We are growing and looking for highly qualified individuals to join our team. The health insurance industry is fast paced and ever changing, presenting a challenging and engaging work environment for a variety of skill sets. Take advantage of an opportunity to fulfill your potential by submitting a completed application and your resume to firstname.lastname@example.org or by mail to 1503 N. Tibbs Rd, Dalton, GA 30720.
Managed Care Contractor
Under the guidance of the Director of Managed Care, the Managed Care Contractor plans, organizes and administers the company’s managed care contracting strategy. This position analyzes and negotiates contractual language; negotiates reimbursement with managed care plans, physicians, providers, hospitals and ancillaries; serves as liaison between managed care staff and vendors. Travel is required for this position. For a full job description, click here.
Quality Assurance Clinical Coordinator
The Quality Assurance Clinical Coordinator is responsible for organizing and overseeing the administrative aspects of health and clinical services related but not limited to NCQA, HEDIS and the Pharmacy & Therapeutics and Clinical Quality Improvement Committees. The Quality Assurance Clinical Coordinator works closely with the Quality Assurance Department to ensure that documentation and follow-up activities related to patient care are optimized for efficient and compliant provision of high quality patient care. For a full job description, click here.
The Systems/Network Administrator is responsible for the installation/configuration, operation and maintenance of hardware, software, related network infrastructure, and telephone system. Duties include daily health monitoring, securing, diagnosing of technical issues, research and upgrades. This individual ensures that all hardware, operating systems, software and related procedures adhere to organizational standards, values and strategic plan. This individual will work with team members, project teams and other departments in expanding or implementing new systems that meet organizational needs. For a full job description, click here.
Provider Relations Representative
The Provider Relations Representative is responsible for servicing their territory of HealthOne Alliance and Alliant Health Plans Network of Providers through public relations, problem solving, education, communication and support of the policies and procedures of Health One Alliance, Alliant Health Plans and the Provider Relations Department. This role will provide education, training, and support for all new network providers and continually support and educate all existing network providers. This position will also work to establish and maintain CMO communications protocols and schedules. For a full job description, click here.
The Applications Programmer is responsible for the overall success of each project assigned. They will implement computer system requirements by defining and analyzing system problems and designing and testing standards and solutions. This role will develop information systems by designing, developing, and installing software solutions. Additionally, this position will work closely with other departments to make sure each project is performed with quality, professionalism, and completed in a timely manner. For a full job description, click here.
IT Security and Risk Manager
The IT Security and Risk Manager is responsible for designing, planning, developing, implementing, maintaining, supporting and documenting all Company information security-focused tools, services, applications, and methodologies. The position will work with the Director of Information Technology to define the security direction for the Company, including systems, networks, user services, and vendor development efforts, and to develop and interpret information security policies and procedures. For a full job description, click here.
Report Writer and Data Analyst
The Report Writer and Data Analyst is responsible for data administration, analysis and management reporting for several proprietary applications. This position collaborates with end users to understand reporting requirements and uses Crystal Reports, Dev Express or similar report writer software to create a variety of simple to complex reports using Structured Query Language (SQL) queries. For a full job description, click here.
It is the policy of HealthOne Alliance, LLC to provide equal opportunity in employment for all qualified persons and to prohibit discrimination in employment because of race, color, age, religion, sex, national origin, handicap or disability. HealthOne Alliance, LLC will make reasonable accommodations for handicapped or disabled individuals.