Alliance Health

The Classification and Compensation Specialist will work directly with the HR Manager of Classification & Compensation to evaluate and communicate salary offers, conduct job analysis, and administer the classification and compensation system for the organization, ensuring jobs are evaluated appropri

The Classification and Compensation Coordinator will work alongside the Classification and Compensation Specialist and under the supervision of the Manager of Classification & Compensation to handle the administration functions of the Classification and Compensation team. The individual in this role

The Manager- Care Management Data Analytics leads the development of predictive and prescriptive analytical frameworks to drive operational excellence. This position directs the application of machine learning and advanced statistical programming to transform Care Management data into actionable bus

The Executive Assistant for the Member and Provider Services Operations Division is delegated responsibility for managing the administrative functions for the entire division and interacts routinely with all levels of Alliance leadership and staff, as well as external customers. This position will a

The Provider Network Relations Supervisor is responsible for developing and maintaining relationships with network providers, supporting providers by offering technical assistance, and recruiting providers to fulfill network needs. This position will assist in the coordination of cross-departmental

The Medical Management Team provides guidance and oversight of clinical services requested including authorization of services, clinical operations and overall clinical direction. The team is responsible for maintaining the clinical integrity of the program, including concurrent reviews of inpatient

The Behavioral Health Clinician is primarily responsible for coverage of the 24-hour Behavioral Health Crisis line, including conducting telephonic screening, triage and referral functions for individuals seeking services. The Clinician ensures that individuals calling with service needs are safely

The Accounts Payable Manager is responsible for managing the Organization’s Accounts Payable operations. This position is responsible for developing and maintaining accounting principles, practices and procedures to ensure an accurate and efficient accounts payable function as well as to ensure we a

The Director of Utilization Management (UM) for Physical Health is responsible for administering and coordinating physical health utilization management activities for Alliance. This position ensures the UM Department operates as an integrated department providing a holistic review of member’s needs

The Health Equity Specialist supports Alliance Health’s efforts to identify, reduce, and eliminate health disparities by advancing equitable access to high-quality, whole-person care for members and underserved communities. This role uses data analysis, community engagement, member outreach, quality

The Supervisor-External Clinical Quality Analyst oversees a team of licensed and non-licensed staff responsible for conducting quality assurance, compliance, and documentation reviews of provider-led Tailored Care Management records. The Supervisor-External Clinical Quality Analyst role ensures moni

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services

The Director-Data Platform Engineering is responsible for the strategic leadership, governance, and delivery of Alliance Health’s modern cloud based data engineering platform, replacing the legacy Enterprise Data Warehouse operating model. The Director-Data Platform Engineering provides enterprise a

The Cloud Data Architect is responsible for design and implementation of scalable enterprise-wide data architecture. The Cloud Data Architect optimizes data performance and accessibility, and ensuring data quality, integrity and security. This position is full-time remote. Selected candidate must re

The CRM Solution Architect is responsible for designing, governing, and optimizing CRM solutions across the enterprise. The CRM Solution Architect ensures that CRM platform and integration capabilities are used effectively to support business operations, technology strategy, and organizational objec

The Practice Transformation Specialist (PTS) works with Advanced Medical Homes (AMH+) and Care Management Agencies (CMA) in the Alliance Health region to improve quality of care. This position serves as a consultant to provider practice staff to improve patient outcomes by enhancing skills in proces

The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of h

The Actuarial Associate will analyze and interpret data related to cost, membership, capitation, Rate-setting, Incurred But Not Reported (IBNR) and other items as needed. They will use SQL/excel etc. to model data and assess financial risk and help develop exhibits to assist in the socialization of

The High Priority Reentry Peer Support Specialist responsible for providing re-entering individuals with Serious Mental Illness (SMI) and/or Severe and Persistent Mental Illness (SPMI), who are on the Department of Adult Correction (DAC) prioritization list, with education and support throughout the

The Provider Network Evaluator II-Clinical Quality Review (PNE II-CQR) holds and maintains clinical licensure as they are responsible for conducting as well as leading Clinical Quality Reviews (CQR), Oversight Reviews, and Plan of Correction implementation reviews of service providers contracted wit