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

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 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