Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $23.00 - $24.00 HourlyJob Category: Medical Management POSITION SUMMARY An ECM Coordinator supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department’s leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor’s Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role – long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.Qualifications

Role Description Responsible for Medicare/Medicaid credentialing and revalidations. Works closely and effectively communicates with the departments, payers, and management; and other duties as assigned. Qualifications - High school diploma or general education degree (GED) preferred - Two or more years of experience in a medical office setting specific to provider credentialing Benefits - The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. - Some candidates will not be eligible for the upper end of the salary range. - Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. - University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. - More information can be found here: Employee Benefits Company Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Job Profile Summary The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for inpatient and outpatient services using evidence-based criteria, clinical judgment, and organizational policies. This role collaborates with internal and external care teams to recommend appropriate care and maintain compliance with CMS and payer guidelines. Responsibilities include reviewing service requests, documenting decisions, participating in quality improvement initiatives, and supporting care coordination efforts. Candidates must be licensed MDs or DOs with 3–5 years of clinical experience, including at least one year in utilization management for Medicare or Medicaid populations. Strong communication, managed care expertise, and attention to detail are essential for success. Role Description: The Utilization Management Physician Reviewer-FT role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is recommended to the patient and their care team, which may require coordination with internal and external parties including, but not limited to requesting providers, external UM and case management staff, internal transitional care managers, employed primary care providers, and regional medical leaders. We strive for clinical excellence and ensuring our patients receive the right care, in the right setting, at the right time. Core Responsibilities: ( Weekend Coverage is Required) Review service requests and document the rationale for the decision in easy to understand language per organizational policies and procedures and industry standards; types of requests include but not limited to: Acute, Post-Acute, and Pre-service (Expedited, Standard, and Retrospective) Use evidence-based criteria and clinical reasoning to make UM determinations in concert with an enrollee’s individual conditions and situation. The organization does not solely make authorization determinations based on criteria, but uses it as a tool to assist in decision making. Work collaboratively with the Transitional Care and PCP care teams to drive efficient and effective care delivery to patients Maintain knowledge of current CMS and MCG evidence-based guidelines to enable UM decisions Maintain compliance with legal, regulatory and accreditation requirements and payor partner policies Participate in initiatives to achieve and improve UM imperatives; for example, participate in committees or work-groups to help advance UM efforts and promote a culture of continuous quality improvement Assist in formal responses to health plan regarding UM process or specific determinations on an as-needed basis Adhere to regulatory and accreditation requirements of payor partners (e.g., site visits from regulatory & accreditation agencies, responses to inquiries from regulatory and accreditation agencies and payor partners, etc.) Participate in rounding and patient panel management discussions as required Fulfill on-call requirement, should the need arise Other duties, as required and assigned What are we looking for? A current, clinical, in good standing, unrestricted license to practice medicine (NCQA Standard) Graduate of an accredited medical school. M.D. or D.O. Degree is required. (NCQA Standard) Experience: 3-5 years of clinical practice in a primary care setting with at least one year experience providing Utilization Management services to a Medicare and/or Medicaid line of business Excellent verbal and written communication skills Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management Strong record of continuing education activities (relevant to practice area and needed to maintain licensure) Demonstrated understanding of culturally responsive care Proven organizational and detail-orientation skills Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 07/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Role Details: - Location: Telehealth - Reports to: Clinical Manager - Schedule: PRN / flexible with consistent weekly availability - Compensation: $54 to $59 hourly Job Summary: You love helping people heal. You just don’t love doing it all alone. If you’ve ever run (or dreamed of running) your own private practice, you know what it takes — the marketing, the scheduling, the billing, the insurance headaches, the empty calendar days, the tech issues, the isolation… At Simplex Health, you get the best parts of private practice — the autonomy, the flexibility, the deep 1:1 relationships with patients — without the burnout or business stress. Here, you get to focus on what you do best: helping patients transform their health through integrative and functional nutrition. What we are looking for We’re seeking mission-driven dietitians and nutritionists (RD/RDN or CNS) who: - Are passionate about integrative and functional nutrition - Thrive in a collaborative, growth-minded environment - Have at least 2 years of experience in outpatient or clinical care - Hold active certification as a Certified Nutrition Specialist (CNS) or Registered Dietitian (RD/RDN) - Are credentialed or open to being credentialed with insurance companies - Minimum of 12 hours of weekly availability required, with flexibility and opportunity to increase hours over time based on your preferences and schedule - Want to spend more time with patients and less time running a business - To avoid conflicts of interest, candidates should not maintain an active private practice or independent nutrition counseling business Preferred: - Availability for evening appointments strongly preferred to meet patient demand, with flexibility based on individual scheduling needs. - CDCES (Certified Diabetes Care and Education Specialist) strongly preferred - IFNA Certified (IFNCP credential a plus); candidates actively enrolled in IFNA training welcome PA license and completion of major insurance credentialing required before start; this process may take 3–6 months. Role Responsibilities (including but not limited to): - Provide telehealth medical nutrition therapy using a functional and integrative approach - Implement Simplex Health protocols, tools, and educational materials in patient care - Assess the nutritional health of patients/clients and develop personalized, root-cause care plans - Create and modify individualized nutrition interventions based on patient needs and goals - Document all new and follow-up appointments in the Healthie platform with strong attention to detail - Respond to patient communications in a timely, professional, and supportive manner - Collaborate with team members through case discussions, meetings, and shared learning opportunities - Communicate openly and effectively to resolve work-related issues and support team outcomes - Contribute to a positive, collaborative team environment and ongoing clinical initiatives - Adhere to all company policies, procedures, and clinical standards - Stay current with emerging research and best practices in nutrition and health - Maintain a consistent and engaged patient schedule, ensuring timely follow-ups and continuity of care - Maintain a minimum of 12 hours of weekly availability, with opportunity to grow into a higher-hour or full-time schedule What to Expect At Simplex Health, you’ll have access to: - Structured onboarding and training - Regular case reviews and clinical collaboration - Real-time support via team chat and peer connection - Team meetings and shared learning opportunities - Opportunities to contribute to committees, resources, and clinical initiatives - Credentialing: If you’re not yet in-network, our team fully manages the insurance credentialing process on your behalf, including covering all associated fees and handling the paperwork. Benefits - Flexible Scheduling: Set your availability with the ability to build and adjust your schedule based on your preferences and patient demand - Supplement Commissions: Earn 12.5% of MSRP on supplements purchased through Fullscript. Commissions are paid quarterly and can meaningfully increase your overall earnings based on patient engagement. - 401(k) (after 90 days) - Discretionary Holiday Break: Office closed between Christmas and New Year’s — guaranteed time off from patient appointments & administrative work - Fitness Allowance: Partial reimbursement for gym memberships, fitness classes, or wellness activities - Simplex Wellness on Demand: Free access to virtual fitness programs Key Intangible Characteristics of the Ideal Candidate: Called: A passion for our mission and a sense that this role and company are a strong fit for the blessings of your gifts, talents, passions, and experiences.. Must be mission-motivated with a resolve to overcome obstacles, anchored in a sense of purpose in this work. Servant Leadership: Nobody is above any task, and we are all here to serve others. Every customer—internal or external—needs help, and the most powerful way to lead will be to serve. Learning and Adaptive: As a startup with a big mission, new systems, technology, and situational adaptability are expected. This person must have an appetite for learning and skill improvement. Grit, Resourcefulness & Entrepreneurial Spirit: Not everything will have a pre-planned solution. This person will have to be resourceful in figuring things out, resist feeling overwhelmed, and be willing to roll up their sleeves to make things happen. This person will have to have an open mind and good resolve, whether it’s looping in other people, finding answers online, or seeking best practices. Organizational Skills: Being or becoming a constant organizational force. It will require a capacity for being open to change, discerning better processes, and prioritizing for improved outcomes. Chemistry Fit: We have a unique and fun culture—we laugh, press in, work hard, and jump in to figure things out. Fitting into the team chemistry is essential. High Character: We operate with a high trust culture. Personal values must fuel our work. Integrity, honesty, compassion, reconciliation, and diligence are all things this person must possess to flourish. Energy & Enthusiasm: This person must bring joy and passion for work to the job. Encouraging and spurring on others on the mission while being self-motivated and positive is essential. Multitasking: This is not a steady-state or static environment. Workflow will cycle, and interruptions are normal, so this person must be able to juggle and adjust on the fly. Project Management: While multitasking, this person must be able to keep an eye on deadlines and critical dependencies, working to preserve them or source support proactively. 🌟 Why Dietitians Choose Simplex Health Because great clinicians deserve great support. 🧾 We Handle Credentialing & Licensing We cover insurance credentialing costs and reimburse for out-of-state license fees. 🎓 CEU Reimbursement We invest in your professional growth and continued learning. 💻 Technology Reimbursement Support for the tools you need to work efficiently and effectively. 💲 Recruitment Thank You Bonus Bonus for any referrals hired by Simplex Health who stay at least 90 days 📋 Consistent Referrals & Quality Resources A steady patient flow and high-quality patient-facing materials to support your care. 👥 Helpful Support Team & Quick Response Times From scheduling to tech help, our support staff makes your day run smoother. 🌿 Approachable Leadership & Collaborative Culture Leaders who listen, and a clinical community that truly supports one another. 🤝 Opportunities Beyond Patient Care Get involved with social media, engagement projects, or hosting lunch & learns. 🌎 Broad Range of Clients, Deep Skill Development Grow your counseling skills and confidence across a variety of cases. 💞 Strong Sense of Community Even in a virtual environment, you’ll feel connected, encouraged, and supported. If you’ve ever wished you could combine the freedom of private practice with the camaraderie and stability of a larger organization, this is where you belong. Apply today and rediscover the joy of patient care without the grind of running a business. Simplex Health Core Values: Simplex Health strives to embody the following values and to apply them to every aspect of how we run our business, including how we interact with each other as teammates and leaders. These values also apply to how we interact with and continue to inspire our clients and strategic partners: We Inspire Each Other You are an important part of our team and together we make a collective intention to uplift and commit to one another. Through cultivating genuine, transparent, relationships, we create an environment that encourages individuals to dream big, take risks, and be bold. We aim to inspire and commit to everyone we touch. This sense of commitment and care sets the stage for a culture of accountability, where we hold ourselves and each other to the same high standards, taking the ownership necessary for achieving our goals. Therefore encourage one another and build each other up, just as in fact you are doing. 1 Thessalonians 5:11 We Always Learn and Grow We at Simplex Health strive to be continual learners and to expand our abilities as people and as an organization. We educate ourselves, remain curious, and use evidence-based research to challenge our current understanding. We see mistakes and failure as great teachers and learning opportunities. When we stay engaged in the world with a growth mindset, it creates the right environment for us to thrive and make a meaningful impact on each other and on the world. Let the wise hear and increase in learning, and the one who understands obtain guidance. Proverbs 1:5 We Think Big Picture What we do day in, day out, how we do it, and the decisions we make- shape who we are as a people and as a company. The details are super important, AND should always be guided by our wide perspective and an understanding of how we are impacting each other, our clients, and our business. Before making any major decision, ask yourself: • Does it help us grow? How? • Does it answer “how are we different and why should you care?” • Is what I’m working on duplicatable and transferable (ie can I duplicate it and apply to other situations)? How? • Does it challenge the status quo? • Does it inspire? • Does it tightly align with and advance our mission? How? • Can it be more humanized and relatable? • Does it unite us? How? • Does it solve a problem? How? Now we see things imperfectly, like puzzling reflections in a mirror, but then we will see everything with perfect clarity. All that I know now is partial and incomplete, but then I will know everything completely, just as God now knows me completely. I Corinthians 13:12 We Challenge the Status Quo: We are inquisitive by nature. We are courageous! We are not afraid to go against the grain in our search for truth. We always question conventional wisdom- it’s how Simplex Health started- it’s what we do. Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is—his good, pleasing and perfect will. Romans 12:2 We Cultivate Health and Vitality: Being alive in a body is an incredible, temporary experience. Even though at times we feel pain and face challenges, our next breath is not guaranteed and is a HUGE gift. We experience EVERYTHING through our bodies, including thoughts, emotions, spirit, and our inspiration. We see health and vitality as the foundation for living a life that is happy, fulfilled, present, and productive. Dear friend, I pray that you may enjoy good health and that all may go well with you, even as your soul is getting along well. 3 John 1:2 We Embody Integrity: We communicate with transparency and face conflict head-on. We do this with the understanding that we respect each other and recognize that we are on the same team working toward a unified noble mission with shared goals. We don’t compromise our morals or integrity no matter the context. When challenging scenarios arise, we approach them with honesty and trust that we are all holding the highest intentions, are committed to our values, and are making best efforts. Do to others as you would have them do to you. Luke 6:31 We Simplify the Complicated: We believe that complex problems don’t always require complex solutions. By simplifying the complicated and offering digestible, scalable solutions, we can pay more attention to the things that matter most. Simplicity- it’s the word that inspired our name - we make cultivating health and vitality simple. Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. Philippians 4:6