Allied Benefit Systems Jobs in United States

Project Coordinator provides day-to-day coordination and documentation support across all modernization activities. This role is critical in driving structured execution by maintaining program documentation and facilitating cross-workstream collaboration. · Serve as the single po ...

The Manager leads the development delivery and continuous improvement of a program ensuring high quality care coordination advocacy for members with complex health needs. · Bachelor's degree or equivalent work experience required. · ...

The Care Plus Manager is responsible for leading a team dedicated to delivering innovative offerings through our Allied Digital platform under the Care Plus services. · Manages the Care Plus team including Care Navigators and Coordinators to ensure that requests are supported tim ...

Negotiate out-of-network claim payments with providers on behalf of group health plans. Such negotiations will be based on 1) various types of cost data, including "reasonable and customary" benefit levels and Medicare pricing, and 2) billing irregularities. · ...

The Claims Resolution Supervisor is responsible for monitoring and managing daily work within the RRT Department. Provides guidance and direction to team members. Develops and implements workflows as needed. · Oversees work activities and monitors workflow. · Motivates team membe ...

The Manager, AI · Financial Planning and Analysis will ensure Allied's AI investments translate into measurable business outcomes. This FP&A manager will design, set, and track KPIs, · build executive-ready reporting, and lead robust cost–benefit analyses across the AI portfolio ...

The Governance Risk and Compliance Analyst provides support for the development implementation and maintenance of security controls working cross functionally to ensure regulatory compliance requirements are met managing risk and maintaining a strong security posture. · ...

A leading benefits management company is seeking a Claims Operations Supervisor to manage various departments and lead team members effectively. The role includes inventory management and employee development in a remote-friendly environment. Candidates should have a bachelor's d ...

The Appeals Specialist is responsible for monitoring and tracking the status of appeals as they relate to the Allied Advocate program. · ...

The Case Management Nurse is responsible for managing Clinical teams supporting Allied's Clinical Case Management. · Manage clinical staff. · Support vendor clinical staff. · Collaborate with Medical leadership team. · ...

A leading benefits management company seeks a Client Relationship Manager to maintain key accounts and enhance client satisfaction. The role involves direct interactions with clients and brokers, supporting them with inquiries and claims while collaborating with various internal ...

The AI Quality Assurance Analyst is the quality champion for Allied's emerging AI capabilities ensuring that every model integration and automation works reliably and safely within our business processes. · This role requires a strong analytical skill to identify edge cases and p ...

The Project Analyst supports the claims operations team by reviewing and interpreting healthcare claim files (837 and 835), analyzing daily reports, and facilitating communication between Claim Operations and health plan partners including Anthem and Blue Shield. · Analyze and va ...

A leading benefits provider seeks a Claims Resolution Supervisor responsible for overseeing the Rapid Response Team and Refund Departments. Ideal candidates should have extensive claims processing experience, strong leadership skills, and the ability to motivate teams towards eff ...

The Claims Analyst will handle communications, adjustments, and closing out claims. · Review daily production reports and adjustment reports from Anthem. · Process all adjustment claims for Anthem and Blue Cross Blue Shield. · ...

The ECM Nutritionist delivers member-centered nutrition support that reduces risk, improves outcomes, and removes barriers to accessing evidence-based lifestyle support. · ...

Negotiate out-of-network claim payments with providers on behalf of group health plans based on cost data and billing irregularities. · Independently review and analyze health care claims for reasonableness of cost medically unnecessary treatment by physicians and hospitals fraud ...

This position is geared toward being the subject matter expert concerning the daily Treasury Services processes. · This role will perform typical Analyst level tasks while supporting the Treasury Services team with any day-to-day issues and concerns. Essential Functions · Complet ...

The Software Engineer II will be responsible for designing, developing and maintaining software applications on the Internal and External teams. · ...

The Automation Engineer will be responsible for creating and maintaining scalable test automation solutions. · Design, develop, and maintain automated test scripts. · ...