PacificSource Health Plans jobs in Springfield, OR - 5783 jobs

Senior Director, Product & Regulatory Management
Pacificsource 3.9
Pacificsource job in Portland, OR
Senior Director, Product & Regulatory Management page is loaded## Senior Director, Product & Regulatory Managementlocations: Portland, ORtime type: Full timeposted on: Posted Todayjob requisition id: 2025-1770*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, sex, sexual orientation, gender identity, national origin, genetic information or age.** PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.The Senior Director, Product and Regulatory Management is responsible for leading teams in three key domains: 1) the development, implementation, and management of the end-to-end product lifecycle for Medicare and commercial lines of business; 2) efficient and effective commercial business administration; and 3) compliant and effective regulatory communications. Working with company leadership, the Senior Director is responsible for developing and implementing products that achieve membership and profitability targets. In support of strategic business plans developed by the leaders responsible for profit and loss of the lines of business, this position ensures the product lifecycles, annual roadmaps, filings, and communications meet business needs. The Senior Director ensures the organization complies with product, filing, and communication-related processes and timelines, as well as manages major milestones, risk and mitigation planning, tracking and reporting, and communication across the organization. The Senior Director leads product strategy, development, the annual bid process, and corresponding initiatives. The product portfolio includes Medicare Advantage, Dual Special Needs Plan (DSNP), fully insured group business, and Individual offerings, on and off exchange, as well as corresponding regulated filings and materials. The communications portfolio supports regulated communications, predominantly for Medicare Advantage, DSNP, and Medicaid plans. The Senior Director manages a leadership team to deliver on this critical work.**Essential Responsibilities:*** Lead the product portfolio development and execution strategy across segments and multiple plan years. Direct the Medicare and Commercial product strategy and portfolio management to ensure profitable growth consistent with business plans. Oversee each step of the work from development to assessment and implementation. Lead, coordinate, and communicate product and lifecycle activities with others in the organization. Oversee successful and timely annual bids, filings, related regulatory submissions, and go-to-market activities.* Oversee development and deployment of regulatory communication materials and processes, including Annual Notice of Change, directories, Evidence of Coverage, handbooks, formulary materials, forms, letters, and other regulated materials.* Oversee the preparation of all filings and compliant regulatory documents across the product portfolio, including health contracts, self-funded materials, and related documents.* Oversee implementation of state and federal benefit mandates, including benefit changes and member communication requirements.* Provide strategic advice for PacificSource teams to ensure plan information is accurate and available timely within required timeframes. Ensure proactive communication of new and revised plan designs and benefits to internal stakeholders.* Develop and improve processes, driving administrative efficiencies and cost savings, including leading in a matrixed environment and emphasizing execution, market positioning, and operational tactics. Drive operational excellence, sustainability, and profitable growth.* Generate local competitive market insights to drive innovation and decision making. Conduct market research, competitive analysis, and financial assessments to evaluate improvement opportunities and business strategies in concert with PacificSource's enterprise strategy. Implement strategies across segments and markets.* Develop structures and processes to ensure compliance, including leading cross-functional teams. Collaborate with Marketing, Sales, Operations, Health Services, and Compliance. Develop strategic business partnerships with internal departments and leaders to ensure strong operating performance, high member satisfaction and quality performance, access, compliance and audit readiness, and sound financial performance.* Work closely with Compliance and others to ensure policies, procedures, workflows, lifecycle strategies, product offerings, and success initiatives comply with state and federal regulations. Participate in compliance audits, activities, and planning.* Negotiate business relationships with vendors and oversee the execution, implementation, and oversight of the contracts.* Develop and monitor departmental budgets and take corrective action as necessary.* Provide leadership and mentoring to the enterprise product team, the business administration team, and the regulatory communications team. Foster leadership development and advancement. Develop succession plans. Manage, coach, motivate, and guide employees.* Support the organization's commitment to diversity, equity, inclusion, and belonging by fostering a culture of dignity, cultural awareness, compassion, and respect.**Supporting Responsibilities:*** Meet department and company performance and attendance expectations.* Follow the PacificSource privacy policy HIPAA laws, and regulations concerning confidentiality and security of protected health information.* Perform other duties as assigned.**SUCCESS PROFILE****Work Experience:** Minimum of eight years of experience in product, portfolio, lifecycle management, and regulated communications, or substantially equivalent work in highly regulated functions. Exemplary work history with a proven record of success in positions of progressively greater responsibility managing people and achieving business goals and objectives. A solid grasp of the managed care field and insurance regulations is crucial for this role. Experience with strategic planning, communications, sales, product development, regulatory filings, and managing teams required. Leadership experience in a managed care organization requiring advanced knowledge of products, regulatory filings, and regulated communications. Experience with end-to-end product development and lifecycle management of Medicare Advantage, Individual, and group segments, on and off exchange. Experience providing oversight to ensure the successful regulatory filing of all required product materials. Demonstrated success working in a matrixed environment with the ability to set a path and inspire others to follow. Proven record of accomplishment as a driver of process improvement and identifier of efficiency opportunities and ability to lead change. Experience with federal and state regulatory compliance for health insurance plans. Proven ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing abilities; and ability to handle multiple priorities and deal with ambiguity.**Education, Certificates, Licenses:** Bachelor's degree required with a focus in health care administration, business, public policy, public health, or a related field. Master's degree or other advanced degree preferred.**Knowledge:** Advanced knowledge of Medicare Advantage, DSNP, fully insured group business, and Individual, on and off exchange, along #J-18808-Ljbffr
$149k-190k yearly est. 1d ago

Looking for a job?

Let Zippia find it for you.

Manager, Fulfillment, Printing and Mail Services
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Fulfillment Manger provides strategic leadership and oversight of all printing and mail service operations within the organization. This role ensures that member communications, regulatory notices, and other critical documents are produced and delivered accurately, securely, and on time. The Fulfillment Manager is responsible for managing vendor relationships, optimizing operational processes, ensuring compliance with healthcare regulations, and driving cost efficiency while maintaining exceptional service quality and supporting organizational goals. Essential Responsibilities: Develop and execute fulfillment strategies and establish long-term plans, including technology updates, automation, and continuous improvement initiatives. Direct all aspects of high-volume print and mail operations to ensure timely, accurate fulfillment of member communication, and mandated materials. Negotiate and manage vendor contracts, evaluate vendor performance, and ensure adherence to SLAs and cost-effectiveness. Ensure compliance with HIPAA, CMS guidelines, and other regulatory standards; implement quality assurance and security protocols to protect member data. Develop and manage departmental budgets, monitor expenses, provide accurate forecasting and reporting, and identify cost-saving opportunities. Drive continuous improvement initiatives to enhance efficiency, reduce turnaround times, and improve member experience. Evaluate and implement new technologies for automation, tracking, and reporting. Responsible for oversight, management, development, implementation, and communication of department programs. Lead and mentor staff by managing all aspects of hiring, development, coaching, performance reviews, corrective actions, and terminations. Provide regular feedback through one-on-ones and performance evaluations, while fostering a culture of accountability and collaboration. Develop annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed. Coordinate business activities by maintaining collaborative partnerships with key departments. Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement. Utilize visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Actively participate as a key team member in Manager/Supervisor meetings. Actively participate in various strategic and internal committees to disseminate information within the organization and represent company philosophy. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of 5 years of experience in fulfillment, print/mail operations, or related field. Supervisory experience preferred. Experience in healthcare payer or regulated industry strongly preferred. Education, Certificates, Licenses: Bachelor's degree required. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of Work Experience will also be considered Preferred area of focus: business administration, operations management, or a related field. Knowledge: Expertise in print and mail production processes, including vendor management. Strong knowledge of HIPAA and healthcare compliance standards. Proven ability to manage budgets and achieve cost efficiencies. Exceptional leadership, communication, and strategic planning skills. Experience managing large-scale, high-volume fulfillment operations. Familiarity with postal regulations and mailing optimization strategies. Ability to lead organizational change and implement innovative solutions. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Partnerships Customer Focus Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $90,052.16 - $157,591.26Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$52k-71k yearly est. Auto-Apply 6d ago
Outside Sales Representative
Platinum Supplemental Insurance 4.0
South Bend, IN job
Ready to jump-start your career and take charge of your earning potential? At Platinum Supplemental Insurance, we're looking for motivated individuals ready to learn, grow, and thrive in a fast-paced environment. Whether you're a recent grad or simply seeking a fresh challenge, this is your chance to earn like a highly educated professional-our proven products and systems are your roadmap to becoming a top earner in sales. If you're prepared to unlock your full potential, let us show you how to build a lucrative and rewarding future. Why Join Platinum? Four-Day Workweek Travel Monday-Thursday to meet with farmers and small business owners, then enjoy your weekends off. Say goodbye to the daily grind and hello to a work-life balance that lets you recharge and spend time on what matters most. Uncapped Earning Potential This is a commission-based role, and many of our new reps earn $75,000 or more in their first year, with top performers exceeding $100,000. The sky truly is the limit when it comes to your income. Ongoing Support & Resources Focus on building relationships and closing deals while Platinum handles marketing, recruiting, back-office support, and customer service. You'll also benefit from generous bonuses, annual renewal income, and luxury travel incentives for high achievers. Cutting-Edge AI Training Get an edge on the competition with our new AI-driven training platform. You'll receive personalized feedback, interactive coaching, and real-time support to help you master Platinum's proven 10-step sales system-faster and more confidently than ever before. Your Day-to-Day 1. Travel to Your Territory: Meet potential customers (farmers, small business owners, and families) face-to-face to build trust and educate them about Platinum's supplemental insurance solutions. 2. Leverage Our 10-Step Sales Process: Follow a time-tested system that helps you identify prospects, deliver compelling presentations, and close more sales-backed by our powerful AI training. 3. Stay Motivated & Collaborate: Work within a supportive, team-based culture that celebrates wins, shares best practices, and drives everyone to reach new heights. What You'll Enjoy High Earning Potential, No Caps: Earn based on your performance and ambition, without hitting a salary ceiling. Residual Income: Benefit from ongoing earnings long after closing a sale, creating a steady income stream. Advancement Opportunities: Rise quickly through the ranks and take on leadership roles as you prove your abilities. Quarterly Vacations: Earn the chance to recharge on exciting getaways with fellow top performers. Company Trips & Events: Enjoy travel and experiences on us-bring a significant other along, all expenses paid. Weekends Off: A Monday-Thursday work schedule means you get every weekend free for family time or relaxation. Who Thrives Here Go-Getters: You bring the hunger, discipline, and drive needed to excel in a commission-based environment. Clear Communicators: You can connect with people from various backgrounds, build trust, and explain concepts in a simple, relatable way. Continuous Learners: You're excited to leverage AI-based training and mentorship to refine your skills and grow quickly. Flexible Travelers: You're comfortable with overnight travel Monday-Thursday and are 18+ years old. Ready to Take the Leap? If the idea of earning what you're worth, mastering an innovative sales system, and enjoying a 4-day workweek excites you, we'd love to hear from you! Apply today and discover how Platinum can help you unlock a thriving career in sales. About Platinum Platinum Supplemental Insurance specializes in helping individuals, families, and businesses secure their financial futures through supplemental coverage. By bridging the gaps left by traditional health plans, Platinum's products offer peace of mind when unexpected health issues arise. With a people-first mentality, robust training programs, and a commitment to growth, Platinum provides the ideal environment for sales professionals to excel-no matter where they're starting from. Join the Platinum team and see for yourself why so many have launched fulfilling, lucrative sales careers with us.
$75k-100k yearly 3d ago
Title Processing Representative
Geico 4.1
Macon, GA job
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Title Processing Specialist - Macon, GA Salary: $17.81 per hour / $37,133 annually Earn a 10% differential incentive for applicable evening shifts No weekend or holiday schedule requirements At GEICO, our associates are the heart of the company. We're looking for Title Processing Specialists for our Macon office who are compassionate, empathic, and have a passion for customer service. We're seeking outstanding associates who want to kickstart a fulfilling career with one of the fastest-growing auto insurers in the U.S. As a Title Processing Specialist, you are there when it counts: assisting policyholders in all 50 states after their vehicles have been claimed as total losses. Accidents and natural disasters are traumatic experiences, and it takes a special person to assist our customers during these situations. Through our paid, industry-leading you'll learn how to ensure a smooth insurance claims handling process by taking initial loss reports, completing necessary paperwork and issuing payments. At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Qualifications & Skills: Outstanding customer service skills and/or experience Demonstrated timely, consistent job attendance history Solid computer, grammar and multi-tasking skills Ability to effectively communicate, verbally and in writing Ability to work comfortably in a fast-paced, high-volume call center environment Minimum of high school diploma or equivalent, college degree or currently pursuing preferred #geico500 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$37.1k yearly Auto-Apply 16h ago
Graphic Designer
Schillings 3.9
Saint John, IN job
Great news! Schillings is currently looking for a Graphic Designer at our Saint John, IN location to create visually engaging content and support our branding efforts. This role involves both creative design work and practical tasks, such as event setup and vinyl decal installations. This role is on-site Monday through Friday. Responsibilities: Create designs using Adobe Illustrator, with Adobe Photoshop as a secondary tool Develop print and digital materials aligned with branding goals Support E-Commerce efforts with product visuals and promotional graphics Solve design challenges using online resources effectively Prepare print-ready files and work with printing vendors Install or assist with vinyl decal applications for vehicles Help set up and clean up for events Organize and manage design assets Required Skills & Knowledge: Proficient in Adobe Illustrator Working knowledge of Photoshop Comfortable with Microsoft Office tools Familiar with E-Commerce platforms and basic internet functionality Problem-solver with good research abilities Willingness to install vinyl decals and learn the job if needed Strong multitasking and attention to detail Minimum Experience/Education: Bachelor's Degree in Graphic Design or a related field is preferred, but not required Relevant experience or a strong portfolio considered in place of formal education Benefits: Competitive pay Medical, Dental, Vision Life insurance & short-term disability 401k with profit sharing PTO & paid holidays Sponsored lunch events Company discounts MISSION - Give our customers what they want, on time and error-free Schillings provides equal employment opportunity to all individuals regardless of their race, color, religion, national origin, ancestry, military status, unfavorable discharge from military status, sex, marital status, disability, order of protection status, age, sexual orientation, pregnancy, or any other characteristics protected by federal, state, or local laws. Schillings is a drug-free workplace.
$39k-56k yearly est. 1d ago
Group Underwriter
Forrest T. Jones & Company 4.0
Kansas City, MO job
Fidelity Security Life Insurance Company, and its affiliates (“FSL”), is a profitable and growing organization that offers many of the industry's most innovative individual and group life and health products and related services to clients, corporations, employers, and individuals, specializing in customized insurance products for niche markets. Position Summary The Senior Group Underwriter role is responsible for creating profitable new business and renewal quotes for the company's group life and health insurance products/cases. Responsibilities include providing underwriting analysis and recommendations support to the marketing department for new and existing programs. The role requires the ability to build and maintain strong working relationships with, and provide underwriting direction to, marketing partners. Expectations Responsible for accurate and timely quoting of new business and renewals as assigned. Maintain documentation of new business and renewal quotes. Collaborate with Directors on new opportunities as assigned. Complete and maintain individual program product development and pricing as assigned. Assist Directors, Product Control, and Account Managers in developing underwriting tools and testing quoting software for program implementation. Make recommendations to Directors/Marketing VP on product design, program direction, and program performance or development. Make recommendations to Directors/Marketing VP for new business and renewal pricing strategies Assist in preparing product marketing material as assigned. Supervise and develop any underwriter direct reports Participate in industry organization activities (such as GUAA, NAHU) including attendance at meetings or conferences as approved. Competencies Proficient use of Microsoft Office software, including Excel, Word, Adobe. Self-Motivated/Self-Starter Strong Verbal and Written Communication Skills Strong analytical and problem-solving skills, financial acumen and high proficiency in mathematical concepts. Documentation, Monitoring and Reporting Detailed Accurate & Efficient Requisites Bachelor's Degree preferred. Minimum of 4 years of underwriting group with a documented history of increased knowledge, authority and/or responsibility. Experience in underwriting group voluntary/supplemental products preferred. We offer comprehensive benefits to full-time employees including company-paid medical, STD, LTD and life insurance; plus voluntary dental, vision, life/AD&D insurance, 401(k) with company matching, generous paid time off and much more. We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age. ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PASSING OF A DRUG SCREEN AND BACKGROUND CHECK.
$54k-82k yearly est. 1d ago
Branch Manager
Malone Workforce Solutions 4.6
Princeton, IN job
Bring your personality to the Malone team! Go-getter. Straight-talker. People person. If that sounds like you, consider joining us for our mission. At Malone, there is nothing we love more than helping people and companies connect to accomplish amazing things. About Us: Malone is a private, award-winning company dedicated to providing staffing and recruitment needs to clients across the nation. Ranked on the SIA 2024 Top 100 List as one of the Largest Staffing Companies in the US, it is our pleasure to serve as the workforce resource and to make a positive impact on people's lives. Malone is actively recruiting an enthusiastic and results-driven Branch Manager to join our team. If you are passionate about growth, building relationships, and problem-solving, we would love to hear from you. Position Summary: The Branch Manager is primarily responsible for supervision of day-to-day operations, developing and leading a team, growing and maintaining client relations, establishing goals, implementing policies/procedures in compliance with federal and state requirements, and overseeing branch P&L. This includes collaborating with sales and marketing teams to generate new business, along with recruitment and placement of talent pipelines. Location: Evansville and Princeton, IN area (47670, 47715) Job Type: Full-time Primary Responsibilities: • Manage and mentor branch office staff • Run day-to-day operations of the branch • Hire, develop, and train employees • Establish goals, activities, and objectives • Develop new customer contacts while maintaining current customer relationships • Generate sales leads and business development within the market area • Lead branch efforts to identify, screen and place qualified candidates in temporary and contract roles • Handle personnel functions within the branch • Recruitment, screening, and placement of applicants • Branch P&L responsibility; drive profitability, control costs, and utilize resources • Expedite Workers Comp and UI claims • Other duties as assigned Qualifications: • Must have previous experience in a supervisory or leadership role • Experience in recruitment, HR, sales, or the staffing industry is a plus • Superior customer service, public relations, and interpersonal skills • Ability to motivate and lead • Proficient in Microsoft Office • Available to work in office Monday - Friday 8am - 5pm Management Registry, Inc. hiring decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. For more information, please contact our corporate office at **************.
$38k-52k yearly est. 2d ago
Legal Practice Assistant/Paralegal
Schillings 3.9
Saint John, IN job
Great news! Schillings is currently looking for a full-time Paralegal/Legal Assistant. We offer competitive pay along with great benefits. This position will work directly with our in-house counsel to handle litigation, corporate matters, contracts, real estate and other legal tasks. The ideal candidate will be organized, proactive, detail-oriented and have a positive attitude; as well as be able to work collaboratively and cooperatively with others in a fast-paced department. This position will be on-site Monday-Friday at our St. John, IN location. Responsibilities: Drafting, reviewing and filing pleadings, motions, and other litigation documents. Assisting with discovery, subpoenas or other document requests. Reviewing and editing of contracts, policies and other legal documents. Drafting, organizing and submitting corporate documents such as annual reports, resolutions, and operating agreements. Assisting with the preparation of mechanic's liens and reviewing sworn statements and lien waivers. Tracking and monitoring all legal claims and deadlines. Handling administrative tasks and matter intake for the Legal Department. Assisting with real estate closings and municipal approvals for Schilling Development. Assisting with legal needs of The Shrine of Christ's Passion. Education, Experience & Requirements: 3+ years of relevant experience, in such areas as civil litigation, contracts, employment matters, real estate or general corporate matters. Superior understanding of Office 365 and ability to use web-based programs. Ability to use Westlaw or Lexis for legal research is preferred. Strong analytical skills with ability to learn new systems and processes. Ability to communicate professionally and courteously with employees, customers, and business partners. Demonstrable history of honesty, trustworthiness, and integrity Associate's or Bachelor's degree or paralegal certificate is preferred. Benefits: Competitive pay Medical, Dental, Vision Life insurance & short-term disability 401k with profit sharing PTO & paid holidays Sponsored lunch events Company discounts MISSION - Give our customers what they want, on time and error-free Schillings provides equal employment opportunity to all individuals regardless of their race, color, religion, national origin, ancestry, military status, unfavorable discharge from military status, sex, marital status, disability, order of protection status, age, sexual orientation, pregnancy, or any other characteristics protected by federal, state, or local laws. Schillings is a drug-free workplace.
$33k-48k yearly est. 5d ago
Licensed Practical Nurse
The Strategies 2.5
Loogootee, IN job
Job Description: Licensed Nurse, LPN - Sycamore Care Strategies Job Type: Full-time, Day Shift Skills: Licensed Nurse, Nursing Home Sycamore Care in Loogootee is seeking a Licensed Nurse, LPN to join our team. The ideal candidate will have experience working in a nursing home setting and possess a current LPN license. This is a full-time position with 12-hour day shift. We are a licensed dementia facility in southern Indiana. Responsibilities: Administer medications and treatments as prescribed by physicians Assist with daily living activities such as bathing, dressing, and grooming Monitor and record vital signs and medical information Collaborate with physicians and other healthcare professionals to develop and implement care plans Provide emotional support and education to patients and their families Requirements: Current LPN license Experience working in a nursing home setting Excellent communication and interpersonal skills Ability to work independently and as part of a team Flexibility Equal Employment Opportunity Policy People are selected to become members of the Care Strategies family based on skill, merit and mind-boggling talent-not based on race, color, creed, sexual orientation, gender or gender identity, marital status, domestic partnership status, military status, religion, age, national origin, ancestry, alienage, AIDS or AIDS-related complex status, genetic information, predisposition or carrier status, status as a victim of domestic violence, physical or mental disability, or any other characteristic protected by applicable law. If things aren't equal, we all lose.
$43k-62k yearly est. 1d ago
Provider Network Data Maintenance Associate
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Provider Network Maintenance Associate is responsible for maintaining the accuracy and integrity of provider data within the organization's systems. This role involves updating provider records, ensuring compliance with all regulatory requirements, and supporting Provider Network Operations by managing data related to provider contracts, reimbursements, and credentialing. The Associate will work closely with various teams, including Provider Relations, Provider Reimbursement Analytics, Provider Network Credentialing and Compliance, to ensure that provider information is up-to-date and accurate, which is critical for smooth operations and timely reimbursements. Essential Responsibilities: Accurately and promptly enter and update provider demographic, credentialing, and contract information in PacificSource systems for new and re-credentialed network providers, meeting department service level expectations. Process provider additions, terminations, and changes in a timely manner to maintain data integrity and ensure accurate contract rows are added for correct claims payments. Perform regular audits of provider data to ensure accuracy, compliance with internal standards, regulatory requirements, and support ongoing maintenance and data integrity of provider information. Assist in the management of provider directories, ensuring they are current, accurate, and meet the needs of members. Verify licensure, Medicare, and Medicaid eligibility using compliance-approved tools, ensuring provider data meets all regulatory and accreditation standards, including state and federal requirements. Support the monitoring and maintenance of provider records for compliance with organizational policies, procedures, and contracting regulations. Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues, and research and respond to detailed provider inquiry issues routed from customer/provider service departments. Communicate with providers to obtain necessary documentation or clarify discrepancies in data, ensuring positive and effective working relationships. Provide support and assistance to other team members as needed to ensure the overall effectiveness of the provider network operations. Identify opportunities for process improvements related to provider data management, maintenance, and contribute to quality assurance initiatives to continuously improve data accuracy and process efficiency. Assist in the development and implementation of best practices for provider data entry and maintenance, and participate in projects related to provider network expansion, system upgrades, or regulatory changes. Maintain positive and effective working relationships with team members and other departments. Supporting Responsibilities: Meet department and company performance and attendance expectations, maintaining a high level of data accuracy and productivity. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned, contributing to the overall success of the Provider Network Department. SUCCESS PROFILE Work Experience: A minimum of 2 years of experience in an office environment is required, preferred experience in healthcare data management, network operations or data analysis. Preferred familiarity with provider network operations included, but not limited to, provider credentialing, healthcare regulatory requirements, contracting or reimbursement processes. Education, Certificates, Licenses: High School Diploma or equivalent required, Associate's or Bachelor's degree preferred. Knowledge: Fast and accurate data entry skills. Self-motivated. Able to learn and be trained on new systems, databases, and applications Effective written and oral communication. Proficient computer skills, typing, and 10-key required. Medical terminology, CPT/ICD-10 coding preferred. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel may be required 5% of the time for training and/or external meetings. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $35,542.81 - $56,868.50Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$35.5k-56.9k yearly Auto-Apply 2d ago
Utilization Management Specialist (Monday-Friday)
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Facilitate workflow for specific utilization management activities. Serve as a member on the Utilization Management Team. Provide and coordinate dental/medical authorization processes in collaboration with the consulting dentist. Ensure member satisfaction and help to establish service-related best practice standards. Support department goals. Essential Responsibilities: Review advanced level PA's such as, but not limited to those pertaining to dental/medical, hysteroscopies, initial varicose vein treatments, laproscopies. Document pertinent information which supports recommended action plan. Make determinations based on approved criteria. Act as primary contact and coordinator of issues related to the dental/medical authorization process including member and provider communications. Provide telephone answering and customer service for the Health Services Department. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Serve as a liaison to PacificSource departments to facilitate provision of services and information. Supporting Responsibilities: Enter and collate data; prepare reports as assigned. Participate in new staff orientation. Contribute to a positive work environment. Actively engage with identifying, developing, and executing department goals. Participate in team, department, company, and committee-related meetings as requested. Actively participate in quality improvement initiatives. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: Three to five years experience in health insurance industry or other medical setting. Thorough knowledge of utilization and case management, including preauthorization required. Education, Certificates, Licenses: High school degree or equivalent required. Knowledge: Knowledge of health plan eligibility, benefits and medical interventions/management. Strong knowledge of medical terminology. Experience with medical/dental benefit coordination desired. Ability to work under time constraints. Proficient in Microsoft Office including Word and Excel, medical and dental terminology, CPT/ICD-9 coding, claims payment systems (e.g. Facets), and Medical management software (e.g. Dynamo). Ability to prioritize responsibilities and to diplomatically handle demanding situations. Ability to work independently as well as be able to work effectively on a team. Competencies: Building Customer Loyalty Building Strategic Work Relationships Contributing to Team Success Planning and Organizing Continuous Improvement Adaptability Building Trust Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $44,982.98 - $71,972.77Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$45k-72k yearly Auto-Apply 4d ago
Configuration Analyst I - Provider
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Participate in the identification and implementation of solutions, which results in efficient, accurate, and quality configuration, and maintenance of Facets. Ensure timely configuration and implementation of selected solutions as directed by your trainer or mentor within your FBS team. Accountable for complying with all laws and regulations that are associated with assigned duties and responsibilities. Essential Responsibilities: Assist with design of new configuration to support business needs and functionality. Accurately update, implement and test configuration changes as assigned by trainer. Assist with analyzing business requirements, test plans, training materials and procedure documents. Assist with executing test plans and test case scenarios to ensure requirements are being met. Participate in development of detail design and system walk through with respective teams to verify design and solution meet business and system requirements. Assist and work with business areas for the review of all reported system defects. Monitor, research, and resolve provider or pricing related ServiceNow tickets designated for a Configuration Analyst I. These include adding new provider types, specialties, IPA's, terminating agreement ID's, running basic queries and others as assigned by trainer. Assist with diagnosing and resolving system configuration problems. Begin to understand troubleshooting techniques and methods at a fundamental level. Responsible for quality assurance tasks. Double check your work to ensure accuracy. Develop an understanding of Facets Batch Logs, with the ability to troubleshoot issues as needed Process, troubleshoot and resolve claims in the FBS Provider claims queue in a timely manner to satisfy turnaround time requirements. Configure the standard provider agreements in NetworX. Assist in loading fee schedules as needed. Maintain Modeler database as needed. Support in special projects as assigned. Supporting Responsibilities: Interact with business leaders and users, including external partners and customers as required. Maintain professional, service oriented relationships. Demonstrate ability to organize and prioritize work. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum two years of relevant experience in health plan environments with at least one year experience with benefit plan administration required. Experience working with Facets is preferred. Education, Certificates, Licenses: Associates Degree or equivalent combination of work experience and education required. BA/BS degree or ICD-10, CPT, HCPC coding knowledge preferred. Knowledge: Extensive knowledge of industry standards and internal PacificSource, PacificSource Medicare, policy and processes. Proficiency in Microsoft systems Outlook, Excel and Word. Experience in database systems of Access and/or SQL also preferred. Strong analytical and problem solving skills. Excellent interpersonal skills including verbal and written communication. Ability to work collaboratively as a team with little supervision. Competencies: Building Customer Loyalty Building Strategic Work Relationships Contributing to Team Success Planning and Organizing Continuous Improvement Adaptability Building Trust Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $51,393.26 - $82,229.23Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$77k-106k yearly est. Auto-Apply 6d ago
Consultant III HPR Loss Control
Tokio Marine America 4.5
Indianapolis, IN job
About Tokio Marine: Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the world's largest and most distinguished organizations. We are committed to creating value for our customers by providing ANSHIN (safety, security and peace of mind). We strive to be creative and passionate as we work towards our long-term success. Tokio Marine Holdings is Japan's oldest, and one of the largest property and casualty insurers. Founded in 1879, TMNF operates worldwide in 47 countries. With annual revenues of approximately $50 billion and an A.M. Best rating of A++, one of the highest in the industry, we are one of the top 20 insurance providers worldwide. Job Summary Provide professional Highly Protected Risk (HPR) loss control services to Tokio Marine America clients and Tokio Marine Management, Inc. Coordinates and conducts loss control management evaluations, physical surveys, loss analysis and training to assist Tokio Marine clients to improve and maintain loss control activities. Coordinates and conducts loss control management evaluations, physical surveys and loss analysis to assist Tokio Marine Management Underwriting in their evaluation of risk. Provide loss control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring service plans are maintained and completed, responding to customer requests and needs and supporting underwriting and claims at renewal and during the policy period. Essential Job Functions Performs loss control surveys of prospects and clients on request for information underwriting and evaluation from a loss control viewpoint for desirability. Coordinates loss control service to select clients requiring defined service standards. Prepares reports for clients, Underwriting and Branch concerning the loss control in effect, including loss analysis, conditions noted, recommendations for improvement and future needs. Assists in the development and presentation of programs and training seminars for clients and other departments in the Company. Responds to special requests from Underwriting Department and clients with prior approval from Loss Control Department Management. Develops and maintains Loss Control instructions for multi-location clients being coordinated by Loss Control. Completes all work scheduled in regular service assignments or requests in a timely manner. Maintains membership and actively participates in professional organizations approved by Departmental standards guidelines. Utilizes PC programs (Taurus, Presentation Software, etc.) in preparing presentations for prospects and clients. Plans and performs work scheduling in a timely and cost-effective manner. Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at the Company. Qualifications Bachelor's degree in engineering / science or equivalent job experience preferred. Five years' experience servicing major accounts preferred. Possesses a specialty in HPR loss control or comparable property insurance background. Good communication skills, both written and oral and capable of making presentations to a group. Good computer skills to include the use of Microsoft software, and other software. Valid driver's license free of any major violations. Physically capable of performing the job requirements - walking, carrying and climbing. Capable of significant amounts of travel. Salary range $150,000 to $170,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base. TMA believes the perfect candidate is more than just a resume. If you don't meet every single requirement, but are still interested in the job, we encourage you to apply. Benefits: We offer a comprehensive benefit package, which includes a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. EEO Statement Tokio Marine Management is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, or sexual orientation.
$150k-170k yearly 3d ago
Appeals Clinician (Monday - Friday)
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The role of an Appeals Clinician is to accurately and succinctly represent the clinical component of an appeal. This is accomplished by close collaboration with external and internal partners/departments, assuring regulatory compliance, and eloquently representing the member/provider interests. Duties include but are not limited to: presenting the clinical component of appeals through thorough case review, careful research, application of policies, best practice standards, and available current, peer-reviewed information. The Appeals Clinician provides a concise summary of the appeal and represents the interests of the appealing party to the medical director for final determination. Essential Responsibilities: Represent PacificSource Health Plans with external customers and maintain positive working relationships. Review appeal requests for appropriateness of care within established evidence-based criteria sets. Work with Medical Directors to facilitate appeals within established timeframes and regulatory guidelines. Prepare case presentations for educational purposes and collaborative efforts with each LOB. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or appeal interpretation that are referred from other departments. Utilize Lean methodologies for continuous improvement. Utilize frequent huddles to monitor key performance indicators and identify improvement opportunities. Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy. Collaborate with the leadership team, as well as other departments, for maintenance and accuracy of system resources Collect and interpret accurate claims data as needed for complete appeal review Ability to research and interpret various tools such as; OHA guidelines, member handbooks, provider contracts, NCCI standards, etc. Supporting Responsibilities: Serve on designated committees, teams, and task groups, as directed. Represent the Appeals and Grievance Department, both internally and externally, as requested by Medical Director, the Appeals and Grievance Manager, and The Director of Health Services Quality Assurance and Appeals and Grievances. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of nursing or behavioral health experience with varied medical and/or behavioral health exposure and capability required. Experience in acute care, case management, including cases that require rehabilitation, home health, behavioral health, and hospice treatment strongly preferred. Insurance industry experience helpful, but not required. Education, Certificates, Licenses: Registered Nurse or licensed behavior health specialist with current unrestricted state license. Within six (6) months of hire, licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Thorough knowledge and understanding of medical and behavioral health processes, diagnoses, care modalities, procedure codes including ICD and CPT Codes, health insurance and state-mandated benefits. Understanding of contractual benefits and options available outside contractual benefits. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Must be able to function as part of a collaborative, cohesive community. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $70,950.00 - $106,424.99Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$77k-104k yearly est. Auto-Apply 6d ago
Clinical Pharmacist - Temporary
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Clinical Pharmacist is responsible for participation in all day-to-day aspects of the Pharmacy Services Department, including but not limited to issuance of all pharmacy coverage decisions, development of policies and procedures and coordination of pharmacy benefits for members. Responsible for participation in the Pharmacy & Therapeutics (P&T) Committee including reviewing and presenting new drug reviews, drug class reviews, and policy reviews. Responsible for maintaining compliance with all state and federal legislation. Serve as a clinical resource person for Health Services staff, other internal associates, and external vendors as necessary. Essential Responsibilities: Provide drug coverage determinations for members with PacificSource Health Plans. Provide effective communication for members, providers, and internal staff through various platforms such as clinical calls, coverage determination letters, and email. Support clinical meetings with internal and external stake holders as requested. Review prescription formularies and criteria for needed updates based on clinical guidelines. Participate in P&T Committee meetings through review of new drugs, drug classes, and authorization policies with presentation of materials to staff members prior to meetings and to committee members during meetings. Lead and / or assist in projects as assigned. Stay up to date on State and Federal regulations as they relate to health insurance coverage. Stay up to date on quality measures pertinent to Pharmacy Services. Keep current with new and emerging clinical trends. Supporting Responsibilities: Act as backup for other team members and departmental functions. Work with Clinical Pharmacy Manager and/or designee to improve processes, systems, reporting, and services provided by the department Represent Pharmacy Services Department, both internally and externally, as requested. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Three or more years of pharmacy related work-experience is preferred. Additional experience managing complex work processes and working as part of a multidisciplinary care team is highly preferred. Prior success in healthcare integration, process development and program implementation is desirable. Education, Certificates, Licenses: Required to be a registered pharmacist with either Pharm D degree or Bachelor of Science in Pharmacy. Additional certifications may be needed such state specific credentials. Certification support may be available for credentials needed post-hire. Post-graduate training (examples include Residency, Fellowship, MBA, BCPS) is preferred. Knowledge: Ability to adapt and prioritize within a fast-paced environment. High attention to detail. Knowledge and comprehension of pharmaceutical services, including federal and state statutes and regulations as they pertain to the insurance-related pharmacy services and benefits administration. Ability to assess pharmaceutical alternatives, treatment plans, drug technologies and new approaches to delivering pharmacy services. Strong verbal and written communication skills. Proficiency in Microsoft Office Suite. Ability to work independently and within groups with minimal supervision. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$120k-172k yearly est. Auto-Apply 16d ago
Data Platforms Developer I
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Deliver, support and take ownership of information system solutions to internal departments and external customers and partners. Responsibilities include analyzing requirements, understanding business processes and needs, and recommending solutions to achieve the business goals. Act as the point of contact for internal and external partners in support of the solutions. Solutions will include implementation and integration of purchased applications and development of applications and integrations where appropriate. Projects are completed with cross-functional teams of IT peers and business partners. Manage time and expectations to ensure a high degree of stakeholder and user satisfaction. Essential Responsibilities: Design dimensional data models using Kimball data warehouse design techniques. Develop ETL/ELT processes using Python and SQL on our Databricks data lake house platform. Design, implement and maintain multi-dimensional models or “Cubes” to meet specific business requirements. Participate in on-call rotation in support of the ETL/ELT nightly schedule. Periodically, develop standardized parameterized reports using Microsoft SQL Reporting Services from multiple data sources. Actively participate in the data quality improvement process by making recommendations to simplify data structures and improve information quality. Troubleshoot and resolve reporting issues, data inconsistencies, scheduling, query performance. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Relevant real-world experience in software development and analysis, preferably in a business environment. Additional desired experience includes TriZetto Facets, Dynamics CRM, technical integration and implementation, database administration, EDI (ANSI x12 formats), FHIR, dashboard development, project management experience, and integration of enterprise-wide applications. Programming in VB.NET, ASP.NET, C#. Advanced experience with databases, Informatica and SQL stored procedures. Education, Certificates, Licenses: BS in Computer Science or equivalent degree, licensure, or experience. Primary technologies/knowledge: Databricks, Python / T-SQL, Microsoft Master Data Services, Informatica MDM, Power BI, Microsoft SQL Reporting Services/BI DS, Microsoft SQL Analysis Services/BI DS, Tableau. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $58,074.38 - $92,919.03Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$105k-133k yearly est. Auto-Apply 4d ago
Appeals Clinical Team Lead
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$69k-97k yearly est. Auto-Apply 36d ago
Residential Property Inspector - Albany, GA
CIS Group of Companies 4.6
Albany, GA job
Looking to Supplement Your Income or Just Be Productive? Become an Independent Residential Insurance Inspector with CIS Group! Are you looking for a flexible, rewarding opportunity that allows you to be your own boss and take control of your schedule? CIS Group is seeking motivated, detail-oriented individuals to join our team as 1099 Property Insurance Inspectors. If you own an LLC and are looking to diversify your work, this might be the perfect opportunity for you! Why Work With Us? Since 1996, CIS Group has been one of the largest and most trusted names in the insurance inspection industry. We offer a platform that allows Independent Contractors to create and grow their own businesses, work flexible hours, and take on a variety of inspections. Whether you're supplementing your current work or looking for a new venture, this position offers flexibility and autonomy. What You'll Do: Travel to residential homes to complete exterior (interior photos here and there) property inspections. Take photos, collect property data, and upload your findings using your smartphone or tablet. Provide high-quality, professional service that delivers accuracy and on-time service, with exceptional communication. Maximize this opportunity by utilizing your unique skillset Watch this video to see an example of an exterior-only inspection: Click here to watch What We're Looking For: 1099 Independent Contractors - Be your own boss, set your own schedule! Flexible Hours - Work during daylight hours, Monday through Saturday. Comfortable Working Outdoors - This role requires you to work in various weather conditions. Tech-Savvy - A recent smartphone or tablet capable of taking and storing hundreds of photos. Computer Access - Wi-Fi-enabled for uploading data. Reliable Vehicle & Driver's License - Travel to residential properties within your area. Strong Communication Skills - You're a professional and a persistent communicator. You're not someone who just disappears when things get tough. Microsoft Excel Familiarity - Basic computer skills are necessary for managing your inspections. Compensation: Independent Contractors - You get paid per inspection. Fees - Vary based on location and inspection type, allowing for higher earning potential as you demonstrate competency. Why This Is Perfect for You: You've taught yourself how to solve problems and take on new challenges, and you're driven to succeed no matter the obstacles. This opportunity will allow you to create and or build your own business, and the flexibility to grow your income in an industry that remains resilient even through economic downturns. Ready to take control of your future and join a company that values your persistence and resourcefulness? Submit your resume now and become part of the CIS Group team! Job Types: Part-time, Contract Pay: $1,450.00 per month Benefits: Flexible schedule Compensation Package: 1099 contract Work Location: On the road
$1.5k monthly Auto-Apply 60d+ ago
2026 Jencap Summer Insurance Internships- Atlanta, Houston, Springfield, MO, Red Bank, NJ and NYC
Jencap 4.2
Atlanta, GA job
Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture - with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career. 2026 Summer Insurance Internships- Multiple Locations Why consider an internship with Jencap, a leading national wholesaler? We are offering you a unique experience that will be both challenging and rewarding in addition to providing you with hands-on experience! The Internship Program will run for eight weeks beginning in June 2026. As an intern you will: Be assigned mentors and have a working relationship with them. Shadow staff members and join team meetings and activities. Be assigned meaningful work assignments with one of our core business units: Brokerage or Delegated Binding Authority Regularly engage with the Vice President of Training & Development and other interns on training and education hubs. Participate in a group assignment with other interns offering meaningful ideas through a final presentation to Jencap leaders at the end of the internship. Hiring in multiple Jencap offices: Redbank, NJ; Atlanta, GA; Springfield, MO; Houston, TX and NY, NY Who are our ideal candidates? Ambitious, Professional, Committed, Collaborative, Positive, Hardworking, Ethical Qualifications: Completion of two or more business courses at an accredited college Rising Senior status, May 2027 graduate Business major Application Requirements: Apply online and include a resume with a cover memo. Want the opportunity to build something new? Expand your knowledge and stretch your experience through new and emerging risks? Have your voice heard, your skills properly applied, and to add tangible value to an organization? You're in the right place. Jencap is dynamic, bold, tenacious, and trusted in the industry. Here, you are not just one of the many, you are one of us. We truly are better together. Jencap is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or citizenship status, sexual orientation, gender identity or expression, pregnancy, marital or familial status, disability status, medical condition, genetic information, military or veteran status, political affiliation, or any other characteristic protected by law. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard, as we believe that that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.
$57k-90k yearly est. Auto-Apply 2d ago
Associate Project Manager
Pacificsource 3.9
Pacificsource job in Springfield, OR
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, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Associate Project Manager operates in a cross-functional role and has specific expertise in functional areas such as project management, data analytics, business process outsourcing management, business analysis and process improvement management. Acts as a proactive interface between the cross-functional core team, managers, and executive team to ensure effective definition and delivery of the project. Manage entire portfolio of assigned projects, maintaining up to date metrics, and documentation that creates an effective level of transparency and accurately reflects the current state of each project. Interact with all departments and personnel, as needed, including external customers, vendors and consultants. Essential Responsibilities: Manage assigned Operational projects according to life cycle (define, plan, execute, control). Develop and manage project schedule; timelines, activities, milestones. Assess/analyze resource constraints/capacity and plan accordingly. Ensure/oversee complete requirements gathering and documentation. Create weekly status reports for each project and report status to the necessary stakeholders. Conduct regular/weekly team meetings on all projects. Monitor project risks and issues and maintain log files. Monitor and maintain scope and/or solicit sponsor approval. Coordinate with the business and participate in QA test iterations. Solicit team member collaboration on issues and problems. Identify appropriate project priorities and effectively communicate to team members. Maintain central point of contact with external vendor(s). Utilize Lean/process improvement methodology to achieve strategic goals. Presents projects and collaborates with various stakeholders. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Customer service oriented, and commitment to establishing and maintaining positive and healthy working relationships. Ensure compliance with standards, policies, procedures, requirements, and regulations. Pilot new hardware and/or software and determine capabilities and/or limitations. Perform other duties as assigned SUCCESS PROFILE Work Experience: Minimum 2 years required in a business analyst/project management or equivalent role leading teams in a complex business and systems environment with a preference towards Insurance. Education, Certificates, Licenses: BA/BS in Business, or related field or equivalent work experience. Project Management Certification Preferred. Knowledge: Understanding of health insurance as it relates in Medicare, Medicaid and Commercial lines of business as well as payment methodologies (fee for services, capitation, and blended). Good understanding of project management principles and practices. Possess knowledge and ability to tailor project management approach as necessary to fit the specific needs of a given project. Ability to communicate effectively across all levels of the business. Demonstrated ability to project manage multiple, parallel projects and staff requirements. Excellent computer skills, including experience with project management tools such as Microsoft Project. Advanced experience with Microsoft Office Suite. Ability to work independently with minimal supervision. Excellent math skills required, including percentages, ratios, graphing, and spreadsheet skills. Must have exceptional written and verbal communication skills. Highly organized, detail oriented, and flexible. Excellent observation skills with proven ability to think critically and analyze complex systems. Adept at evaluating problems accurately and displaying sound judgment, including measured risks and timely escalation. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $56,779.86 - $96,525.75Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$62k-74k yearly est. Auto-Apply 2d ago

Learn more about PacificSource Health Plans jobs

Most common locations at PacificSource Health Plans

PacificSource Health Plans Springfield jobs

Working at related companies

Related companies jobs

Jobs in nearby cities

Zippia Jobs
Oregon jobs
Springfield, OR Jobs
PacificSource Health Plans Jobs
PacificSource Health Plans Springfield, OR Jobs

PacificSource Health Plans jobs in Springfield, OR - 5783 jobs

Senior Director, Product & Regulatory Management

Manager, Fulfillment, Printing and Mail Services

Outside Sales Representative

Title Processing Representative

Graphic Designer

Group Underwriter

Branch Manager

Legal Practice Assistant/Paralegal

Licensed Practical Nurse

Provider Network Data Maintenance Associate

Utilization Management Specialist (Monday-Friday)

Configuration Analyst I - Provider

Consultant III HPR Loss Control

Appeals Clinician (Monday - Friday)

Clinical Pharmacist - Temporary

Data Platforms Developer I

Appeals Clinical Team Lead

Residential Property Inspector - Albany, GA

2026 Jencap Summer Insurance Internships- Atlanta, Houston, Springfield, MO, Red Bank, NJ and NYC

Associate Project Manager

Learn more about PacificSource Health Plans jobs

Most common locations at PacificSource Health Plans

Working at related companies

Related companies jobs

Jobs in nearby cities