The Onboarding Administrative Specialist I will execute the day to day functions of Allied BPO Onboarding team by ensuring PPO, Telemedicine and other various vendors receive accurate and timely information, as well as providing continued oversight of group reporting and changes, such as terminations, reinstatements and updates. Responsible for timely and accurate custome

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 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 QA Automation Engineer will be responsible for creating and maintaining test automation solutions. Primary responsibilities include executing automated test suite, creating/reviewing regression test cases, developing and maintaining automated test. This candidate will have a strong technical capacity with ability to actively collaborate with rest of the scrum team mem

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

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 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

The Appeals Analyst is responsible for monitoring and tracking the status of appeals as they relate to Allied's Cost Containment program. The position involves reviewing appeals for appropriateness, documenting the claim specifics into the current software and routing documentation to business partners for review/resolution. ESSENTIAL FUNCTIONS Independently review and an

This position is responsible for facilitating the successful implementation of new products, services, compliance initiatives, and vendor relationships. The position will write and maintain project plans, requirements, timelines, and process documents, and will assist with leading project meetings and providing stakeholder updates. The position will work closely with cros

This position is responsible for setup and day to day operations of Allied's eligibility services technology platforms. These technology platforms include the following Allied's eligibility system of record, client web based eligibility maintenance portal, and X12 834 electronic data interchange (EDI). The eligibility specialist coordinates data transfers, processes data

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

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