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

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

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

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

The claims auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. ESSENTIAL FUNCTIONS Logging/Tracking all Claims/Tasks to be audited Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows Assist with all audit prog

The Repricing Specialist I is responsible for re pricing medical (CMS1500, UB04) and dental claims using multiple applications to obtain discounted rates. ESSENTIAL FUNCTIONS Complete repricing of CMS1500 and UB04 forms for various PPO networks Ability to use multiple computer applications to obtain the information needed to correctly re price a claim Accurately key claim

The Client Executive candidate is a goal oriented, driven, team player with a willingness and desire to sell new business. ESSENTIAL FUNCTIONS Cultivates strong, productive, and influential relationships with brokers/consultants driving new business growth. Effectively position Allied's unique value proposition within the target market. Manage complex negotiations; positi

The Subrogation Supervisor will be responsible for the timely administration of team activities, including investigation of claims, resolution of third party offers, and management of inventory volume. Provide guidance and direction to team members. Develop and implement workflows as needed. Primary contact for handling and prioritizing any questions and issues from other

The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan