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 Contracts Manager will be responsible for maintaining and updating all contracts with our clients and vendors. They will support the new business and renewals process by working with the Sales and Account Management team to ensure all contracts and appropriate documentation are being completed successfully by the contracts team. In addition, work across departments to

The Billing Manager is responsible for overseeing and managing the entire billing department, ensuring the accuracy and timeliness of all invoicing processes. This role involves developing and implementing billing policies and procedures, as well as setting departmental goals and objectives. The Billing Manager will also be responsible for tracking all business transactio

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

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

Analyze medical 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 appropriate sharing of prescription accum

The Senior Revenue Analyst is responsible for deep analysis of current and historical claims data for prospective/current client engagements. KEY RESPONSIBILITIES Perform in depth analysis of claim data to provide strategic insights for prospective/current client health plans. Work closely with sales/retention and marketing teams to support data driven decisions and clien

This position is responsible for delivering highly visible inbound and outbound EDI projects for the data operations team at Allied. This includes playing a key role in the implementation of new trading partners; configuration of inbound and outbound ANSI X12 834 eligibility files and standard and custom data extracts, maintenance of existing trading partner files, and re

To execute the day to day functions of Allied's BPO Onboarding Specialist by driving processes for successful New/Reissue Case Implementations, BPO Group Reporting, and business expectations. ESSENTIAL FUNCTIONS Strong understanding of New Business and Reissue submission paperwork received from BPO Clients to ensure plan details are communicated accurately to the BPO Onbo

The Senior Plan Auditor is responsible for testing and auditing the builds of the plan coders as needed for all new and existing revisions. ESSENTIAL FUNCTIONS Log all new groups and plan changes on spreadsheets as they are received Audit main coverage area's through a GPL report Accurately test the indicated new groups/plan changes in conjunction with the GPL report Keep

The Subrogation Analyst is responsible for reviewing third party liability claims referred by claims adjusters and analyze for liability and recovery potential. Review and understand relevant health benefit summary plan descriptions, along with state and federal regulations to pursue recovery from responsible third party and insurance carriers. The Subrogation Analyst int

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 Mental Health Parity Analyst will be responsible for a broad array of areas associated with compliance under The Mental Health Parity and Addiction Equity Act. Working both independently and in collaboration with other departments, the Mental Health Parity Specialist will gather and provide the necessary information and data for successful completion of the comparativ

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