Jobs at Allied Benefit Systems Inc

Design, build, and maintain backend services and APIs, collaborate with frontend and product teams, ensure scalable architectures, contribute to CI/CD and cloud deployments, mentor junior engineers, participate in code reviews, and ensure compliance with HIPAA/HITECH.

Execute end-to-end group medical premium billing using QicLink: import/validate billing files, generate/distribute invoices, reconcile discrepancies, set up accounts, audit configurations, maintain reporting (Excel/Access/Power BI), partner with AR/AP/Eligibility/Client Services, perform root-cause analysis, and ensure internal controls and billing accuracy.

Lead support and enhancement of Cognizant QicLink: analyze, troubleshoot, test, and resolve software and data issues; implement integrations and system enhancements; support data requests, QA, patch releases, and upgrades; collaborate with business and technical teams to improve performance and reduce defects.

Supervise daily administrative support operations for claims intake, documentation, data entry, and correspondence. Monitor team performance, maintain workflow documentation, develop training materials, generate workflow reports, coach staff, set goals, manage priorities, lead projects, and act as vendor contact to ensure timely, accurate claims processing and continuous process improvements.

Manage inbound/outbound EDI files (including 837s), audit and reconcile data, run Access queries and Excel reports, encrypt/decrypt and transfer files, resolve failed transactions, train EDI coordinators, handle audits and departmental projects, and provide support to internal staff and trading partners.

Lead data analytics for sales and customer performance: design, develop, and maintain SQL-based ETL and reporting solutions, ensure data quality and governance, build dashboards (Power BI/SSRS), support tech teams on security/access, and analyze healthcare datasets to inform product and program decisions.

Sell health benefits solutions by building broker relationships, managing negotiations and renewals, processing RFPs, conducting presentations and open enrollments, and providing routine account service for self-funded plans.

Lead architecture, design, development, testing, and deployment of internal and external products using the Microsoft stack. Mentor junior developers, perform code reviews, resolve technical blockers, build and maintain CI/CD pipelines, collaborate with stakeholders, and ensure compliance with HIPAA/HITECH and security/privacy requirements.

Deliver and support inbound/outbound EDI (ANSI X12-834) and claims file implementations, perform EDI mapping and testing, monitor file processing, troubleshoot data discrepancies, coordinate cross-functional stakeholders, and maintain data integration documentation and quality controls.

Prepare, file, and monitor individual stop loss (specific) medical claims for reimbursement; follow up with carriers, handle appeals for denied/reduced reimbursements, retain documentation, train team members, and coordinate priority/high-dollar claims.

Lead regional sales in St. Louis driving new business, revenue, member growth, and client retention. Manage broker relationships and sales team, negotiate contracts and renewals, prepare and evaluate RFPs, deliver presentations and open enrollment support, and provide routine account service and issue resolution.

Lead end-to-end implementations of inbound/outbound EDI (ANSI X12-834) eligibility files and data extracts. Configure, test, validate, and troubleshoot 834 files; coordinate vendors and internal teams; monitor processing, resolve data discrepancies, document configurations, and support data quality and integration initiatives.

Lead implementation of operational projects, new products, services, and vendor relationships through PMO frameworks. Develop project plans, track milestones, manage risks and QA, run meetings, report status, guide change management, optimize processes, and ensure timely delivery while collaborating with cross-functional teams and ensuring alignment with PMO standards.

Supervise and coach claims staff, manage workflows and reports, ensure compliance with HIPAA/HITECH, train new hires, monitor productivity/quality, and support cross-departmental claim payment questions.

Perform audits of plan coder builds, outgoing correspondence, and claim adjustments; log and report audit results and trends; communicate findings and training needs to management; ensure workflow compliance and audit deadlines are met.

Drive product delivery as the link between stakeholders and development teams: define and prioritize backlog, write requirements and user stories, oversee UAT and releases, track KPIs, run Agile ceremonies, and continuously improve product features and operational efficiency.

Support product management by intake, assessing, tracking, and documenting product requests and enhancements. Researches inquiries, creates and maintains product documentation and training materials, coordinates with marketing and internal teams, assists with product opportunity assessment, and supports projects and team initiatives.

Analyze user needs and translate them into technical specifications and user stories. Create wireframes, SQL queries, and flow/data-flow diagrams. Work with stakeholders, scrum teams, and developers using Agile to design, test, and implement system solutions while documenting requirements and communicating progress.

Lead Allied's integrated marketing function, owning brand, events, content, lifecycle, and martech. Build scalable programs and teams, align cross-functionally with Sales and Product, manage budgets, measure ROI, and drive pipeline growth and retention for broker and employer audiences.

Owns provider network product relationships and documentation, serves as SME for network partnerships, tracks performance, manages escalations, supports sales and marketing, and drives cross-functional improvements and initiatives.