A healthcare solutions company, Allied Benefit Systems offers insurance products and custom insurance services to individuals and businesses as one of the largest third-party admin
Revenue Analyst
Location
United States
Posted
52 days ago
Salary
$55K - $65K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Revenue Analyst
Allied Benefit Systems
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
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• Submit, manage, and track TIN add and removal requests for prepayment edits to support appropriate claim intervention • Submit, monitor, and remove overpayment suppression requests based on defined case types and status changes • Create and submit flag requests for segments and Provider IDs (PIDs) associated with flagged TINs • Perform claims research and analysis to support protocol management, workflow validation, and issue resolution • Partner with the Protocol Manager (Fraud Manager) and Payment Accuracy teams to identify, troubleshoot, and resolve prepay edit and workflow issues • Research and coordinate provider update requests in accordance with established SIU processes • Support EFT setup and change requests, including outreach for approval/denial and submission of required documentation • Collaborate with internal partners to ensure timely execution of system updates and operational requests • Maintain ownership, accuracy, and documentation of assigned requests through completion • Support audit readiness by ensuring control execution, documentation, and request traceability within SIU workflows
• Implement, optimize, and maintain the organization’s information technology resources • Collaborate closely with stakeholders to understand business requirements and design solutions • Mentor others and lead complex initiatives • Serve as a subject matter expert in ambulatory pharmacy and specialty workflows



