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Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Position Overview: Prepare, analyze, and complete appeals and grievance processes meeting internal, state and federal regulations. Organize state and federal hearings and provide administrative testimony on behalf of PacificSource. Submit reports and case write ups to external entities as determined by state or federal regulations. Support member and provider experience.
Essential Responsibilities:
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