Job Summary We are seeking a detail-oriented SIU Analyst/Investigator to join our team. In this role, you will play a crucial role in ensuring the accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses, and process improvements. The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change in aberrant behavior observed in our healthcare customer's claims and enrollment data. You will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings. Key Responsibilities - Identify and conduct investigations into known or suspected FWA with high autonomy - Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation. - Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity) - Participate in the development and presentation of FWA-related education for assigned Customers - Perform coding reviews for flagged claims, to support Coding team (if applicable).

• Ensures data integrity is maintained throughout the reporting lifecycle. • Implements reporting and reconciliation workflows and document processes. • Responsible for experience studies and medical trend studies. • Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), as well as providing insightful commentary and sensitivity modeling analysis. • Actively supports efforts to continually improve data capabilities and quality of department analysis and reporting. • Reports production to support financial reporting and operations activities. • Performs research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department. • May refer to senior level staff for assistance with higher level problems that may arise. • Performs in-depth claims analysis of baseline and ongoing contract monthly data. • Conducts profitability analysis and drill down analysis into actual expected variances. • Pulls ad-hoc reporting as needed.

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $55,000.00 - $65,000.00 SalaryJob Category: Sales & Client Executive & Revenue OpsPOSITION SUMMARY The Revenue Analyst supports Allied’s strategic and financial objectives by assisting in the analysis of current and historical claims data for prospective/current client engagements. KEY RESPONSIBILITIES Assist in the analysis of claim data to provide insights for prospective/current client health plans. Support the sales/retention and marketing teams with data-driven information to facilitate client acquisition strategies. Help in reviewing and preparing new/renewal business proposals, aiming for competitive and accurate pricing of Allied’s products and services. Gain an understanding of Allied product offerings. Support the strategic placement of stop loss coverage under the guidance of more senior team members, helping to ensure optimal risk management and financial protection for Allied and its prospects/current clients. Assist in the negotiation process of new business prospects/renewal clients and manage relationships with vendor partners under supervision, contributing to enhanced service offerings and operational excellence. Support network analysis for new business prospects/current clients and partake in collaborative efforts with stop-loss partners for pricing strategies. Support the Sales Executive/Client Executive in sales/retention and marketing calls, helping to foster strategic external and cross-departmental relationships. Engage in ongoing learning in group medical stop loss reinsurance and underwriting principles, to support and eventually lead strategic client engagements. EDUCATION B.A. or equivalent work experience required. Some familiarity with Group Health Insurance and/or Stop Loss experience is advantageous but not required. EXPERIENCE & SKILLS 1-3 years of experience in an analytical role required (e.g., data analyst, financial analyst, business analyst). Medical Stop Loss Underwriting experience a plus. Microsoft Access experience a plus. Excellent verbal and written communication skills. Excellent organizational skills and attention to detail. Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Excellent time management skills with a proven ability to meet deadlines. Ability to work within a team and a collaborative environment. Ability to self-audit. Moderate experience with Microsoft Office Suite (Word, Excel, PowerPoint, and Dynamics) POSITION COMPETENCIES: Job Knowledge Time Management Accountability Communication Initiative Customer Focus PHYSICAL DEMANDS: This is a standard desk role – long periods of sitting and working on a computer are required. WORK ENVIRONMENT: 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 & 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

The job profile for this position is Contract Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. If you are highly detail-oriented, analytical, and motivated to do work that directly supports customers and business performance, this role may be a strong fit. The Senior Contract Analyst plays a key role on the Pricing & Eligibility team by helping ensure customer pricing and membership data are accurate, compliant, and implemented on time. This position supports important business priorities by managing complex contract and pricing activity, reducing risk, and helping the company meet customer and supplier expectations. Responsibilities - Manage complex supplier and customer pricing and membership agreements with a high level of accuracy and accountability. - Review wholesale, supplier, and customer agreements to identify required actions and ensure pricing and eligibility are loaded correctly. - Analyze supplier bid awards and contract structures to determine the correct system hierarchy and customer access. - Ensure customer pricing and membership setup aligns with contract terms, vendor requirements, and internal standards. - Maintain an assigned portfolio of suppliers and customers, monitor updates, and resolve discrepancies quickly and accurately. - Partner across teams to support strategic, intercompany, and day-to-day pricing and membership needs. - Help review agreement language and provide subject matter expertise to support business decisions and protect company interests. - Support timely implementation of new and amended agreements related to pricing and membership. - Analyze pricing and membership data to identify trends, gaps, and issues, then take action or recommend improvements. - Investigate and resolve escalated pricing, membership, and claim issues within established timelines. - Support reporting needs by reviewing team reports, ensuring follow-up actions are completed, and partnering with business intelligence teams to improve reporting. - Help assign incoming work, support team workflow, and contribute to consistent execution across the team. - Train and support new team members, share best practices, and help improve team knowledge and performance. - Identify process and system improvement opportunities and contribute to projects that strengthen efficiency, accuracy, and service. Required Qualifications - 3 or more years of experience in a B2B manufacturing or distribution environment. - Experience working with contract pricing, membership eligibility, customer access, or related agreement administration. - Experience reviewing and interpreting complex contracts, pricing terms, or business agreements. - Experience using ERP systems such as SAP, Vistex, Oracle, or similar platforms. - Strong analytical, problem-solving, and data entry skills. - Intermediate Microsoft Office skills, including experience with Excel formulas. - Strong verbal and written communication skills and the ability to work effectively with different teams and stakeholders. - Ability to manage multiple priorities, meet deadlines, and work accurately in a fast-paced environment. Preferred Qualifications - Associate degree or higher. - SharePoint experience. - Experience supporting supplier and customer pricing programs in a complex business environment. - Experience training others, reviewing teamwork, or serving as a subject matter resource. This role is a strong fit for someone who enjoys solving problems, working with complex details, and helping ensure pricing and eligibility processes are accurate, compliant, and effective. The work is important to both customer experience and business success. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.