Regulatory and Reporting Specialist
PacificSource Health Plans —Bend, OR
- $44,982.98 - $71,972.77 a year
- Full-time
- Computer literacy
- Writing skills
- HIPAA
4d
Purchasing Specialist/Buyer
Arclight Dynamics —Bend, OR
- $25 - $28 an hour
- Full-time
- Background check
- Google Workspace
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Bilingual Customer Service Specialist (Spanish)
Sherwin-Williams —Bend, OR
- $20.25 an hour
- Part-time
- 18 years or older
- Merchandising
- High school diploma or GED
2d
Member Support Specialist I
PacificSource Health Plans —Bend, OR
- $32,311.65 - $51,698.64 a year
- Full-time
- Microsoft Excel
- Writing skills
- HIPAA
5d
Recreation Administrative Systems Specialist
Bend Park and Recreation —Bend, OR
- $26.59 - $30.31 an hour
- Weekends as needed
- Background check
- Clean driving record
- English
Quick Apply
5d
Order Fulfillment Specialist - Bend, OR (OFS072126)
Paladin Data Corporation —Bend, OR
- $25 an hour
- 8 hour shift
- Customer service
- Pass drug screening
- High school diploma or GED
- Travel reimbursement
- Profit sharing
Quick Apply
3d
Customer Service Specialist
April McCarthy Farmers Insurance —Bend, OR
- $22 - $27 an hour
- Part-time
- Background check
- 18 years or older
- Microsoft Excel
- Paid holidays
- 401(k)
Quick Apply
11d
Sales Specialist
BedMart Mattress Superstores —Bend, OR
- $50,000 - $90,000 a year
- Full-time
- Communication skills
- Entry level
- Paid training
- Health insurance
Quick Apply
HR Onboarding Specialist
Caring for Others —Redmond, OR
- $25 - $30 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Dental insurance
Quick Apply
Delivery Technician
Bellevue Healthcare —Bend, OR
- $22 an hour
- Monday to Friday
- Customer service
- Sanitation
- Pass drug screening
- Paid holidays
- Health insurance
Fulfillment Specialist
Fastenal —Redmond, OR
- Part-time
- 18 years or older
- Customer service
- Computer literacy
2d
Administrative and Finance Coordinator / Data Specialist - (1.0 FTE, 40 HRS/WK)
High Desert Education Service District —Redmond, OR
- $27.74 - $37.61 an hour
- Full-time
- Hybrid work
- Spanish
- System design
- English
- Paid holidays
Quick Apply
Accounting Specialist
Beaver Coach Sales & Service —Bend, OR
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
5d
DRUG-GEN MDSE/HCC & COSMETICS SECTION LEADER
Fred Meyer —Bend, OR
- Part-time
- 18 years or older
- Merchandising
- High school diploma or GED
- Paid holidays
- Health insurance
Window Sales Rep - Established Leads Provided!
The Caputo Group —Bend, OR
- Mid-level
- Residential
- Driver's License
Quick Apply
Customer Service Specialist
Sherwin-Williams —Bend, OR
- $20.25 an hour
- Part-time
- 18 years or older
- Merchandising
- High school diploma or GED
Quality Control Specialist
ITG Communications —Bend, OR
- $20 - $25 an hour
- Full-time
- Construction site
- Ability to walk for extended periods
- Mid-level
Quick Apply
Seasoned Euro Technician
Portland Motor Works Inc —Redmond, OR
- $80,000 - $120,000 a year
- Full-time
- Customer service
- Senior level
- Automotive diagnostics
- Profit sharing
- Health insurance
Quick Apply
Sales Specialist (EV - Fast Charging Mobility)
Cesna Recruitment —United States
- $110,000 - $150,000 a year
- Full-time
- Remote
- Microsoft Excel
- Engineering
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Load Tap Changer (LTC) Specialist (Utility-Scale Transformer Exp.)
#twiceasnice Recruiting —United States
- $60 - $80 an hour
- Overtime
- Up to 50% travel
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d

I want to receive the latest job alert for customer success specialist in bend or

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

customer success specialist jobs near bend or

Accounting Specialist jobs in Bend, OR

Support Specialist jobs in Bend, OR

Customer Service Representative jobs in Bend, OR

Sales Specialist jobs in Bend, OR

Sales Consultant jobs in Bend, OR

Clinical Documentation Specialist jobs in Kansas City, MO

Accounting Specialist jobs in Tampa, FL

Accounting Specialist jobs in Broomfield, CO

Behavioral Specialist jobs in Maryland

Environmental Specialist jobs in Chicago, IL

Accounting Specialist jobs in Muskegon, MI

Accounting Specialist jobs in Schaumburg, IL

Bilingual Spanish Intake Specialist jobs in Remote

Support Specialist jobs in Montgomery, AL

Family Support Specialist jobs in Chicago, IL

Child Support Call Center jobs in Texas

Support Specialist jobs in Summerville, SC

Benefit Specialist jobs in Denver, CO

Support Specialist jobs in Kansas City, MO

Support Specialist jobs in Boise, ID

Regulatory and Reporting Specialist

PacificSource Health Plans -
Bend, OR

Apply Now

Job Details

Full-time
$44,982.98 - $71,972.77 a year
4 days ago

Qualifications

English
High school diploma or GED
Medical terminology

Full Job Description

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.

Support all aspects of our Appeals and Grievance (A&G), Care Management (CM), and Utilization Management (UM) compliance program for Medicare, and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and staff for purposes of monitoring and ensuring compliant operations. Interface with the Compliance Department and Fraud, Waste and Abuse teams to evaluate and address fraudulent activities impacting these departments. Conduct internal audits, support external audits, develop policies and procedures, and ensure departmental compliance.

Essential Responsibilities:

In partnership with Compliance staff and leadership, develop auditing and monitoring plans to assess compliance with all State, Federal and internal business rules and regulations.
Serve as an inter-departmental liaison for compliance and FWA activities.
Inform all business operations and workflow decisions to ensure that programs are compliant with State, Federal an internal business rules and regulations.
Be fully informed and ensure compliant processes are in place on all business operations, including but not limited to: business processes, OIG status, FWA programs, Helpdesk operations including call monitoring, Communication strategies, Website publications, Claims adjudication, and all vendor managed programs.
Maintain a current working knowledge of all applicable Medicare, and Medicaid rules and regulations including assessment, impact report and training on any new rules or regulations to all impacted departments.
Conduct frequent monitoring activities of all business operations, publish results and report out to Leadership, Compliance Department, quality committees and other PacificSource leadership teams as applicable.
Respond to all compliance related inquiries from internal Compliance Department Staff and external Auditors in a timely, professional and accurate manner to ensure minimal organizational and operational impact.
Work collaboratively with leadership to produce and monitor department policies and procedures as applicable and ensure their regular maintenance to reflect new practices and guidance.
Provide interpretation, training, and implementation of Medicare, and Medicaid regulations and communicate them appropriately with respective departments and teams.
Attending weekly meetings; review and approve external communications; and monitor operational performance reports.
Support ongoing communication efforts. Maintaining compliant members, departments, and provider communications. Keeping letters and other member communications up to date with compliance guidance and best practices.

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 2 years of compliance-related experience required. Strong preference for health insurance experience.

Education, Certificates, Licenses: High school diploma or equivalent required. Bachelor’s degree preferred.

Knowledge: Strong computer skills. Excellent verbal and business writing skills. Excellent public relations skills. Good understanding of Medical Terminology required. Requires ability to define and prioritize problems and manage workload without direct 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

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 - $71,972.77

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.

Apply Now

Refine Your Search

customer success specialist jobs in bend or

Regulatory and Reporting Specialist

Purchasing Specialist/Buyer

Bilingual Customer Service Specialist (Spanish)

Member Support Specialist I

Recreation Administrative Systems Specialist

Order Fulfillment Specialist - Bend, OR (OFS072126)

Customer Service Specialist

Sales Specialist

HR Onboarding Specialist

Delivery Technician

Fulfillment Specialist

Administrative and Finance Coordinator / Data Specialist - (1.0 FTE, 40 HRS/WK)

Accounting Specialist

DRUG-GEN MDSE/HCC & COSMETICS SECTION LEADER

Window Sales Rep - Established Leads Provided!

Customer Service Specialist

Quality Control Specialist

Seasoned Euro Technician

Sales Specialist (EV - Fast Charging Mobility)

Load Tap Changer (LTC) Specialist (Utility-Scale Transformer Exp.)

I want to receive the latest job alert for customer success specialist in bend or

Explore jobs in more locations

Looking for a way to make an impact and help people?

Our Values

Job Seeker Tools

Employer Tools

Browse

Stay Connected