This position will be responsible for drafting Plan Documents for group health plans. Additionally, they will maintain a detailed database tracking the history of all group health plan revisions. The Benefit and Compliance Administrator will also be responsible for organizing plan documents online. ESSENTIAL FUNCTIONS Review all aspects of the templates and data submissio

The Account Manager has a full command of an assigned book of Allied clients. The position involves management of group health plans which are self funded. This position serves as a direct resource to Allied's Account Management Teams and specifically the Account Executive who acts as team lead. The Account Manager will help identify appropriate carriers, managed care net

The Case Manager position will have a full understanding of the Enhanced Case Management (ECM) suite of strategies and supports the Enhanced Care Advocate and ECM team. The Case Manager will primarily focus on vendor, carrier, and Center for Medicare and Medicaid Services (CMS), and member communication. ESSENTIAL FUNCTIONS Identifying and communicating coverage options a

The Case Management Liaison is responsible for assisting with the management of internal and external relationships and department escalations under the support of the Senior Case Management Liaison. The role requires the ability to effectively communicate and collaborate with internal and external stakeholders and the ability to apply complex problem solving to address i

To execute Claim review and investigation of multiple claim functions, including but not limited to the management and facilitation of High Dollar claim reviews, claim processing and special claim requests. ESSENTIAL FUNCTIONS Facilitate the High Dollar Claim review process by acting as the primary contact for internal and external claim teams, clients and vendors. Owns a

The BPO Bank Reconciliation Analyst is responsible for weekly and monthly reconciliations of financial accounts. Applicants should possess strong analytical skills in order to independently navigate and reconcile financial data across different systems. The position requires daily interaction with internal team members across various departments and a curious problem solv

The Claims Operations Supervisor is responsible for various facets of the Refund, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Act as the primary contact for handling and prioritizing any questions and issues from other department

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,

Will be primary claims department trainer. In this role you will use independent judgment and knowledge to determine training needs and perform all aspects of training for the Claim Department. Training will include policies, procedures, and QicLink system training for new hires as well as experienced staff. ESSENTIAL FUNCTIONS Work closely with the Audit Team and departm

Senior, Funding Analyst organizes, delegates, and problem solves day to day workflows of the ASO Funding team. Major responsibilities include training staff on departmental processes, researching and responding to advanced internal and external inquiries regarding claim funding and recommending and implementing process improvements. When necessary, this position supports

The Network Liaison is responsible for implementing appropriate networks/vendors for Allied clients. ESSENTIAL FUNCTIONS Responsible for submitting new setup paperwork, maintaining, updating, and testing of new networks to ensure they meet the needs of the client. Work closely with the Implementation Success Mangers and Coordinators to ensure networks are assigned properl

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

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

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