The AR/AP Analyst is responsible for the Accounts Receivable and Accounts Payable functions of the Billing Department, as well as the completion of other minor financial tasks, as needed. Applicants should possess very strong organizational skills to succeed in this role. Strong technical skills are also required in order to navigate and work with different technical syst

The RRT (Rapid Response Team) Analyst will be responsible for the handling of adjustments received from various departments timely. Examine claim calculations for adjustment and claimant's history to determine accuracy. ESSENTIAL FUNCTIONS Handling of repricing adjustments. Group exception referrals. Work with other claim department personnel when necessary to determine a

An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. ESSENTIAL FUNCTIONS Delegating tasks to the appropriate department team members System documentation for the Case Management, Enhanced Case Management, and Clinica

An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews

We are seeking a highly organized and detail oriented Billing Specialist to join our team. The ideal candidate will have experience in billing and collections, as well as excellent communication and problem solving skills. The Billing Specialist will assist in file imports using multiple systems, state reporting calculation and filing, multiple types of client invoicing,

The Project Manager, Medical Management is responsible for the ongoing project management and support of the various medical management projects at Allied. This position works directly with Allied's Case Management, Enhanced Case Management, and Allied Advocate departments, vendor partners, and consultants to facilitate change. The position will work with internal and ext

This position acts as a liaison between the retail and specialty pharmacy and the prescribers to document, submit, communicate outcomes and appeals. In addition, they will direct specialty pharmacy claims efficiently to provide the highest level of coordinated care to our patients and provide recommendations to non pharmacy peers. ESSENTIAL FUNCTIONS Review and manage all

The Software Engineer I is responsible for maintaining and developing software applications. This position will also be responsible for problem solving, coding, debugging, testing, and troubleshooting through the application development process. This role requires technical expertise and gives you the opportunity to engineer systems and build reliable and secure services

The Allied Advocate Quality and Training Specialist will be responsible for ensuring the continued quality of department workflows and processes and continuing training and development of best practices. ESSENTIAL FUNCTIONS Work closely with the individual teams and department leadership to determine ongoing training needs. Design and assist in developing training materia

The Supervisor, Rapid Response Team (RRT) and Refund is responsible for the timely assisting the management team with monitoring and management of the daily work and other functions within the RRT and Refund Departments. Provides guidance and direction to team members. Develops and implements workflows as needed. The supervisor is the primary contact for handling and prio

Working independently and in groups the Quality Assurance Auditor will be responsible for the completion of multiple audit tasks including but not limited to auditing the builds of plan coders as needed for all new and existing revisions, along with compiling and reporting results and trends accurately. The QA Auditor is also responsible for auditing outgoing corresponden

CLIENT RELATIONSHIP MANAGER POSITION SUMMARY The Client Relationship Manager has full command of their aligned market, serving as a direct resource for Key Business Partner Account Management Teams. Responsibilities include but are not limited to providing a highly personalized client and broker experience dedicated to educating contacts and brokers on coverage and the to

PLAN BUILDING ANALYST Position Summary Analyze plan documents to accurately build and maintain group set up in the Qiclink System. Essential Functions Accurately code self funded and fully insured groups based on the plan document. Accurately update coding for all plan changes. Set up and maintain HRA processing plans. Maintain applicable programs to ensure the appropriat

The Client Service Representative is responsible for providing excellent client service to Allied members, including HR representatives, brokers, and other various clients. They are the main point of contact for all inquiries and issues and must provide resolution in a timely, professional, and courteous manner. ESSENTIAL FUNCTIONS Act as the liaison between the client/br

The Database Engineer will be responsible for maintaining existing database and designing new stored procedure, triggers, and views for internal and external products. This position will also be responsible for problem solving and finding ways to create performant back end processes. As a Database engineer you will be working closely with the Database Administrator to res