This position is responsible for supporting timely, accurate claim and encounter processing for the claims service teams for all lines of business.  Direct reports include exempt and non-exempt staff. Coordination with quality improvement initiatives, supporting ongoing day-to-day production needs, and creative problem-solving are a major focus.  Outcomes of this work include continuous improvements in production, efficiency, quality and automation in order to meet and exceed the service expectations of members, providers, employer groups, regulators and auditors.  

Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications: 

Bachelor's Degree in Business Management, Health Care Administration or other related field, plus 4 years management/industry experience Or Associate's Degree in Business Management, Health Care Administration or other related field, plus 6 years management/industry experience Or 8 Years of related management/Industry experience 8 years Health Plan Operations and or Claims Leadership experience 6 years Supervisory experience 2 years Track record of developing and implementing automated solutions that increase efficiency and throughput

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.  We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care.