PacificSource Health Plans

PacificSource Job Openings


Here are our current job openings. Please click on the job title for more information, and apply from that page, if you are interested.

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Search Results

US-ID-Boise

Supervise and provide guidance to Customer Service Representatives regarding department policies, procedures, and workflow.  Responsible for hiring, mentoring, coaching and evaluating team members’ performance.  Demonstrate effective leadership to improve individual performance and develop teamwork and team support.  Manage change and encourage collaborative relationships, involvement and initiative.

Type
Regular Full-Time
US-OR-Springfield

Provide data analysis for PacificSource to achieve the goals and initiatives identified in our Strategic Plan.  Primary subject of analytic support will be related to analysis of cost and utilization of health services, in support of large employer reporting, financial modeling for provider contracting analysis, and identification of opportunities and evaluation of health services activities, including, but not limited to, disease management, wellness programs, and early identification of high risk populations.  Analytical role may vary and involve knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines. 

Type
Regular Full-Time
US-OR-Bend

Provide data analysis for PacificSource to achieve the goals and initiatives identified in our Strategic Plan.  Primary subject of analytic support will be related to analysis of cost and utilization of health services, in support of large employer reporting, financial modeling for provider contracting analysis, and identification of opportunities and evaluation of health services activities, including, but not limited to, disease management, wellness programs, and early identification of high risk populations.  Analytical role may vary and involve knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines. 

Type
Regular Full-Time
US-OR-Portland

Provide data analysis for PacificSource to achieve the goals and initiatives identified in our Strategic Plan.  Primary subject of analytic support will be related to analysis of cost and utilization of health services, in support of large employer reporting, financial modeling for provider contracting analysis, and identification of opportunities and evaluation of health services activities, including, but not limited to, disease management, wellness programs, and early identification of high risk populations.  Analytical role may vary and involve knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines. 

Type
Regular Full-Time
US-OR-Tigard

Provide data analysis for PacificSource to achieve the goals and initiatives identified in our Strategic Plan.  Primary subject of analytic support will be related to analysis of cost and utilization of health services, in support of large employer reporting, financial modeling for provider contracting analysis, and identification of opportunities and evaluation of health services activities, including, but not limited to, disease management, wellness programs, and early identification of high risk populations.  Analytical role may vary and involve knowledge of contract language, healthcare utilization, performance analysis for clinical programs, state and federal guidelines. 

Type
Regular Full-Time
US-OR-Bend

Provide assistance to Grievance & Appeal team in maintaining records and processing grievances and appeals for all lines of business within the timelines set by regulators.  Provide assistance and guidance to internal and external customers regarding grievance/appeals policies and procedures. Ensure member satisfaction and help establish best practices

Type
Regular Full-Time
US-OR-Bend

Temporary contract position to review medical charts at Bend PacificSource office. Medical records will be reviewed to find documentation for annual HEDIS audit of care provided to Medicare members. Data elements being sought are laboratory results, blood pressures, body mass index, colon cancer screening, and other aspects of care.  Approximate duration from January 2018 - May 2018, which is subject to change.

 

Preference will be given to candidates that can be available for the full duration.  

Type
Temporary Part-Time
US-OR-Springfield

Manage and coordinate learning, development, and education activities for PacificSource in order to improve the performance of employees and increase the efficiency and productivity of the company.  Act as an organizational development liaison and advisor to PacificSource managers and teams and facilitate company initiatives across the enterprise. Responsible for the creation and integration of learning and staff development programs and multiple associated projects to achieve strategic business goals and operational objectives.  Responsible for working with all functional areas to assess and determine specific technical and professional training needs.  Consult with departments and outside sources to evaluate all classes and materials used by the company.  Provide availability to all employees to review and discuss education, training, and career goals.

Type
Regular Full-Time
US-OR-Bend

This position supports the development, implementation, and maintenance of Medicare plans, including Medicare individual plans, employer group plans, and special needs populations. Key areas of focus include assisting in the quantitative and qualitative product analysis on existing and emerging insurance markets, products, and competitors, as well as ongoing monitoring of tactics and results. This position is also responsible for providing support in annual bid submission, maintaining product/plan updates, participation in all phases of the Medicare product lifecycle process (from concept through implementation), and ensuring bid submissions are accurate, timely, and in compliance with State and Federal regulations.

Type
Regular Full-Time
US-OR-Portland

Position Overview: This position is responsible for the coordination and execution of product development, implementation, and maintenance of Medicare plans, including Medicare individual plans, employer group plans, and special needs populations. Key areas of focus include quantitative and qualitative product analysis on existing and emerging insurance markets, products, and competitors, as well as ongoing monitoring of tactics and results. This position is also responsible for executing annual bid submission, maintaining product/plan updates and documentation, and ensuring bid submissions are accurate, timely, and in compliance with State and Federal regulations.

Type
Regular Full-Time
US-OR-Bend

Position Overview: Work as an integral part of the care management team to serve as an interdepartmental resource to members and community providers/partners. The Specialist will work telephonically and in person to support members with complex psycho-social issues which create barriers to adherence with medical regimens and achievement of optimal health outcomes. Assist with program development, team processes, as well as build effective member, provider and community partner relationships.

 

** This is a Temporary Full-Time position. Approximate length of assignment: 5 months **

Type
Temporary Full-Time
US-OR-Eugene

The primary focus of this position will be to assist members who are enrolled in Health Management programs to effect positive lifestyle and health-related changes to maximize quality of life/health and reduce utilization of healthcare resources over time. Collaborate with internal and external partners to facilitate coordination of care for program participants.

Type
Regular Full-Time
US-OR-Tigard

The primary focus of this position will be to assist members who are enrolled in Health Management programs to effect positive lifestyle and health-related changes to maximize quality of life/health and reduce utilization of healthcare resources over time. Collaborate with internal and external partners to facilitate coordination of care for program participants.

Type
Regular Full-Time
US-ID-Boise

The primary focus of this position will be to assist members who are enrolled in Health Management programs to effect positive lifestyle and health-related changes to maximize quality of life/health and reduce utilization of healthcare resources over time. Collaborate with internal and external partners to facilitate coordination of care for program participants.

Type
Regular Full-Time
US-OR-Bend

The primary focus of this position will be to assist members who are enrolled in Health Management programs to effect positive lifestyle and health-related changes to maximize quality of life/health and reduce utilization of healthcare resources over time. Collaborate with internal and external partners to facilitate coordination of care for program participants.

Type
Regular Full-Time
US-OR-Bend

Position Overview: Coordinate application of pharmacy services and benefits.  Handle pharmacy-related inquiries and communicate benefit determination.  Act as a liaison and information resource to internal and external pharmacy services customers.  Provide pharmacy services Help-Desk support.  Provide pharmacy claims processing services.  Conduct claims audits and prepare prior authorization statistics.

Type
Regular Full-Time
US-OR-Eugene

Position Overview: Coordinate application of pharmacy services and benefits.  Handle pharmacy-related inquiries and communicate benefit determination.  Act as a liaison and information resource to internal and external pharmacy services customers.  Provide pharmacy services Help-Desk support.  Provide pharmacy claims processing services.  Conduct claims audits and prepare prior authorization statistics.

Type
Regular Full-Time
US-ID-Boise

Participate in the development, implementation, and maintenance of insurance programs and assist in the quantitative and qualitative analysis on existing and emerging insurance markets, products, and competitors. Under the general direction of the Director of Commercial Programs, the Product Development Strategist is responsible for all phases of product management from assessment through strategy execution and ongoing monitoring of implementation tactics and results. This position is involved in the timely completion of product analyses, as well as formal product proposals, presentations, and implementation of product changes.

Type
Regular Full-Time
US-OR-Portland

Participate in the development, implementation, and maintenance of insurance programs and assist in the quantitative and qualitative analysis on existing and emerging insurance markets, products, and competitors. Under the general direction of the Director of Commercial Programs, the Product Development Strategist is responsible for all phases of product management from assessment through strategy execution and ongoing monitoring of implementation tactics and results. This position is involved in the timely completion of product analyses, as well as formal product proposals, presentations, and implementation of product changes.

Type
Regular Full-Time
US-OR-Springfield

Participate in the development, implementation, and maintenance of insurance programs and assist in the quantitative and qualitative analysis on existing and emerging insurance markets, products, and competitors. Under the general direction of the Director of Commercial Programs, the Product Development Strategist is responsible for all phases of product management from assessment through strategy execution and ongoing monitoring of implementation tactics and results. This position is involved in the timely completion of product analyses, as well as formal product proposals, presentations, and implementation of product changes.

Type
Regular Full-Time