Teams at Pacific Health Group

Leads daily operations of a community-based Clubhouse program supporting individuals with serious mental illness. Responsibilities include program leadership, fiscal and compliance oversight, reporting, staff supervision and development, member engagement, community partnerships, employment programming, quality assurance, and adherence to evidence-based and trauma-informed practices. The role is primarily onsite in San Diego, requires frequent county travel, and includes occasional evening, weekend, and community event participation.

The Billing Analyst prepares and submits medical claims and invoices, assigns diagnosis and procedure codes, manages denials and appeals, reconciles payer reimbursements, monitors accounts receivable, and prepares revenue cycle reports. The role ensures compliance with Medicaid, managed care, consolidated billing, and payer-specific requirements while coordinating with case managers, patient coordinators, finance teams, payers, and health plans. It also supports documentation accuracy, billing training, process improvement, and resolution of billing discrepancies.

Leads Pacific Health Group’s organization-wide quality assurance program across healthcare and community-based services. Oversees audits, documentation standards, quality metrics, dashboards, corrective action plans, audit readiness, staff supervision, training, root-cause analysis, and continuous improvement. Partners with department leaders to identify risks, improve workflows, monitor compliance with payer and contractual requirements, and report quality trends to executive leadership.