The analyst supports strategic and financial objectives by analyzing claims data for current and prospective client health plans. They assist in preparing business proposals, managing stop loss coverage, and collaborating with sales teams to facilitate client acquisition.
Allied Benefit Systems
44 Remote Job Openings at Allied Benefit Systems
Remote Case Manager, Benefits & Care Navigation
Allied Benefit Systems
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Full Time
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3 days ago
Allied Benefit Systems
Develop and implement strategic care plans for members by coordinating with specialized vendor partners and clinical teams. Manage communication with CMS and prescription drug vendors to optimize member health outcomes and cost savings.
Product Manager, Provider Networks - Remote
Allied Benefit Systems
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Full Time
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3 days ago
Allied Benefit Systems
Act as the Subject Matter Expert for provider network partnerships, managing relationships and creating product documentation. Collaborate cross-functionally to resolve complex issues and analyze performance metrics to implement process improvements.
The Account Executive is responsible for driving new business growth by cultivating relationships with brokers and consultants. This includes managing complex negotiations, executing sales strategies, and preparing RFPs to maximize revenue.
Proposal/RFP Specialist - Remote
Allied Benefit Systems
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Full Time
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4 days ago
Allied Benefit Systems
Collaborate with the Senior Proposal Manager to develop and submit high-quality, tailored proposals. Maintain and expand the RFP response database to ensure content is accurate and up-to-date.
Stop Loss Claims Specialist I-Aggregate
Allied Benefit Systems
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Full Time
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5 days ago
Allied Benefit Systems
Responsible for preparing, filing, and following up on medical stop loss claims for aggregate coverage. Duties include managing appeals for denied reimbursements and auditing aggregate positions and funding balances.
The Campaign Manager executes and optimizes omnichannel product marketing campaigns to drive member enrollment and engagement. This includes managing end-to-end delivery, creating member-facing content, and analyzing performance metrics to improve results.
The Billing Coordinator manages the end-to-end billing process, including invoicing, payment processing, and account reconciliation. They are responsible for maintaining accurate financial records and auditing client accounts to ensure correct allocation.
Medical Plan Configuration Analyst - Remote
Allied Benefit Systems
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Full Time
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6 days ago
Allied Benefit Systems
Analyze plan documents to accurately build and maintain group set-ups and coding within the Qiclink system. Coordinate with account management to ensure benefit levels are correctly coded and resolve issues identified by claims or customer service.
Lead the strategic and operational execution of Allied's integrated marketing engine to drive brand equity and pipeline growth. Oversee brand strategy, content distribution, event marketing, and the marketing technology stack while managing a high-performing team.
Remote Case Manager, Clinical Review & Care Optimization
Allied Benefit Systems
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Full Time
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12 days ago
Allied Benefit Systems
The Case Manager reviews clinical data and claims to develop strategic care plans for members with various health scenarios. They coordinate with vendors, clinicians, and CMS to implement these plans and document health outcomes and cost savings.
Manage the full recruitment lifecycle from sourcing and interviewing to hiring and onboarding. Partner with hiring managers to develop recruitment strategies and create accurate job descriptions to attract high-quality talent.
Stop Loss Claims Specialist II-Specific
Allied Benefit Systems
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Full Time
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14 days ago
Allied Benefit Systems
Responsible for preparing, filing, and monitoring medical stop loss claims for reimbursement with carriers. Duties include handling appeals for denied claims and training team members on departmental workflows.
Treasury Services Specialist
Allied Benefit Systems
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Full Time
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14 days ago
Allied Benefit Systems
The Treasury Services Specialist acts as a subject matter expert managing daily treasury processes and client account reconciliations. The role involves implementing new business banking setups, managing vendor maintenance, and leading training for team members.
The Data Analyst manages inbound and outbound EDI projects, specifically focusing on ANSI X12-834 eligibility files and custom data extracts. They are responsible for configuring, testing, and monitoring data integrations while resolving discrepancies between internal teams and external partners.
Client Service Representative
Allied Benefit Systems
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Full Time
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18 days ago
Allied Benefit Systems
Acts as the primary liaison between clients, brokers, and internal departments to resolve benefit plan inquiries and claim issues. Responsible for troubleshooting internal processes and facilitating case renewals through claim reviews.
The Client Executive is responsible for driving new business growth by cultivating relationships with brokers and consultants. They manage complex negotiations, execute sales strategies, and handle the renewal process for their assigned book of business.
Remote Appeals Coordinator (No Surprise Act)
Allied Benefit Systems
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Full Time
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18 days ago
Allied Benefit Systems
The Appeals Specialist monitors and tracks the status of appeals for the Allied Advocate program, reviewing documentation for appropriateness and validity. They are responsible for documenting claim specifics in software and coordinating resolutions with business partners.
The Technical Product Manager acts as the primary link between business stakeholders and development teams to drive the delivery of innovative products. They are responsible for defining the product backlog, managing roadmaps, and optimizing operational efficiency through Agile processes.
Client Service Representative
Allied Benefit Systems
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Full Time
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19 days ago
Allied Benefit Systems
The Client Service Representative acts as the primary point of contact for members, brokers, and HR representatives to resolve inquiries and issues. They liaise between clients and internal departments to manage claim resolutions, reporting, and the renewal of existing cases.
Supervisor, Administrative Support
Allied Benefit Systems
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Full Time
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19 days ago
Allied Benefit Systems
Oversees the daily operations of the Administrative Support Team, including claims intake, data entry, and correspondence. Responsible for monitoring productivity, documenting workflows, and developing staff through coaching and performance appraisals.
The Product Analyst supports the product management team by managing the intake, assessment, and tracking of product requests and enhancements. They are also responsible for creating and maintaining product documentation and training materials.
Stop Loss Claims Specialist I-Specific
Allied Benefit Systems
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Full Time
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24 days ago
Allied Benefit Systems
Responsible for preparing, filing, and following up on medical stop loss claims for reimbursement with carriers. This includes managing appeals for denied claims and maintaining supporting documentation for individual stop loss coverage.
Supervisor, Claims Operations
Allied Benefit Systems
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Full Time
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25 days ago
Allied Benefit Systems
The Supervisor of Claims Operations monitors daily workflows and manages the training and development of claims department staff. They are responsible for leading employees to meet productivity and quality goals while ensuring compliance with privacy laws like HIPAA.
Manage day-to-day operations for Claims Appeals, Medical Review, and Subrogation teams while monitoring performance metrics. Provide leadership, technical guidance, and strategic analysis to optimize claims production and enterprise initiatives.
Manage a book of self-funded group health plans, serving as the primary resource for clients and brokers. Responsibilities include reviewing plan performance, ensuring ACA compliance, and conducting client presentations to ensure retention.
Supervisor, Customer Experience
Allied Benefit Systems
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Full Time
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a month ago
Allied Benefit Systems
Oversees a team of Customer Experience Specialists to ensure high-quality service delivery and operational efficiency. Responsible for coaching staff, monitoring performance metrics, and resolving escalated customer issues.
The Billing Specialist II is responsible for processing and auditing client invoicing, managing electronic billing data, and reviewing rate sheets. The role also involves resolving complex billing discrepancies and providing mentorship to junior staff members.
The Billing Specialist I is responsible for processing accurate client invoices, managing collections, and handling account setups and audits. They also maintain tracking reports using Excel and Access databases to ensure billing accuracy.
Senior Technical Business Analyst
Allied Benefit Systems
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Full Time
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a month ago
Allied Benefit Systems
The Senior Technical Business Analyst reviews user needs to create system solutions and documents technical specifications to drive development. They collaborate with stakeholders and scrum teams to translate business requirements into user stories and ensure technical feasibility.
The Senior Application Engineer analyzes, troubleshoots, and resolves technical issues for Cognizant QicLink software and associated applications. They collaborate with business owners to implement system enhancements, integrations, and maintenance strategies.
Operations Implementation Manager
Allied Benefit Systems
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Full Time
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a month ago
Allied Benefit Systems
Manage the end-to-end implementation of new products, services, and vendor relationships while coordinating with internal and external stakeholders. Develop detailed project plans, track milestones, and optimize operational workflows to ensure project success.
Treasury Services Specialist
Allied Benefit Systems
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Full Time
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a month ago
Allied Benefit Systems
The Treasury Services Specialist acts as a subject matter expert managing daily treasury processes and client account reconciliations. The role involves implementing banking setups, managing vendor maintenance, and leading training for team members.
AI Agent Experience Designer
Allied Benefit Systems
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Full Time
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a month ago
Allied Benefit Systems
The role focuses on optimizing and advancing the performance of AI-driven agents and autonomous workflows to ensure high-quality outcomes. This includes crafting prompt instructions, designing conversation paths, and partnering with engineering to align AI behavior with business goals and regulated benefits operations.
The Senior Software Engineer is responsible for architecting and designing scalable internal and external products while mentoring junior developers. They serve as a technical lead to resolve blockers and ensure the successful delivery of project roadmaps.
Lead the implementation and maintenance of inbound and outbound EDI projects, specifically focusing on ANSI X12-834 eligibility files. Act as the primary point of contact for data operations, ensuring accurate configuration, testing, and resolution of file processing issues.
The EDI Specialist is responsible for the daily retrieval, submission, and reconciliation of inbound and outbound data files. They also provide support to trading partners, conduct internal audits, and train staff on updated departmental procedures.
The Quality Assurance Auditor is responsible for auditing medical, dental, and vision claims, as well as outgoing correspondence and claim adjustments. They must also track audit trends, report results to management, and identify opportunities for process improvements.
The Senior IT Data Analyst performs quantitative analysis of complex business situations and develops tools for data visualization and reporting. They also act as a technical lead to resolve issues, ensure data quality, and support business teams with real-time insights.
Software Engineering Apprentice
Allied Benefit Systems
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Full Time
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2 months ago
Allied Benefit Systems
The Software Engineering Apprentice will support the configuration, optimization, and maintenance of low-code/no-code platforms to build business applications. They will collaborate with users and technical teams to design, test, and deploy solutions while exploring new platform features.
Senior Software Engineer - Backend
Allied Benefit Systems
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Full Time
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3 months ago
Allied Benefit Systems
The Senior Software Engineer Backend is responsible for designing and developing backend software solutions, including APIs and business logic, supporting digital products, while also providing technical guidance to junior developers. This role involves contributing to feature delivery, supporting platform health, and resolving technical issues to ensure successful project delivery.
The Quality Assurance Auditor will independently and collaboratively complete multiple audit tasks, including auditing plan builds, outgoing correspondence from various teams, and claim adjustments. Responsibilities also involve interpreting plan benefits to determine payment tracking and reporting within the QicLink system.
This role is responsible for driving the internal execution of Artificial Intelligence initiatives, focusing on deploying Generative AI, predictive modeling, and intelligent automation across real business workflows. The Product Owner will define product requirements, manage AI roadmaps, and coordinate delivery across engineering, data science, and business teams to solve problems at scale.
Regional Vice President, Sales - St Louis
Allied Benefit Systems
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Full Time
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5 months ago
Allied Benefit Systems
The Regional Vice President, Sales is responsible for driving new business development and managing the sales team to achieve revenue growth and client retention. This role involves cultivating relationships with brokers, managing negotiations, and collaborating with account management for renewals.