Grievances Coordinator (Monday-Friday)

Job Listing ID:

4486613

Job Title:

Grievances Coordinator (Monday-Friday)

Application Deadline:

06/04/2026

Job Location:

Bend

Date Posted:

05/05/2026

Hours Worked Per Week:

40

Shift:

Day Shift Duration of Job:

Full Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

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. Coordinate the internal appeals and grievances process by supporting entry of requests in a meaningful and timely manner. Provide support as needed for the completion of appeals and grievances. Communicate information about appeals and grievances processes and outcomes to members and providers verbally and/or in writing. Support member and provider experience.

Essential Responsibilities:

• Oversee and coordinate all Grievance activities ensuring response deadlines are met in accordance with applicable best practice, state and federal guidelines.
• Review grievance documentation, correspondence, and medical records when applicable to ensure complete categorization and response of complaints.
• Correspond with members and providers to enhance their experience throughout the grievance process.
• Draft and provide acknowledgements by applicable method, to inquiries and grievances as required by regulations, PacificSource policy and department process standards.
• Ensure accurate and complete entry of case specific information into the Health Management Platform
• Prepare and provide response and resolution by applicable method to inquiries and grievances as required by regulations, PacificSource policy and department process standards.

Supporting Responsibilities:

• Assist the Appeals and Grievances Support team in the entry of new appeals and grievances into the system.
• 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 two years customer service, claims processing or health insurance industry experience required. 1 year of technical writing and conflict resolution experience preferred.

Education, Certificates, Licenses:

High School Diploma required; Bachelor's To view the full job description please use the link below. https://www.aplitrak.com/?adid=YmJnZW5lcmljLjkwMTI3Ljg3NjRAcGFjaWZpY3NvdXJjZWNvbXAuYXBsaXRyYWsuY29t

Job Classification:

First-Line Supervisors of Office and Administrative Support Workers Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Depending on Experience Job Requirements

Experience Required:

 At least 1 year

Education Required:

None

Minimum Age:

N/A Gender:

N/A