Alliance Health

The AI Operations Engineer is responsible for the operational stability, reliability, and continuous performance of deployed AI models and services. The AI Operations Engineer ensures that AI solutions built are seamlessly operationalized, monitored, and maintained in production environments. By man

The AI Quality Engineer is responsible for ensuring the reliability, accuracy, and safety of AI-driven solutions from the earliest stages of development. This role is deeply integrated into the development lifecycle, focusing on building quality products by designing sophisticated evaluation framewo

The Analytics Engineer serves as a critical technical bridge between Data Engineering and Data Analytics, applying rigorous data engineering principles to the analytics development lifecycle. This role is responsible for creating, scaling, and managing high-value data assets (including metrics store

The Care Management for High-Risk Pregnancy (CMHRP) Care Manager provides comprehensive, member-centered care management services for eligible high-risk pregnant members enrolled in Alliance Health’s Care Management for High-Risk Pregnancy program. This position supports early identification, outrea

The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous revie

The Provider Network Evaluator I-HCBS works as part of the Provider Network Evaluation (PNE) Department on the Home and Community Based Services (HCBS) team. Home and Community Based Services provide opportunities for Medicaid beneficiaries to receive services in their own home or in community setti

The Provider Network Quality Assurance Specialist is responsible for monitoring, auditing, and improving the quality, accuracy, and compliance of provider network operations. The role supports provider data integrity, regulatory compliance, provider directory accuracy, and continuous process improve

The Manager of Quality Improvement provides leadership and operational management of Alliance Health’s Quality Improvement (QI) Program, ensuring alignment with organizational goals, regulatory requirements, and accreditation standards. This position is responsible for translating organizational, re

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 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 Artificial Intelligence Engineer (AI Engineer) will design, develop, deploy, and integrate machine learning models, AI tools, and other analytics products into Alliance systems and workflows to improve member health, quality of services, and administrative processes. The AI Engineer will help to

The In Reach and Engagement Specialist provides an essential function of the Transition to Community Living (TCL) program by supporting members with information about, and assistance with, accessing services and community resources to improve the individual’s health outcomes and aid in successful co

The In Reach and Engagement Specialist provides an essential function of the Transition to Community Living (TCL) program by supporting members with information about, and assistance with, accessing services and community resources to improve the individual’s health outcomes and aid in successful co

The Applications Configuration Specialist will function as a subject matter expert on core business functions, processes, workflows, application configurations, and product support for the business units utilizing healthcare management software. In this role, the specialist will demonstrate advanced

This position plans, designs, implements, conducts, and reports program evaluations of services delivered to recipients, including process/implementation evaluation, outcome evaluation, and cost benefit analysis. Ensures that services delivered are consistent with funding requirements, best practice

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