Alliance Health

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 Justice Specialist is responsible for 1) identifying and connecting with justice partners amongst Alliance's region and building strong relationships; 2) facilitating community-based solutions to improve outcomes and engagement for persons who are involved with the justice system. This includes

The Administrative Assistant III provides administrative support to the claims team to ensure the efficient operation of the team, including handling high volume incoming and outgoing mail and high-volume inbound calls. The Administrative Assistant III also completes specific claims-related responsi

The Organizational Development (OD) Specialist II-Change Management is responsible for developing, implementing and evaluating strategies and initiatives to improve organizational effectiveness, specific to the function of Change Management and supporting organizational values and strategic goals. T

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 Vendor Relations Manager is responsible for overseeing the successful implementation, ongoing relationship and monitoring of large vendors serving Alliance members under delegated agreements and the contracts for Alliance’s value-added services program. This position serves as the intermediary b

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 Vendor Relations Specialist I is responsible for tracking and monitoring the performance and processes of the mail vendor. Additionally, this position manages the order fulfillment process of the value-added services (VAS) available to Alliance members through delegated vendors. This individual

Department Description The communications team manages the organization’s internal and external messaging to build brand reputation, engage stakeholders, and ensure consistent, strategic communication. This includes website and intranet management, management of social media programs, PR and media r

The Provider Network Evaluator II-Clinical Quality performs Clinical Quality Reviews (CQR), Oversight Reviews, and plan of correction implementation reviews of service providers contracted with Alliance Health. Additionally, in limited situations, Provider Network Evaluator II-CQ may investigate ins

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