Alliance Health

The IDD Community Integration CM position provides a critical support to Alliance members with I/DD to successfully transition from an institutional setting into independent community living settings of their choice. Responsibilities include building relationships and rapport with members and provid

The Care Manager II-Facility Based provides Transitional Care Management and Physical Health Consultation for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. For Care Manager II-Facility Based assigned

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 Care Manager II-Facility Based provides Transitional Care Management and Physical Health Consultation for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. For Care Manager II-Facility Based’s assigne

The Clinical Planning and Policy Analyst is responsible for supporting the policy analysis, writing and research activities by identifying, obtaining, organizing and analyzing quantitative and qualitative data, reviewing academic and professional literature and gathering information from multiple so

The Risk Manager is responsible for leading and continuously maturing the organization’s Enterprise Risk Management (ERM) program for a Medicaid managed care organization. Reporting to the Chief Risk and Compliance Officer, this role provides second line oversight and enterprise wide coordination to

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 NCQA Quality & Accreditation Analyst serves as the project management lead and subject matter expert for assigned NCQA standard areas and manages the assessment of related business functions for corresponding departments within the scope of NCQA standards (e.g. Provider and Member Services, Util

The UM Clinical Specialist-Behavioral Health performs professional and administrative work, primarily utilization reviews, utilization management and active care management to ensure economical and effective consumer service delivery by PHIP enrolled network providers; The position is responsible fo

Provider Network Evaluator I (PNE I) is a QP level professional that works as part of the Provider Network Evaluation Department. The department has the responsibility for ensuring that providers are properly delivering services to Alliance members and their families and ensures any out of complianc

The Assistant General Counsel is responsible for performing a full range of legal services in support of Alliance as a member of the Alliance Office of Legal and Public Affairs. The work of the Assistant General Counsel will serve to mitigate legal risk to the organization through practice in a vari

The Physical Health Medical Director plays a key role within the Physical Health Medical Management Team, providing clinical oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports or

The Sr Psychologist – I/DD is a licensed professional who brings both clinical and health plan experience in intellectual and developmental disability (I/DD) to the Alliance Medical Management team, primarily performing utilization management (UM) activities (e.g., peer reviews, appeals) for request

Department Description As a specialized function of Human Resources, the Talent Acquisition (TA) Team strategically identifies, attracts, and hires highly qualified professionals to meet long-term organizational staffing goals. Role Description Alliance is seeking a Spring or Summer 2026 intern to j

The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. This position will support a person in securing and managing appropriate services, housing and community resources and requires a high level of collabora

The PNE Targeted Reviewer II holds and maintains clinical licensure and is responsible for conducting focused and targeted reviews that may include health and safety reviews, quality of care issues, intensive incident report reviews, and determines the appropriateness of clinical services delivered

The SharePoint Developer develops and designs SharePoint websites and designs forms. Developers are responsible for ensuring that requirements are met, and the developed solution is technically sound. The SharePoint Developer will employ technologies that adhere to standards established by the organ