year ⭐ 10+ yrs exp 💼 Others

This role oversees the Provider Network department's core operational, data, and systems functions across Medicaid, Medicare, and Commercial lines of business. Key duties include guiding strategic initiatives for network maintenance, credentialing, and provider platform interoperability while managing division budgets and staff development.

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Population Health Strategist

PacificSource Health Plans · Full Time · 3 days ago

PacificSource Health Plans

🌎 United States 💵 $72443.87 - $126K per year ⭐ 5-10 yrs exp 💼 Healthcare

Execute and coordinate clinical quality improvement initiatives to optimize patient outcomes and cost containment across provider groups. Collaborate with internal departments to develop provider campaigns and provide coaching on clinical workflows and documentation practices.

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Care Management Clinician (Monday-Friday)

PacificSource Health Plans · Full Time · 14 days ago

PacificSource Health Plans

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

Facilitate client wellness and autonomy through assessment, planning, and coordination of healthcare services. Act as a liaison between clients, providers, and payers to ensure cost-effective and equitable care delivery.

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Senior Account Executive

PacificSource Health Plans · Full Time · 22 days ago

PacificSource Health Plans

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

Manage and sustain positive relationships with large employer groups and brokers to design strategic benefit programs and lead the renewal process. Act as a subject matter expert to ensure client satisfaction and identify cross-selling opportunities for PacificSource services.

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