Alliance

Role Description The Medical Economics Analyst performs detailed statistical analysis related to the organization’s service delivery. The Analyst will create and manage reports that monitor care utilization, premium, and MLR. The Analyst will support the Director of Medical Economics in identifying potential cost of care initiatives and will work closely with other areas of the business to monitor their efficacy. This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed. Responsibilities & Duties - Care Utilization Analysis - Analyze and monitor care utilization through the lens of Medical Economics Metrics, including but not limited to: PMPM, Utilization per thousand, prevalence and intensity. - Develop and maintain reports related to Care Utilization, Premium and Pay for Performance plans. - Monitor monthly utilization patterns and create utilization forecasts. - Identify cost drivers and work with the Director of Medical Economics to develop action plans. - Develop and maintain ad hoc care utilization reporting tools for business stakeholders. - Financial Forecasting - Create and maintain financial models to assess the impact of Medical Cost Action Plans. - Assess the financial impact of rate and policy changes made by the State of North Carolina to the Medicaid Tailored Plans. - Reporting and Data Visualization - Utilize SQL, Excel and MicroStrategy to develop and maintain dashboards, reports, and other data visualizations for various business stakeholders. - Research and Collaboration - Stay up to date on industry trends, regulations and healthcare policies that may impact Alliance’s financial performance. - Collaborate with cross-functional teams, including Utilization Management and Provider Network, to develop data-driven recommendations and actionable strategies. Qualifications - Bachelor’s Degree in Healthcare Management, Health Informatics, Economics, Statistics, Finance, or a related field. - At least three (3) years of experience in finance or analytics. Requirements - Thorough knowledge of financial data analysis and methodology, preferably with experience in a healthcare field. - Strong Microsoft Office skills. - Expert proficiency in Excel and SQL. - Strong Business Acumen. - Strong analytical and quantitative skills. - Problem solving skills. - Strong written and verbal communication skills for a diverse work group, and an ability to present complex data to non-technical stakeholders. - Ability to work independently. - Ability to develop strong working relationships with divergent groups and communicate technical concepts to lay persons. - Ability to solicit cooperation from persons and departments throughout the organization. - Ability to resolve complex problems that require the evaluation of alternative methods and solutions. - Ability to set objectives and prioritize workflow. - Ability to make prompt decisions on complex matters and make evaluations concerning day to day operations. - Ability to prepare concise and accurate reports and plans. Benefits - Medical, Dental, Vision, Life, Long Term Disability. - Generous retirement savings plan. - Flexible work schedules including hybrid/remote options. - Paid time off including vacation, sick leave, holiday, management leave. - Dress flexibility. Salary Range $60,2341-$76,799/Annually. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

Role Description The Cloud Architect is responsible for the enterprise cloud governance framework, ensuring all development adheres to architecture, security and compliance standards. These responsibilities include driving the evolution of the cloud platform, defining the roadmap for services and applications built upon it. This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed. Responsibilities & Duties - Cloud Architecture Design and Governance - Own and evolve the enterprise Microsoft Azure cloud architecture and integrated data platforms (e.g., Databricks). - Establish and enforce architectural patterns, reference designs, and enterprise standards for all cloud development. - Define and maintain enterprise naming standards, tagging strategies, and subscription management models to support governance, cost transparency, and operational efficiency. - Govern the design and structure of Infrastructure as Code (IaC) modules and templates (Terraform). - Conduct regular architectural reviews to ensure solutions align with established standards and strategic goals. - Cloud Strategy and Roadmap Development - Partner with business and platform leaders to translate requirements into a strategic cloud vision. - Develop and own the multi-year enterprise cloud strategy and technology roadmap. - Align the cloud roadmap with enterprise application modernization, data strategy, and digital transformation initiatives. - Evaluate emerging Azure services and industry trends to drive platform innovation and optimization. - Cloud Security, Compliance, and Financial Governance (FinOps) - Own the architectural design of the cloud security framework, ensuring continuous regulatory compliance. - Establish and govern Azure policies and security controls for continuous compliance and risk mitigation. - Partner with cybersecurity and compliance teams to support audits, risk assessments, and regulatory reporting related to cloud services. - Define and implement a FinOps strategy, including standards for cost optimization, budgeting, and forecasting. - Technical Leadership and Stakeholder Collaboration - Communicate architectural designs and strategic decisions to executive leadership and key stakeholders. - Serve as the chief technical authority on cloud architecture, collaborating with platform, security, and application teams to ensure alignment. - Develop and deliver cloud architecture guidance, standards, and best practices through documentation and presentations. - Provide architectural oversight, technical leadership, and mentorship to the cloud engineering team. Qualifications - Bachelor’s degree in computer science or related field. - At least five (5) years of experience working as a Cloud Architect with direct involvement and responsibilities architecting a Microsoft Azure cloud platform, preferably in a healthcare setting. - At least one of the following (or comparable) technical certifications is required: - Azure Solutions Architect Expert (AZ-305) - Azure Security Engineer Associate (AZ-500) - Identity and Access Administrator Associate (SC-300) - ISC2 Certified Cloud Security Professional (CCSP) - Databricks Certified Associate Architect for Apache Spark Requirements - Enterprise-scale Microsoft Azure Landing Zones. - Azure native security and governance tools, including Azure Policy, Defender for Cloud, and Microsoft Entra ID. - Infrastructure as Code (IaC) with Terraform. - Cloud-native data platforms (e.g., Azure Databricks). - Cloud FinOps best practices. - DevOps, Git and CI/CD best practices. - Architectural artifacts & documentation (e.g., technical specs, policies, procedures, architecture diagrams). - Agile methodology and tools. - HIPAA/HITECH compliance in cloud architectures. - Technical leadership skills. - Communication and organizational skills. - Ability to work independently and in a team setting. - Experience working with healthcare infrastructure. Benefits - Medical, Dental, Vision, Life, Long Term Disability. - Generous retirement savings plan. - Flexible work schedules including hybrid/remote options. - Paid time off including vacation, sick leave, holiday, management leave. - Dress flexibility. Salary Range $116,011-$147,914/Annually. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Employment Conditions Employment for this position is contingent upon a satisfactory background and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Role Description The Director of Human Resources-Talent Acquisition and Compensation is a strategic and hands-on leader responsible for shaping and executing Alliance’s talent acquisition and compensation strategies. This role oversees end-to-end recruiting operations and organization-wide compensation programs to attract, engage, and retain top talent while ensuring internal equity, market competitiveness, and regulatory compliance. This position partners closely with HR and Senior Leadership to align hiring and compensation strategies with business priorities, budget constraints, and workforce needs. They leverage data and analytics to inform decisions, monitor market trends, and drive continuous improvement in hiring effectiveness, pay equity, and retention outcomes. This position is primarily full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) or other office locations for business and other onsite meetings as needed. Responsibilities & Duties - Oversee Talent Acquisition and Compensation Operations - Plan, direct, and manage talent acquisition and compensation initiatives - Lead, coach, and develop the Recruiting Manager and Compensation Manager - Use data and workforce planning insights to drive decision-making - Advise HR leadership on talent markets and pay trends - Optimize recruiting processes and partnerships with hiring managers - Lead initiatives to achieve the organization’s recruitment metrics - Lead design and governance of compensation structures - Conduct market pricing and benchmarking - Provide guidance and direction on offers, promotions, and pay adjustments - Identify, develop, and recommend programs, policies/procedures and approaches to meet the needs of employees and the organization - Analyze and propose modifications to HR policies and procedures - Maintain compliant processes across recruiting and compensation - Monitor and ensure the organization's compliance with federal, state, and local employment laws and regulations - Ensure compliance with wage laws and pay transparency - Build or enhance compensation and recruiting reports/dashboards - Track and analyze recruiting and compensation trends - Lead pay equity analyses - Collaborate with peers and leaders to ensure applicable organizational training - Advise and collaborate with HR senior leadership - Support management and staff by providing human resources advice, counsel, and decisions - Work collaboratively with all Alliance staff to enhance cross-departmental effectiveness - Direct, plan, prioritize HR programs, activities and initiatives - Ensure staff are well trained in and comply with all organization and department policies - Organize workflows and ensure staff understand their roles and responsibilities - Ensure the teams have the needed tools and resources to achieve organizational goals - Actively establish and promote a positive, diverse, and inclusive working environment - Ensure all staff are treated with respect and dignity - Ensure standards are transparent and applied consistently - Work to resolve conflicts and disputes - Establish team work plan that prioritize the most effective steps for achieving desired HR practices - Set team goals for performance and deadlines in line with organization goals and vision - Effectively communicate feedback and provide ongoing coaching and mentoring to staff - Cultivate and encourage efforts to expand cross-team collaboration and partnership Qualifications - Bachelor's degree from an accredited college or university in Human Resources or related field - Five (5) years of progressive experience in Human Resources - At least three (3) years of supervisory experience Requirements - Human Resource certification (PHR, SPHR, SHRM-CP, or SHRM-SCP) preferred - Knowledge of federal, state, and local laws (FLSA, FMLA, ADA, Title VII, EEOC, OSHA, wage & hour, leave laws) - Business acumen and management principles involved in strategic planning - Ability to build trust and credibility, handling confidential information with integrity - Knowledge of recruiting, interviewing, selecting, hiring, promoting, and dismissing employees - Ability to establish and maintain effective working relationships - Ability to communicate effectively, both verbally and in written form - Must be well educated in cultural diversity issues - Ability to analyze complex employee issues and make sound, ethical decisions under pressure Benefits - Medical, Dental, Vision, Life, Long and Short Term Disability - Generous retirement savings plan - Flexible work schedules including hybrid/remote options - Paid time off including vacation, sick leave, holiday, management leave - Dress flexibility Salary Range $116,929 to $149,080/annual. Exact compensation will be determined based on the candidate's education, experience, external market data, and consideration of internal equity. Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Role Description The Director of Human Resources-Employee Relations and Benefits is a strategic and hands-on leader responsible for shaping and executing Alliance’s Employee Relations and Benefits strategies. This role oversees organization-wide employee benefit programs and employee relations practices to ensure fair, consistent, and legally compliant practices. This position partners closely with HR, Legal, and Senior Leadership teams to address complex workforce issues, drive engagement, and strengthen organizational culture. They also use data and insights to inform decisions, improve programs, and proactively identify trends impacting employee satisfaction and retention. This position is primarily full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) or other office locations for business and other onsite meetings as needed. Responsibilities & Duties - Oversee Employee Relations and Benefit Operations - Plan, direct, and manage employee relations and benefits initiatives - Lead, coach, and develop the Employee Relations Manager and Benefits Manager - Use data and workforce planning insights to drive decision-making - Advise HR leadership on benefits strategy, workforce trends, and organizational climate - Lead initiatives to enhance total health and wellness - Partner with legal on employee relations and benefits issues impacting the organization to ensure fair and consistent practices - Identify, develop, and recommend programs, policies/procedures and approaches to meet the needs of employees and the organization, applying current industry knowledge and future industry direction - Analyze and propose modifications to HR policies and procedures including those subject to substantial equivalence guidelines - Represent Alliance at personnel-related meetings, hearings and investigations - Maintain compliant processes across benefits and employee relations - Maintain investigation protocols and documentation standards - Monitor and ensure the organization's compliance with federal, state, and local employment laws and regulations, and recommended best practices; review and modify policies and practices to maintain compliance - Ensure compliance with wage laws and pay transparency - Build or enhance employee relations and benefits reports/dashboards to include complaints and grievances, disciplinary actions, ADA, FMLA - Track and analyze ER trends, recommend solutions, and lead implementation of approved solutions - Collaborate with peers and leaders to ensure applicable organizational training is conducted for HR programs, processes, and procedures - Advise and collaborate with HR senior leadership to understand the organization's goals and strategy related to engagement, retention, and benefits - Support management and staff by providing human resources advice, counsel, and decisions - Work collaboratively with all Alliance staff to enhance cross-departmental effectiveness - Direct, plan, prioritize HR programs, activities and initiatives to attract, maintain, and retain a highly qualified and well-trained workforce - Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes - Organize workflows and ensure staff understand their roles and responsibilities - Ensure teams have the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements - Actively establish and promote a positive, diverse, and inclusive working environment that builds trust - Ensure all staff are treated with respect and dignity - Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members - Work to resolve conflicts and disputes, ensuring that all participants are given a voice - Establish team work plans that prioritize the most effective steps for achieving desired HR practices - Set team goals for performance and deadlines in line with organization goals and vision - Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development - Cultivate and encourage efforts to expand cross-team collaboration and partnership Qualifications - Bachelor's degree from an accredited college or university in Human Resources or related field such as psychology, sociology or business - Five (5) years of progressive experience in Human Resources with at least three (3) years of supervisory experience Requirements - Human Resource certification (PHR, SPHR, SHRM-CP, or SHRM-SCP) - Knowledge of federal, state, and local laws (FLSA, FMLA, ADA, Title VII, EEOC, OSHA, wage & hour, leave laws) including laws and codes specific to local government - Business acumen and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, efficiency methods, and coordination of people and resources - Ability to Build Trust & Credibility, handling confidential information with integrity and serving as a fair, consistent, and ethical leader - Knowledge of recruiting, interviewing, selecting, hiring, promoting, and dismissing employees in an organization - Ability to establish and maintain effective working relationships with others - Ability to communicate effectively, both verbally and in written form with all levels in the organization - Must be well educated in cultural diversity issues and sensitive in interactions with various and diverse members of the staff and community - Ability to analyze complex employee issues and risk scenarios and make sound, ethical decisions under pressure Benefits - Medical, Dental, Vision, Life, Long Term Disability - Generous retirement savings plan - Flexible work schedules including hybrid/remote options - Paid time off including vacation, sick leave, holiday, management leave - Dress flexibility Salary Range $116,926 to $149,080/annual. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Role Description The Supervisor for Complex Case Management will provide supervision, coaching, and monitoring of the Complex Case Management team, a team of licensed clinicians responsible for coordinating care for members identified for Complex Case Management. The position will ensure that the Complex Case Management team performs work that aligns with Alliance’s CCM program description and NCQA guidelines. This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required. Responsibilities & Duties - Supervision and Development of Staff - Work with Human Resources and Unit Director to maintain and retain a highly qualified and well-trained workforce. - Ensure staff are well trained in and comply with all organization and department policies, procedures, business processes, and workflows. - Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements. - Actively establish and promote a positive, diverse, and inclusive working environment that builds trust. - Ensure all staff are treated with respect and dignity. - Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members. - Work to resolve conflicts and disputes, ensuring that all participants are given a voice. - Set goals for performance and deadlines in line with organization goals and vision. - Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development. - Cultivate and encourage efforts to expand cross-team collaboration and partnership. - Supervise Team/Unit Operations - Participate in the initiation, development, and maintenance of clinical protocols and other population-based programs, facilitating collaboration and consensus of multidisciplinary teams. - Oversee the development of department specific goals and objectives ensuring alignment with NCQA and contractual requirements, system strategy, vision, mission, and values. - Formulate, implement, and evaluate strategies for specialized staff education as it relates to member care, complex case management and plan of care development. - Ensure members identified and/or referred to Complex Case Management are assigned timely to a Complex Case Manager. - Data/Analytics - Review, validate and interpret risk stratification data and population health groups and recommend changes or adjustments to care management approach as needed. - Utilize data systems to monitor process improvement and resource utilization. - Knowledgeable of HEDIS measurements and population health within a complete care model. - Utilize evidence-based practice to ensure quality outcomes for members. - Utilize data to analyze needs of the members we serve, guide staff training development, identify resource needs and consistency of workflow implementation across disciplines. - Compliance and Quality Monitoring - Ensure adherence to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures. - Make recommendations to improve department procedures and increase operational efficiency. - Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the organization. - Travel - Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required. - Travel to meet with members, providers, stakeholders, attend court hearings etc. is required. Qualifications - Master’s degree in Human Services or related field and three (3) years of experience providing complex care management, case management, or care coordination to the population being served. A license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession (examples include LCSW, LMFT, LCAS, LCMHC, LPA, RN) required. - Or Graduation from an accredited nursing school with Registered Nurse license and three (3) years of experience with at least two years of applicable experience providing complex care management, case management, or care coordination to the population served. - Leadership experience required. Preferred - Master’s Degree from accredited Program in Nursing and Three (3) years of full-time, post degree experience providing care management, case management, or care coordination to members with Behavioral Health and/or Physical Health conditions. - Two (2) or more years leadership experience preferred. Knowledge, Skills, & Abilities - Demonstrated knowledge of the assessment and treatment of mental health, substance abuse, intellectual and developmental disabilities. - Knowledge of legal, waiver, accreditation standards and program practices/requirements. - Knowledge of the Alliance Health service benefit plans and network providers. - Person Centered Thinking/planning. - Detail oriented. - Ability to independently organize multiple tasks, priorities, and to effectively manage an assigned caseload under pressure of deadlines. - Exceptional interpersonal skills, highly effective communication ability. - Ability to make prompt independent decisions based upon relevant facts and established processes. - Problem solving, negotiation and conflict resolution skills. - Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required. Requirements - Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Salary Range $77,868 - $99,282/Annually. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Benefits - Medical, Dental, Vision, Life, Long Term Disability. - Generous retirement savings plan. - Flexible work schedules including hybrid/remote options. - Paid time off including vacation, sick leave, holiday, management leave. - Dress flexibility. Company Description Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: Watch Video

Role Description Alliance is seeking a Spring or Summer 2026 intern to join the Human Resources Talent Acquisition team. The ideal candidate is motivated to learn and develop skills in recruitment and HR processes. This role supports core HR functions, including: - Recruiting coordination - Document management - Career fair logistics The intern will work remotely and must reside in North Carolina. Compliance training in Morrisville is required prior to the start date. While there is no expectation of coming into the office routinely, the selected candidate must reside in NC and be available to report onsite to the Alliance Home Office (Morrisville, North Carolina) for business meetings as needed. What You’ll Gain - Mentorship and guidance from experienced HR professionals - Hands-on exposure to recruitment and talent initiatives, including sourcing, candidate engagement, and project-based work - An excellent opportunity for students pursuing a degree in Human Resources, Business, or a related field to gain real-world experience in a growing, fast-paced healthcare environment - Internship may be extended through Summer 2026 Intern Responsibilities & Duties - Maintain confidentiality with discretion and professionalism - Support recruitment efforts by sourcing and screening candidates - Provide administrative support, including scheduling and candidate communication - Assist with recruitment marketing initiatives, including referral programs and employer branding - Contribute to projects such as SOP development, interviewer training, and talent pipeline initiatives - Deliver a positive candidate experience through timely and effective communication Qualifications - Must be currently enrolled in a local college or university and majoring in Human Resources, Public Administration, Business Administration, or a related field - Pursuing a bachelor’s (sophomore–senior) or master’s degree in human resources preferred - Minimum GPA of 2.5 Requirements - Proficient in Microsoft Office, including PowerPoint and Excel - Strong written and verbal communication skills - Excellent attention to detail and organizational abilities - Prior experience with recruitment marketing and employer branding strategies is preferred Compensation This is an unpaid internship, does not include employee benefits, and does not guarantee future employment.

Role Description 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, the Provider Network Evaluator II-CQ may investigate instances of concern to ensure individuals receive sufficient, safe, and effective services rendered by providers in the Alliance Health network. This position is full-time remote. The selected candidate must reside in North Carolina and within a 60-mile radius of any of the Alliance Offices. Some travel for onsite meetings, conducting reviews, and monitoring may be required; up to two days per week. Responsibilities and Duties - Clinical Quality Reviews of MH/IDD/SUD Providers in the Alliance Health Network - Conduct clinical quality reviews and Oversight Reviews as required and assigned - Review paid claims data, clinical documentation, and personnel materials against best practice standards, policies and procedures, clinical coverage policies, administrative code, regulatory guidance among other resources - Identify out of compliance findings, clinical concerns and other findings and provide technical assistance and/or oversight of the plan of correction (POC) process for those network providers with systemic findings - Review Provider Operations Manual, Scopes of Work (SOW), In Lieu of Services (ILOS) and Provider contracts for additional requirements in the delivery of services and care - Report monitoring outcomes and the potential impact on consumers to the Provider Network Evaluator Supervisor and the Director of Provider Network - Use of clinical expertise, knowledge of best practice and treatment modalities to effectively interpret qualitative and quantitative provider information to appropriately support and document findings - Assist in Department Policies, Procedures, and Standards - Assist in the development of standards for service monitoring, quality improvement and evaluating the delivery of services to consumers and families - Assist in the development of monitoring policies and procedures pertaining to behavioral health and I-DD services - Provide Monitoring Information for Inclusion in Provider Database - Work with Provider Network Evaluation Teams to maintain a provider database that includes information gathered from monitoring activities - Assist in the development of quality indicators and Provider profile elements for the Provider database, in collaboration with Service Management - Maintain Knowledge of Current Services and Supports Available - Acquire and maintain knowledge of the current services and supports available within the Alliance catchment area and available to consumers within North Carolina - Provide technical assistance to providers, stakeholders and internal Alliance Health departments as requested and needed - Support PNE CQR teams by sharing clinical information and knowledge as needed in a formal and ad hoc manner - Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required - Travel to meet with members, providers, stakeholders, attend court hearings etc. is required Qualifications - Master’s degree from an accredited college or university in a Human Services field (such as Psychology, Social Work, etc.) - A minimum of three (3) years post master’s degree progressive experience in the field of mental health, developmental disabilities, or substance abuse - Must maintain a valid driver’s license and a good driving record - Must have full, current, and active NC license as an LCSW, LCAS, LCMHC, LPA, or LMFT - The licensed professional will be expected to provide clinical guidance and interpretation in support of the CQR process - Knowledge of evidence-based practices, levels of care, service planning, DSM criteria and professional communication and writing skills are necessary - The National Certified Investigator and Inspector Training (NCIT) is required; NCIT must be successfully completed within 6-months of hire and meet the 1-year employment requirements as a regulatory investigator/inspector Requirements - Working knowledge of federal and state statutes, rules, definitions, and regulations that govern MHDDSAS services - Knowledge of all disability areas including Mental Health, Developmental Disabilities and Substance Abuse - Thorough Clinical knowledge and understanding of the principles, concepts and Best Practices used in the treatment, habilitation, and support of individuals with needs in any of the disability areas - High level of diplomacy and discretion - Strong mediation skills - Excellent team building skills - Effective communication skills - Ability to identify/analyze administrative problems pertinent to the contract - Ability to make independent judgments, logical conclusions, recommendations, and decisions - Ability to determine the appropriate course of action in an emergency or stressful situation - Ability to maintain confidentiality both of consumer data and provider business practices - Ability to review and analyze data to evaluate program effectiveness, progress, problems and system performance - Ability to work effectively with others internally and externally Benefits - Medical, Dental, Vision, Life, Long and Short Term Disability - Generous retirement savings plan - Flexible work schedules including hybrid/remote options - Paid time off including vacation, sick leave, holiday, management leave - Dress flexibility Salary Range $60,234 - $76,799/Annually. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

Role Description The primary purpose of the UI Application Developer is to create and maintain Alliance Claims processing front end solution. This includes designing and implementing a well-formed, component-based, testable, well-integrated library of components. The position will also be responsible for and demonstrate the ability to be creative in designing and implementing appropriate UI/UX designs. This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office at Morrisville may be required. Responsibilities - Angular Web Development - Build and implement secure, efficient, and visually aesthetic user interfaces using JavaScript/TypeScript and the Angular framework with HTML and CSS/SCSS - Create an adaptable and secure interface applying the latest front-end technology and security best practices - Lead product-analysis tasks and conduct performance tests - Implement complex components that will include significant research and analysis - Ensure a clear dependency chain, regarding the app logic as well as the file system - Assist with and create wireframing documents - Collaboration - Collaborate with other developers and QE team members to ensure security, high-performance and reliability of the applications - Interact with business teams to understand project and new feature requirements - Interact with support staff to identify and resolve escalated production level helpdesk bugs, bottlenecks, and obstacles - Participate in meetings to provide valid input in application architectural discussions and status updates of current development - Demonstrate newly developed apps and features to business analysts, QA/QE and Support staff - Documentation and Process Improvement - Assist in identifying process, programming, or architectural improvements for application performance, reliability, and stability - Document and manage development tasks using TFS Qualifications - Graduation from a Community College or Technical School with a major in computer science or related field and six (6) years of experience in a computer science related field including experience in applications development and/or database development. - Or Bachelor’s degree from an accredited college or university in computer science or related field and four (4) years of experience in a computer science related field including experience in web programming, BI applications development, and/or related Big data systems. Requirements - Bachelor’s degree, Microsoft Certified Professional Developer (MCPD) Certification and previous experience in a behavior healthcare agency preferred. - Microsoft certified training in the areas specifically support by this position preferred. Knowledge, Skills, and Abilities - Building and implementing top-notch user interfaces using JavaScript (TypeScript) and the Angular framework with HTML and CSS/SCSS. - Telerik components and navigating the Telerik knowledgebase. - Angular browser and API security best practices including Authorization/Authentication technologies. - Deep knowledge of Angular practices and commonly used modules. - Creating self-contained, reusable, and testable modules and components. - Knowledge of multiple front-end languages (JavaScript, HTML, CSS) and their libraries. - Ability to write cross-browser compatible code. - Communicating with external web services. - Thorough understanding of the responsibilities of the platform, database, API, caching layer and web services used in the system. - RxJs or similar. - Documenting the code inline using JSDoc or by other means. - Writing extensive unit tests and e2e test suites and running them with Protractor (or reasonable alternative). - Proficient in VS, VSCode, SSMS development environments. - GIT and thorough understanding of branching concepts for the CI/CD pipeline. - Project management skills. - In tune of emerging AI tech. - Wireframing. - Professional, precise communication and interpersonal skills. - Ability to problem solve. - Understanding of SQL objects (tables, views, stored procedures, etc) and SQL programming. - API development using the .NET/C# programming language. - Okta authentication/authorization components. - AngularJS for legacy support. - Knowledge in Visual Studio IDE. - Knowledge in using SSMS. - Knowledge in T-SQL. - Knowledge in SQL database objects. - Knowledge of and experience with CI/CD (Git). - Knowledge of and experience with Powershell. - Knowledge of and experience with IIS and Web hosting. - Microsoft Office Suite skills. - Interpersonal and Communication skills. - Experience with Microsoft Teams. Benefits - Medical, Dental, Vision, Life, Long and Short Term Disability - Generous retirement savings plan - Flexible work schedules including hybrid/remote options - Paid time off including vacation, sick leave, holiday, management leave - Dress flexibility Salary Range $91,884 - $117,152/Annually. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Role Description The Care Manager I - Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy, and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hospitals and emergency services by assuring that appropriate quality care is in place. The Care Manager I – Non-Waiver focuses on a specified population of members utilizing health care services while ensuring all member health needs and referrals are attended to. The Care Manager I will collaborate with other community systems to work in partnership to support the identified population. This is a full-time remote opportunity. There is no expectation of coming into the office routinely; however, the selected candidate must be available to report onsite to the Alliance Office (Charlotte, North Carolina) for business meetings as needed. The successful candidate will also be required to travel weekly throughout Mecklenburg and surrounding counties (including ones outside of Alliance’s catchment area) to meet with members, providers, and/or other community stakeholders. Responsibilities & Duties - Complete comprehensive assessments or Care Needs Screening at enrollment, yearly, or at changes in condition. - Develop Plans of Care derived from the completed assessments. - Demonstrate commitment to whole person/integrated care. - Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities. - Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity. - Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities, and/or complex payer issues. - Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process. - Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification. - Utilize person-centered planning, motivational interviewing, and historical review of assessments in Jiva to gather information and to identify supports needed for the individual. - Assist in collecting data to be used to identify and address barriers as well as determine the effectiveness of care management/care coordination in reducing lengths of stay and use of emergency services. - Actively collaborate with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs and desired life goals. - Submit required documentation to UM to ensure timely delivery of services and troubleshoot until authorization is obtained. - Provide initial contact with member for purpose of assessment and engagement. - Verify accuracy of demographic information with member and update inaccurate information from the Global Eligibility File following documented protocols. - Schedule face-to-face, virtual, and telephonic meetings with member/guardian to provide education about Alliance Health Plan, care teams, resources, and services. - Provide education and support to individuals and LRP in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance. - Refer members who are in crisis/institutional setting and require assistance with returning to community-based services to the Integrated Health Consultant or applicable care team member. - Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management Department. - Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment or other assessments as deemed necessary. - Coordinate with other team members to ensure smooth transition to appropriate level of care when needed. - Communicate with member to check on status, verify care needs are met, and that no new clinical needs warrant a change in condition assessment. - Provide follow-up coordination with key stakeholders to promote engagement. - Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues. - Verify that ongoing service adherence is maintained through monitoring meetings with member and/or provider. - Identify barriers to treatment and assist individuals with arranging appointments or linking to treatment providers. - Maintain required contacts with member/legally responsible person per state contractual requirements meeting minimum expectations. - Attend community, provider, stakeholder meetings as needed for member and/or as directed to support the needs of the health plan. - Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member. - Open new episodes in JIVA when needed and schedule initial contact with member to verify accuracy of demographic information. - Document all applicable member updates and activities per organizational procedure. - Escalate complex cases and cases of concern to immediate supervisor. - Ensure that service orders/doctor’s orders are obtained, as applicable. - Share appropriate documentation with all involved stakeholders as consent to release is granted. - Obtain releases/documentation and provide to all stakeholders involved. - Proactively respond to an individual’s planned movement outside the Alliance geographic area, or other transition need, to ensure a smooth transition without lapse in care. - Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements. - Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures. - Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance-sponsored events, etc. may be required. - Travel to meet with members, providers, stakeholders, attend court hearings, etc. is required. Qualifications - Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree mh/dd/sa experience with the population served. - Or Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of post-bachelor’s degree mh/dd/sa experience with the population served. - Or Master’s Degree from an accredited college or university in Human Services field and one (1) year of post-graduate degree mh/dd/sa experience with the population served. - Or Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT. - Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served. - Preferred: NACCM, NADD-Specialist and/or CBIS Certification. Requirements - Person Centered Thinking/planning. - Knowledge of using assessments to develop plans of care. - Knowledge of Diagnostic and Statistical Manual of Mental Disorders. - Knowledge of LOC process, SIS for IDD and FASN assessment for TBI. - Knowledge of Medicaid Tailored Plan, Medicaid Direct, enhanced MHSUD, and waiver benefits plans. - Knowledge of and skilled in the use of Motivational Interviewing. - Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.). - Strong interpersonal and written/verbal communication skills essential, including conflict management and resolution skills. - High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. - Ability to make prompt, independent decisions based upon relevant facts. Benefits - Salary Range: $28.96 - $37.65/ Hourly. - Exact compensation will be determined based on the candidate's education, experience, external market data, and consideration of internal equity. - Medical, Dental, Vision, Life, Long Term Disability. - Generous retirement savings plan. - Flexible work schedules including hybrid/remote options. - Paid time off including vacation, sick leave, holiday, management leave. - Dress flexibility.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Operations Support Specialist serves as the primary resource for managing the Department of Human and Health Services (DHHS) ticketing system on behalf of Alliance. This role provides oversight, internal monitoring, distribution, and timely resolution of all ServiceNow tickets submitted by DHHS. The Operations Support Specialist reports directly to the Medicaid Waiver Contract Manager and acts as a key liaison between internal subject matter experts (SMEs), departmental contacts, and leadership to ensure compliance with established service level expectations. This position requires strong organizational skills, the ability to make decisions independently, and consistent communication regarding DHHS ticket status, aging, and resolution barriers. This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office at Morrisville may be required. Responsibilities & Duties - DHHS Ticket Management & Oversight - Serve as the designated resource with decision making authority for the DHHS ticket system - Provide daily oversight and internal monitoring of all outstanding DHHS tickets - Triage, categorize, and distribute DHHS tickets to appropriate SMEs for investigation and resolution - Ensure timely responses to all department submitted DHHS tickets, adhering to priority-based SLAs - Collaboration & Communication - Attend ad hoc calls to review outstanding DHHS tickets and discuss issue status - Maintain a clear understanding of pending issues, operational impacts, and contractual requirements - Provide high quality customer service to internal staff, departmental personnel, and SMEs - Regularly communicate DHHS ticket progress, blockers, and expected resolution timeframes - Compliance & Reporting - Monitor aging of urgent and high priority DHHS tickets to ensure compliance with the weekly scorecard requirement for cases aging over 14 days - Ensure all DHHS ticket activities align with HIPAA regulations and internal privacy standards - Maintain accurate documentation for reporting, and performance tracking. - Additional Expectations - Weekend support may be required depending on DHHS ticket priority level - Demonstrate responsiveness, professionalism, and a commitment to timely resolution - Identify recurring issues and recommend process or automation enhancements to reduce DHHS ticket volume and resolution time - Other duties as assigned Qualifications - Must have a high school diploma or equivalent and three (3) years of administrative or office experience including: - Researching and investigating complaints - Providing education and training - Using systems to track, update, and manage service tickets, incidents, or service requests - Preferred: Experience in healthcare is preferred. Requirements - Experience in using a case management or ticketing system to track, update, and manage service tickets, incidents, or service requests to ensure timely resolution - Basic computer skills, including use of Excel and general troubleshooting ability - Ability to monitor, analyze, and report on ticket metrics to identify trends, troubleshoot issues, and escalate complex problems to the appropriate teams - Knowledge of and experience in enforcing security standards, such as HIPAA regulations and patient privacy standards - Excellent communication and customer service skills for interacting with staff and Department personnel - Problem solving skills; demonstrating critical thinking and good judgment - Ability to manage competing priorities in a fast paced environment - Experience working in cross functional teams; comfortable leading ad hoc calls and facilitating consensus Benefits - Medical, Dental, Vision, Life, Long and Short Term Disability - Generous retirement savings plan - Flexible work schedules including hybrid/remote options - Paid time off including vacation, sick leave, holiday, management leave - Dress flexibility Salary Range $22.90 - $29.19/Hourly. Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.