Magellan Federal jobs - 42,245 jobs

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested

*Join the Fight for Justice: Coordinating Attorney, Pro Bono Immigration Program at The Legal Project* *Transform Lives. Empower Immigrants. Lead Pro Bono.* Do you believe the protections of the law should be accessible to *everyone*, regardless of their ability to pay? Are passionate about pro bono commitments within the legal profession and looking for a way to help other attorneys give back? Do you enjoy mentoring others and expanding the services available to immigrants and refugees? *The Legal Project* is not just a law firm; we are a dynamic, innovative civil legal services organization dedicated to closing the access to justice gap in New York's Capital Region. From our origins as a small volunteer effort in 1995, we've grown into a powerhouse addressing critical needs-including domestic violence, foreclosure prevention, veterans' assistance, and, crucially, *Immigration Services*. We are seeking a *Coordinating Attorney* to be the driving force behind our *Pro Bono Immigration Program*, leveraging the passion of volunteer attorneys to protect the most marginalized in our communities. *Your Mission: Lead, Mentor, and Advocate* This is a high-impact, hybrid role where you will be instrumental in expanding free civil legal services for immigrants. *Key Responsibilities:* * *Be a Legal Strategist:* Conduct thorough consultations to assess immigration clients for pathways to relief, specializing in humanitarian and family-based remedies (Asylum, TPS, SIJS, U/T Visas, VAWA, Removal Defense). * *Mentor and Mobilize:* Serve as the primary legal resource, providing *training, technical assistance, and expert backup* to a dedicated corps of pro bono attorney volunteers. Your guidance will empower them to successfully manage complex immigration cases. * *Recruit and Grow:* Actively engage in *recruitment and outreach* to expand our network of pro bono attorneys, law students, and non-attorney volunteers. * *Direct Representation:* Provide direct, life-changing representation to clients before the *Executive Office for Immigration Review (EOIR)* for deportation and removal defense, and before *USCIS* and state courts for SIJS petitions. * *Collaborate and Innovate:* Work within a specialized team to develop cutting-edge CLEs, practice guides, and outreach materials, ensuring The Legal Project stays at the forefront of immigration law. * *Ensure Impact:* Maintain impeccable case records and collaborate on grant reporting, ensuring our vital programs remain funded and accountable. *What You Bring to the Table* You are an attorney with a deep passion for social justice, a talent for complex litigation, and a proven ability to lead and mentor. *Required Qualifications:* * *J.D. Degree* and an *Active License* to practice law by any U.S. state bar association and in good standing. (NY State Bar preferred). * *3+ Years of Legal Experience* with demonstrated expertise in *Immigration Law* and/or relevant fields such as Family Law. * Exceptional research, writing, and courtroom advocacy skills, with proven *strong attention to detail*. * Strong organizational and administrative abilities necessary to manage a high-volume, high-stakes caseload and volunteer network. * Valid driver's license and willingness to travel for court appearances (including to Batavia, NY, and New York City). * A firm commitment to the mission and vision of The Legal Project. *Preferred (But Not Required) Assets:* * *Fluency in a language in addition to English is strongly preferred-especially Spanish.* * Experience with *trauma-informed lawyering* and working with survivors of domestic violence or other underserved communities. * Experience in a case management system (e.g., Legal Server). *Compensation & Benefits: Invest in Your Well-being* We invest in our staff because they are the heart of our mission. * *Salary Range:* *$75,000.00 - $80,000.00* per year. * *Comprehensive Benefits:* Health, Dental, and Vision Insurance; HSA/FSA; Life Insurance; 401(k), optional additional insurance including pet insurance, home insurance, and renter's insurance among others. * *Work-Life Balance:* Generous Paid Time Off, Holiday Time Off, Employee Wellness Reimbursement, Professional Development Assistance. * *Flexible Schedule:* Monday to Friday with flexible scheduling and occasional weekend availability. * *Hybrid Work Environment:* Based in Schenectady, NY, with a flexible hybrid work model. *Remote work may be considered for highly qualified candidates based closer to the Batavia or NYC immigration court locations.* *Our Commitment to Diversity* *The Legal Project, Inc. is an Equal Employment Opportunity Employer.* We are dedicated to building a team that reflects the rich diversity of the communities we serve. *We strongly encourage applications from individuals who are members of marginalized communities, people of color, LGBTQ+ individuals, and those with disabilities or veteran status.* *Ready to use your legal expertise to advance safety, stability, and independence?* Apply now! Applications will be reviewed upon receipt, and the position is open until filled. Please submit a resume, writing sample, and statement of interest or cover letter to Chief Legal Director, Carla Brogoch, Esq. Job Type: Full-time Pay: $75,000.00 - $80,000.00 per year Benefits: * 401(k) * Dental insurance * Flexible schedule * Flexible spending account * Health insurance * Health savings account * Life insurance * Loan forgiveness * Paid time off * Professional development assistance * Retirement plan * Vision insurance Application Question(s): * Are you admitted to practice law in the United States? * Do you have experience with practicing law in Immigration Court? Work Location: Hybrid remote in Schenectady, NY 12305

The Clinical Investigator monitors service delivery for program integrity through fraud and abuse investigations and audits, including review of claims data, clinical records and reference materials, investigative interviewing, provider education and technical assistance, and monitoring implementation of provider corrective actions. The Investigator reports overpayments and other irregularities and confers with Special Investigations Unit, Senior Management, Chief Compliance Officer and General Counsel as needed. This position will allow the successful candidate to work primarily remote schedule. The candidate must be a resident of North Carolina or reside within 40 miles radius of North Carolina's border. There is no expectation of being in the office routinely, however, the selected candidate will be required to travel to provider sites to conduct audits/investigations in Charlotte, North Carolina up to 3 times per month. Responsibilities & Duties Conduct Audit/Investigations and prepare reports Review allegation(s), conduct preliminary investigation and make disposition recommendations using independent judgment Develop audit/investigation plans and tools based upon alleged non-compliance and data analytics Request and/or collect medical records, personnel records, policies/procedures, compliance plans, and other documents from providers based on audit/investigation plans Systematically and accurately collect, document, and store evidence Conduct post-payment audits of Medicaid and State funded providers to ensure that services are rendered in accordance with established state and federal rules, regulations, policies, and terms of provider contractual agreements with the state Identify inappropriate billing and overpayments Utilize clinical knowledge and experience to determine if documented services were clinically appropriate and/or medically necessary Conduct interviews with provider employees, former employees, recipients of services, and other witnesses Document allegations, investigative activities, and findings in a detailed audit/investigation report Work with the Special Investigations Supervisor and Investigative Team to support investigative activities Assure that individuals served do not pay for health services inappropriately Track allegations of fraud, waste, and abuse in a case management system from referral to final disposition Consult with the Corporate Compliance Unit when potential internal compliance issues are identified Consult on cases Provide clinical guidance to non-clinical staff on documentation obtained from providers Provide guidance to non-clinical staff on Medicaid Clinical Coverage Policies and State Service Definitions and by participating in ad hoc meetings related to clinical regulatory matters Participate in ad hoc meetings related to clinical matters Conduct Regulatory Review/ Research Diligently research clinical policies, administrative code, federal/state laws in order to assess for non-compliance Analyze data Analyze data from a variety of sources, including but not limited to claims, authorizations, credentialing/enrollment, grievances, prior audits/investigations, incarceration records, incident reports, policies/procedures, to inform decision making Utilize various MicroStrategy reports data during the investigation process Analyze claims data to determine if an allegation is supported Analyze claims data during investigations to determine if there are indicators of fraud/abuse other than the allegation received Identify other data sources to review during investigations based on the allegation(s) Provide Case reports/presentations to internal and external stakeholders Present audit/investigation findings and make disposition recommendations using independent judgment to the Chief Compliance and Risk Officer, Senior Director of Program Integrity, Special Investigations Supervisor, and Alliance Compliance Committee Present case status updates in individual supervision sessions, unit team meetings, Division meetings (as designated by supervisor), and to NC Department of Justice (as requested) Conduct and participate in Investigation Planning meetings with the Investigation Team Interpret and convey highly technical information to others Provide Technical Assistance/Education Educate providers on the errors identified in the audit and investigation process Recognize when providers can improve through technical assistance (TA) rather than full investigation when FWA is not evident and/or pervasive Recognize quality of care issues in order to make recommendations to appropriate entities/authorities Monitor Provider Action and Follow-Up Document Improper Payment Charts, Statements of Deficiency, provides feedback and technical assistance to providers as needed/requested, and follows up on provider corrective action through the probation process, as applicable Prepare for and participate in provider appeal process and/or court hearings to explain and defend audit/investigation findings Recommend policy, procedure, or process changes Recommends revisions to Alliance Health procedures and policies Minimum Requirements Education & Experience Graduation from an accredited school of Nursing with a Registered Nurse (RN) license and five (5) years relevant post-graduate experience. OR Master's degree in human services/social sciences, health care compliance, analytics, government/public administration, auditing, security management, criminal justice, or pre-law and Five (5) years relevant post-graduate experience. Special Requirement- Current, unencumbered clinical license as an LCSW, LCMHC, LMFT, LCAS, LPA or RN Preferred Health care industry and/or Medicare/Medicaid/Behavioral Health experience and knowledge SIU and/or regulatory compliance work experience National Certified Investigator and Inspector Training (NCIT) Basic and Specialized Knowledge, Skills, & Abilities Knowledge of Health care industry and/or Medicare/Medicaid/Behavioral Health Knowledge of the state and federal Medicaid laws, state and federal criminal and civil fraud laws, regulations, policies, rules, guidelines, service limitations, and various Medicaid programs Knowledge and proficiency in claims adjudication standards & procedures Knowledge of investigative methods and procedures High degree of integrity and confidentiality required handling information that is considered personal and confidential Skill in using Microsoft Office products (such as Word, Excel, Outlook, etc.) Analytical skills and ability to make deductions; logical and sequential thinker Strong verbal and written communication skills. Ability to write clear, accurate and concise rationale in support of findings Ability to manage time, prioritize work, and use problem-solving approaches Ability to interpret contractual agreements, business-oriented statistics medical/administrative services and records Ability to identify resources, gather evidence, analyze raw data and generate reports A general understanding of all major managed care functions in particular as it relates to prior authorization, utilization reviews, grievance management, provider credentialing and monitoring Knowledge of the Alliance Health service benefit plans and network providers 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 An excellent fringe benefit package accompanies the salary, which includes: 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

Provider Network Evaluator I (PNE I) is a QP level professional that works as part of the Provider Network Evaluation Department. The department has the responsibility for ensuring that providers are properly delivering services to Alliance members and their families and ensures any out of compliance findings are addressed in a timely manner. The PNE I-HCBS position will be assigned to the Home and Community Based Services (HCBS) team. This team is responsible for conducting reviews of Unlicensed Alternatives to Family Living placements for Alliance members and reviews of member self-directed services (Employee of Record) as described in CCP8P, Attachment H. The PNE I will also be involved in ensuring that HCBS final rule requirements are followed, to include ensuring validation of agency self-assessments and that member surveys are remediated when follow-up is required. This position is full-time remote position but does require travel to conduct on-site reviews and monitoring. The selected candidate must reside in North Carolina. Responsibilities & Duties Validate and Approve TBI, Innovation Waiver, 1915(i), and LTCS Sites and Services Review and validate service site documentation for TBI, Innovation Waiver, 1915(i), and LTCS programs; confirm compliance with regulatory standards to authorize member access to new or existing service locations Perform HCBS reviews as required and within the required timeframes Review provider policies and procedures for compliance with CMS mandated HCBS standards Review and manage HCBS portal to ensure portal entries are reviewed and accepted prior to service initiation and move in Collaborate with other MCOs when a member is transferred into the Alliance catchment area or transferred out of the Alliance catchment area Work with providers to ensure out of compliance findings are remedied either by providing technical assistance and/or through a plan of correction Work with I/DD Care Coordination, Provider Network Development and agency providers to ensure sites are validated and in compliance Remediate issues and concerns that are identified by the State with MIE surveys through documentation review, technical assistance with providers and other stakeholders, and collaboration with I/DD Care Coordinators Provide reports and updates on outcomes of reviews of HCBS and the potential impact on consumers involved to the Provider Network Evaluator Supervisor and/or the Director of Network Evaluation Review and Monitor Individual and Family Directed Services Review self-directed services (Employer of Record) on an annual basis as required Provide technical assistance when required to ensure compliance with CCP8-P, Attachment H and other mandated requirements Maintain EOR spreadsheet Assist With Department Policies, Procedures, and Standards Assist in the development and maintenance of standards for HCBS and unlicensed AFLs sites, Individual and Family Directed Services (IFDS), quality improvement and evaluating the delivery of services to consumers and families Assist in the development of monitoring policies and procedures and site validation Assist in the development of MIE survey processes and procedures Provide Monitoring Information for Inclusion in Provider Database Maintain a current database of HCBS sites that require monitoring and review Maintain a database of unlicensed AFL sites that require annual reviews. Work with I/DD care coordination as needed to update the database to capture sites that are new and sites that are no longer serving members Help maintain the database to ensure accuracy Track any discrepancies and errors in State required reports and reconcile as needed to ensure sites are validated and there are no disruptions in services Track I/DD Care Coordination HCBS assessments/reviews and communicate any discrepancies as needed Maintain Knowledge of Current Services and Supports Available Acquire and maintain knowledge of the current services and supports available within the catchment area and available to consumers within North Carolina Participate in Investigations and Focused Reviews In limited instances, the PNE I may be asked to participate in investigations and focused reviews when there are concerns about quality of care and health and safety Travel Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required Travel to review sites, meet with members, providers, stakeholders, and attend court hearings etc. is required Minimum Requirements Education & Experience A bachelor's degree in a Human Service field (such as Psychology, Social Work, etc.) and at least five (5) years of progressive experience in the field of I/DD or TBI. Strong knowledge of I/DD and TBI services required. Experience with Home Based and Community Services (HCBS) is highly desired. Must maintain a valid driver's license and a good driving record. Knowledge, Skills, & Abilities 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 Extensive knowledge of I/DD and TBI services and requirements 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 Microsoft Office 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 in an effort to evaluate program effectiveness, progress, problems and system performance Ability to work effectively with others internally and externally Salary Range $25.75 - $32.83/Hourly Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

The Court Liaison is responsible for assisting members and families in getting connected to services, representing Alliance in Court/Care Review per SB 207, identifying/connecting with County criminal justice partners, building strong relationships with partners, and facilitating community based solutions to improve outcomes and engagement for persons who are involved with the criminal justice system. This position is responsible for improving system engagement with key partners and stakeholders. 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 for business meetings as needed. The successful candidate will also be required to attend weekly meetings to meet with members, and/or other community stakeholders (Ex. Orange County Courthouse, Department of Juvenile Justice office, Criminal Justice Resource Department, etc). Responsibilities & Duties Collaborate with and provide consultation to key partners and stakeholders, both internal and external Represent the Organization amongst all criminal justice stakeholders such as detention facilities, courts and providers Represent the organization in justice related matters to provide special assistance & education regarding programs offered by Alliance and to increase community awareness of the Alliance initiatives related to the criminal justice population Provide information, education and consultation to public and private entities that routinely interact with individuals with special health care needs or other high-risk populations Provide consultation and solutions for system improvements along the Sequential Intercept model Advocate effective system design and implementation based on research, evidence based practices and current national trend Develop in-depth knowledge of various community systems and provide consultation to MCO clinical departments regarding available resources and barriers for individuals who are incarcerated and/or chronic re-offenders Evaluate programs and recommend improvements Collect and analyze pertinent data to illustrate system gaps/needs; opportunities for improvement and strengths/weaknesses along the intercept model for persons with behavioral health issues Assist in the development of the Alliance Needs/Gap Assessment paying particular attention to challenges and barriers serving the criminal justice population Produce written reports and recommendations regarding best practice approaches that can be infused in the provider network and other specialty services Oversee member initiatives and make referrals May oversee Alliance initiatives that aim to support high risk individuals and individuals with special health care needs that are enrolled in Alliance Care Coordination Make referrals and aids in the early identification of individuals with special health care needs Consult with treatment teams, community collaboratives and other groups serving Alliance members Minimum Requirements Education & Experience Bachelor's degree in Human Services or related field and four (4) years' experience with behavioral health population, including at least 3 years' experience with the courts and criminal justice system Knowledge, Skills, & Abilities General knowledge of behavioral health and intellectual/developmental disabilities Extensive knowledge regarding the criminal justice system Knowledge of the primary purpose and functions of community agencies. exceptional interpersonal skills Microsoft Office Skills Highly effective communication skills Problem solving skills Conflict resolution skills Ability to become proficient in all disability areas, including areas where co-occurring illnesses exist Ability to make prompt independent decisions based upon relevant facts 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 $25.75- $32.83/ Hourly Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity An excellent fringe benefit package accompanies the salary, which includes: 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

Benefits: 401(k) 401(k) matching Competitive salary Paid time off Flexible schedule Serves as a role model and mentor to fellow Direct Support Professional Responsible for the daily operation of the home: grocery shopping list, restocked house supplies, overseeing and track consumers' money. Responsible for monitoring MARS sheet, behavioral/ABC sheets, incident reports, sleep and/or shower charts. Complete MOC daily email - Breaking down full scope of work and urgent matters. Complete task given by management within 24hrs. Respond to every e-mail. Manage DSP - provide coachable moments, follow disciplinary action procedure, track performance and Train as needed. During assigned shifts, if a guardian, family member, client guest and/or SSA visit a client's home - Supervisors are to be present to help answer questions or comments. Supervisors are required to follow company policy and procedures and ensure all staff are fully aware. New hire training checklist, ISP, IST and behavioral specific training is to be completed within 1 week of new hire start date. House Manager monitor and provide feedback at ISP meetings to ensure ASG is providing accurate services to our individuals. Any Client health and personal appointments must be put on in-home calendars and email/calendars invite. Responsible for preventing client abuse by adhering to all policies and procedures, attending periodic Training. Reporting suspicious and inappropriate behavior, and following mandatory abuse reporting requirements and ensure clients are properly signed in and out and that only authorized adults are allowed on site. Within 1 hours of any incident (MUI, UI, IR) notify TEAM - JFS, Guardian, SSA, operation manager and CEO VIA email or by calling the appropriate number. Daily check HPC (servicing needs) for each home you supervise, Goals tracking and help train your staff on company systems. Compensation: $55,000.00 - $60,000.00 per year We genuinely care about our clients, our coworkers, our partners and our community. We care about the services we provide and positive outcomes for all our stakeholders. We value who we are and who we serve. We recognize that each person is different, with different skills, background, knowledge, and experience. We all have something special to contribute! We work to meet the needs of every client every time! No exceptions! No excuses! We are committed to providing great, safe service, going the extra mile for our clients and one another. We encourage our employees to take action and give their best every day. We embrace an environment that empowers employees to lead and make decisions. We don't dwell on our problems, we fix them!

The Quality Improvement Specialist plans and executes organization-wide improvement projects in order to improve organizational performance and promote efficient use of resources through effective design, measurement and analysis of key clinical and operational processes. Applies statistical techniques, root cause analysis, Lean, Six Sigma, and other process improvement tools and techniques with subject matter experts to drive effective interventions and track the implementation of those interventions. The Quality Improvement Specialist will manage several projects simultaneously. This position is full-time remote. Selected candidate must reside in North Carolina. Occasional travel for onsite meetings at the Home office (Morrisville, NC) may be required. Responsibilities and Duties Manage interdepartmental projects to achieve quality targets- Form a team of experts required for effective completion of the project, documenting the projected resources, dates, and goals Develop and adhere to a timeline and list of tasks and resources should be generated that will describe the project in detail and plot important dates, meetings, and prospective finish Prepare and present project reports on a regular basis to the Project Team, Executives, and the Board of Directors Conduct regular meetings with team members to discuss the status of the project and also to make necessary changes and improvements to achieve the desired results Motivate and influence staff assigned to the project in order to accomplish task(s) successfully Statistics, Sociology, Economics, Public Health, Business Administration, Organizational Development, Psychology or related social science Identify and promptly address any problems that may pose a risk to achieving the desired outcome of the project within the time and budget constraints Create and deliver presentations and trainings to variety of internal and external stakeholders as needed Identify the root causes of quality issues to ensure the problem is well defined and can be addressed Leverage lean concepts to identify nonvalue-added elements and activities, and are able to use quality tools to identify failure points in processes Conduct process mapping exercises, design effective data collection plans, understand sources of performance variation, and communicate these principles effectively to a broad audience Define success targets based on internal and external requirements as well a well thought out business case Effectively measure the key output variables to ensure all performance changes are accurately assessed Conduct statistical analysis of initial and repeat measures to evaluate efficacy of interventions and to improve approach to successfully resolving root cause as needed Design appropriate sampling plans and measurement systems to assess process capability and overall system performance Evaluate validity and accuracy of data sources to draw appropriate conclusions Analyze changes in performance to determine the impacts of interventions Perform any required data analysis to evaluate performance gaps Prepare comprehensive reports to ensuring adequate documentation and methodology to support findings and recommendations Design and lead the implementation of effective interventions to drive improvement Generate and evaluate solution ideas using Lean methodologies to reduce and prevent waste Develop plans for implementing proposed improvements, including conducting pilot tests or simulations, and evaluate results to select the optimum solution Develop a sustainable monitoring process and procedure that will ensure long-term success Verify reduction in failures due to the targeted root cause Ensure that all staff involved in the improvement efforts are trained to sustain the improvements and have a robust monitoring plan to detect future performance issues Knowledge, Skills, & Abilities Advanced Project Management skills Advanced Quality Improvement Methodologies (Lean, Six Sigma, Kaizen, etc.) Advanced Data Collection & Analysis skills Advanced Microsoft Applications (Excel, Word, PowerPoint etc.) skills Advanced Communication Skills Advanced Collaboration Skills (problem-solving, mediation, conflict resolution and teamwork) Knowledge and experience with NCQA and HEDIS measurements Medicaid Experience Financial management skills Minimum Education & Experience Bachelor's degree and five (5) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research; or Master's degree and three (3) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research. Special Requirement Certification as a Lean practitioner and/or Six Sigma Black Belt is required within eighteen (18) months of employment Salary Range $68,227 -$86,990/ Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

The Supervisor - Utilization Management Physical Health, provides direct oversight of all aspects of Utilization Management as it relates to the management of physical health authorizations, workflows, and processes as well as all aspects of quality improvement activities. This position provides training and coaching for groups individuals, noting achievements and progress when completing individual performance evaluations as well as addressing and/or taking disciplinary actions if necessary. This position requires sound knowledge of clinical practice and exceptional leadership abilities. The UM Supervisor - PH may represent the unit in cross agency collaborative needs. This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed. Responsibilities and Duties Implement unit goals and objectives Integrate the department and its functions into the organization's primary mission Ensure the Utilization Management Department serves as an integrated department through effectively collaborating with Behavioral Health counterparts Supervisor and Develop 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 Daily operational oversight of the UM Department reviewing physical health services Ensure consistent application of medical necessity criteria for physical health services that promotes a holistic review of the member's needs Ensure compliance with performance measures outlined within NC DHB, NC DMH contracts and all accrediting body standards Monitor systems that ensure the authorization of services provided by clinical care staff appropriately address the service needs, types of service, outcomes, and alternatives available to consumers Provide education to hospitals, nursing homes and other care providers concerning departmental procedures and requirements for approving length of stay extensions Perform other related duties as required by the immediate supervisor or other designated Alliance Health administrators Analyze and monitor community capacity for service needs, service gaps, and the implementation of evidence based/best practices. Review and Revise department Desk Manual as needed Complete mediations for denial or reduction of Physical Health Medicaid services completed by Alliance Health Represent Utilization Management determinations for Physical Health services in court as requested by legal counsel Assess and improve the department's performance based on established indicators and outcomes Attend federal, state and local meetings as agency liaison Ensure authorized services address appropriate service needs, intensity of service outcomes, and alternatives for consumers Support Sr. UM Director and UM Directors in reporting data and quality metrics Inter-Departmental collaboration Maintain accessible and close working relationships with all applicable department heads and decision makers to develop a more coordinated and streamlined service delivery system for individuals and families throughout the service area Identify opportunities for collaboration on inter-departmental projects that reduces duplication and ineffeciencies across the system Works with the Medical Directors with decision making of medical necessity cases, specialists, and primary care physicians Coordinate and integrate services within the department and with other departments Develop and maintain open timely communication with staff, providers, community agencies and other stakeholders Minimum Requirements Graduation from an accredited Nursing school and (5) years of experience in Utilization Management or substantially equivalent experience Or Bachelor's degree from an accredited college or university in Nursing and three (3) years of experience in Utilization Management or substantially equivalent experience Special Requirement Must have a current, active, unrestricted North Carolina license as a Registered Nurse. Knowledge, Skills, and Abilities Must be knowledgeable in Utilization Management managed care principles and strategies Knowledge of physical health and co-morbid health conditions Knowledge of diagnostic treatment guidelines/protocols, level of care criteria Authorization/re-authorization Utilization Management standards Ability to develop and document workflows Written and oral communication skills Ability to analyze effectiveness of processes and make adjustments to developed processes Experience in acute clinical utilization review Experience in related duties in the delivery of patient care, management of patient care providers, or project management in a healthcare environment Demonstrates ability to interact with a wide variety of individuals, and handle complex and confidential sensitive situations Able to lead, delegate and problem solve Proficient in the use of computer and multiple software programs Ability to assist appeal efforts when medical care is denied by various payor entities in a timely fashion Experience with NCQA Salary Range $89,404 - $113,990/ Annual Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

Job Description Alliance Corporation is a leading North American value-added distributor of products and solutions for Wireless Networking, in-building signal coverage and cellular infrastructure applications. We are a fast-paced, aggressive company in an exciting, high-growth market that has shown consistent year-over-year revenue expansion. By partnering with our vendors and clients, we position valued solutions for all of their wireless communications needs. We are seeking a driven Regional Sales Manager to own sales growth and customer relationships within the Southeast. You'll be the face of our brand in the territory-identifying opportunities, building partnerships, and delivering solutions that help our customers succeed. What You'll Do Manage and grow a portfolio of customers within your assigned territory. Develop and execute a territory sales plan to achieve revenue and margin goals. Build strong relationships at all levels of customer organizations. Hunt for new business while expanding opportunities with existing accounts. Conduct regular customer visits, presentations, and business reviews. Collaborate with internal teams to ensure seamless customer experience. Monitor territory trends, competitor activity, and market opportunities. What You Bring 3-5 years of successful B2B sales experience, ideally in distribution, manufacturing, or technology. Proven ability to develop new business and grow existing accounts. Excellent communication, presentation, and negotiation skills. Self-motivated with strong organizational and time management abilities. Bachelor's degree preferred. Willingness to travel extensively within the territory. Overnight 20 - 25% expected Why This Role Matters Your Region is your business. The stronger you grow it, the more impact you'll have-on your customers, your earnings, and the company's success. Performance Metrics Sales revenue and margin growth in region. New account acquisition through qualified leads. Customer retention and satisfaction. Accurate forecasting and territory planning. Work to Sales Excellence Standards established by Sales Leadership Travel to see Top 10 Key Accounts 4 times per year Execute 5 meaningful contacts per day Pipeline to be 300% of quota for non-run rate business Provide Active Quotes 90 times per month Salary Range: $70,000 - $90,000 Why Join Our Team? Remote opportunity (must be located in the Southeast). 401K with a company match to help you invest in your future Comprehensive medical, dental, vision, and prescription plans to keep you at your best Hone your skills or learn new ones with tuition subsidy Alliance Corporation provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The HEDIS Data Analyst is responsible for working collaboratively with Quality Management, IT, and other teams across the organization to gather and document HEDIS data requirements for reporting, perform integrated testing for data quality assurance, support our organization's HEDIS Data initiatives, and develop reports to support decision making and business processes. The HEDIS Data Analyst uses a certified HEDIS engine, SQL, and Microsoft office tools to enable deep dives and data quality review to improve HEDIS Ratings. This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed. Responsibilities & Duties HEDIS Analysis Perform activities, processes, and procedures to achieve improvement in HEDIS measures Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines Provide comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures to senior management Manage all clinical quality metrics and HEDIS processes and results Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Ensure compliance of all quality audits and maintain all data and process controls Develop Reports and Data Visualization Solutions Perform data acquisition, analysis, evaluation, and analytics via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, data visualization, and alerts Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse Provide support, as required, to ensure the accuracy of developed reports and metrics for both external and internal users Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications Assist the QM Department with HEDIS data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of HEDIS reports Perform geocoding activities through GIS software to analyze spatial statistics Quality Assurance Actively participate in Data Governance committee and Business Analyst teams Documentation Develop technical and business process documentation for HEDIS data and solutions Minimum Requirements Experience and Education : Bachelor's degree from an accredited university in human services, statistics, mathematics, computer science, business administration or related field and three (3) years of experience in a Data or Business Analyst position with direct involvement in Healthcare HEDIS analytics and data. Preferred: Experience in business application consulting or development, including experience in planning, facilitating, eliciting, documenting and managing business, functional and technical requirements. Managed care and quality improvement experience strongly preferred. Experience with insurance or healthcare industries is preferred. Knowledge, Skills, & Abilities Communication skills Knowledge of data analysis on databases/data sets Excellent written communication skills, including technical writing and document design principles Advanced experience with SQL Microsoft Office, Visio, Microsoft Project and Microsoft Visual Studio skills Ability to analyze large data sets and perform data profiling Experience working with healthcare data Experience using a certified HEDIS engine Strong critical thinking and problem-solving skills Ability to work independently and in a team setting Ability to manage multiple priorities, and assess and adjust quickly to changing priorities Salary Range $68,227 - $90,401/Annual Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

The Configuration Specialist of Core Systems will function as a subject matter expert on core business functions, processes, workflows, application configurations, and product support for the business units utilizing claims and eligibility software. In this role, the Specialist will demonstrate advanced technological, organizational, and leadership skills, and provide a collaborative conduit between the IT department, the business units, and the vendor support team. They will be responsible for the workflow design, data collection, configuration, testing, maintenance, and implementation of new requirements for the claims and eligibility software. This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office (Morrisville, NC) may be required. Responsibilities & Duties Development, Configuration, and Support Responsible for configuration, data management, development of claims adjudication rules, workflows, and system parameters Supports the customization of system modules based on business requirements e.g. benefit plans, provider contracts, and fee schedules Supports the update of claim edits, code sets (ICD, CPT, HCPCS, NCCI), and other configurable elements Provides development and support activities for the application, including collaboration with business analysts, product owners, and stakeholders to understand claims processing needs for the purpose of translating business requirements into technical configuration specifications Reviews and participates in resolving issues with data loads, workflows, configurations, rule processing, etc. Analyzes proposed product design and configuration changes to determine the effect on the overall system and suggest appropriate alternatives and solutions Has an extensive understanding of the business unit's function and can effectively communicate technical issues and solutions in non-technical terms to the business unit Supports the configuration control process during product configuration, testing, and migration between environments, including business reviews and approvals Provides advice and guidance on methods, procedures, and requirements to individuals responsible for creating documentation Support System Testing Write and perform unit end-to-end testing and debugging-set test conditions based on code specifications Able to analyze and debug complex data errors and provide resolutions as required Validate testing outcomes to ensure alignment with business rules, requested enhancements, and regulatory compliance Support User Acceptance Testing along with business users System Maintenance and Optimization Monitor claims processing performance and investigate configuration-related concerns Identify and implement improvements to streamline claim workflows or increase accuracy Assist in System upgrades, patches, and releases Provide Tier 2 or Tier 3 support for configuration-related concerns escalated by the operations or system support teams Remain up to date on healthcare regulations (HIPPA, CMS etc.) or insurance rules to ensure configurations remain compliant Documentation Development and Maintenance Maintain clear documentation of configuration changes, test results, and system setups Identify and document the functional and technical characteristics of the product configuration, provide the appropriate change control document, and report those changes Provide version control and documentation of all element migrations between the various Application environments Provide advice and guidance on methods, procedures and requirements to individuals responsible for the creation of documentation Minimum Requirements Education & Experience : High School diploma or equivalent and five (5) years of experience in application support, including experience planning, facilitating, eliciting, documenting and managing business, functional and technical requirements. OR Graduation from a Community College or Technical School with a two-year degree in computer science, information technology, information science, human services, healthcare, or related field and three (3) years of experience in application support, including experience planning, facilitating, eliciting, documenting and managing business, functional and technical requirements. Preferred: Bachelor's degree from accredited university in an information technology or related field and five (5) years of experience in business application consulting or development, including experience in planning, facilitating, eliciting, documenting and managing business, functional and technical requirements. Experience in Healthcare Insurance Claims, Encounters, or Enrollment processing and system configuration in an insurance or healthcare industry setting highly preferred. Knowledge, Skills, & Abilities Knowledge of Software development and programming Knowledge of data analysis on databases/data sets Understanding of SDLC and Agile methodologies Keen understanding of IT system design processes Microsoft Office, Visio, Microsoft Project and Microsoft Visual Studio skills Excellent facilitation and organizational skills Strong critical thinking and problem-solving skills Excellent written communication skills, including technical writing and document design principles Ability to manage and work on multiple projects at the same time Ability to think independently and contribute to projects Strong leadership and people management skills, with the ability to inspire and motivate a team. 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. Salary Range $81,873-$104,388/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

The Physical Health Medical Director plays a key role within the Physical Health Medical Management Team, providing clinical oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care coordination. This position will allow the successful candidate to work primarily remote. While there is no expectation to be in the office routinely, the selected candidate may be required to report on-site as needed. It's strongly preferred that the selected candidate reside in North Carolina or be willing to relocate. This position may be required to work weekends and holidays based on organizational and operational requirements. Responsibilities & Duties Clinical Oversight & Medical Review Provide expert guidance and oversight for physical health service requests, including authorization of services and determination of appropriate level of care Ensure the integrity and quality of utilization management activities, including initial reviews, concurrent reviews, appeals, and level of care determinations for inpatient and outpatient services Participate in internal reviews of inpatient and outpatient clinical case types to ensure compliance with regulatory, accreditation, and organizational standards Review Approval and Denial of Service and Level of Care Requests Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service. Complete expected case volume as expected by the department Process Adherence, Quality & Efficiency Follow department processes-as defined by approved Alliance policies, desk procedures, and workflows referenced on the Alliance Grid and in the Medical Director OneNote-to complete timely utilization reviews in Alliance's UM platform and perform tasks efficiently Apply established workflows and maintain quality case reviews to ensure consistent decision making, documentation accuracy, and adherence to regulatory compliance Operational & Committee Support Support the Clinical Operations Department through active participation in organizational committees, including but not limited to Clinical Quality Review, Transition of Care Rounds, Overturn Committee Provide clinical guidance and leadership to promote collaboration between medical, behavioral, and care management teams External Engagement Participate in mediation activities and Office of Administrative Hearing (OAH) processes as required, providing clinical expertise and documentation support Additional Responsibilities Maintain awareness of regulatory requirements, utilization management guidelines, and emerging trends affecting utilization management and physical health services Contribute to process improvement initiatives aimed at enhancing clinical quality, efficiency, and member outcomes Support cross functional teams with medical expertise, as needed Provide consultation, training, and education to staff and community partners on relevant topics as needed Train and mentor peers within the Medical Management team and assist with onboarding PH Medical Director new hires as needed Maintain a Positive Environment Work with Human Resources and Medical Team to attract, maintain, and retain a highly qualified and well-trained workforce Actively establish and promote a positive, diverse, and inclusive working environment that builds trust with teammates 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 Minimum Requirements Education & Experience Graduation from an accredited Medical School. M.D./D.O. degree is required and board certification in a relevant field. At least four (4) years of postgraduate clinical experience and two (2) or more years of managed care and utilization management experience are required. Special Requirement Current, active, and unrestricted license to practice medicine in North Carolina or meets qualifications to obtain a North Carolina Medical License with Board certification for appropriate field of Medicine (American Board of Family Medicine or American Board of Internal Medicine). Knowledge, Skills, & Abilities Knowledge of the information and techniques needed for diagnosis and treatment of medical issues, including symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures Knowledge of Managed Care Principles Knowledge of recent developments in the field of medicine Microsoft Office Skills Ability to speak with colleagues about treatment concerns, complex case issues and best practice recommendations Utilization Management experience Salary Range $211,172 - $269,245/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity An excellent fringe benefit package accompanies the salary, which includes: 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

The Data Integration Business Analyst elicits, analyzes, and documents business and technical requirements for enterprise data exchange and integration initiatives. This role translates requirements into integration specifications and test plans, supports the design and validation of ETL, API, and file-based interfaces, and ensures interoperability, data quality, and compliance (e.g., HIPAA) across internal systems and external partners. 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 Elicit & Document Integration Requirements Lead discovery to capture business goals, data requirements, and SLAs for data exchanges Produce source-to-target mappings (STMs), transformation rules, and interface control documents (ICDs) Clarify acceptance criteria and success metrics for each integration Analyze & Profile Data Perform data profiling and gap analysis on source/target systems (e.g., HL7 v2/FHIR, X12/EDI 837/835, NCPDP, CMS-1500/UB-04, flat files, APIs) Identify data-quality issues; define validation rules and reconciliation processes Recommend code-set crosswalks and normalization approaches Translate Requirements into Technical Specifications Develop detailed functional/technical specs for ETL (e.g., SSIS), APIs, and MFT/SFTP exchanges Partner with data engineers and application developers to align on patterns, standards, and reuse Support solution design reviews for scalability, security, and maintainability Plan & Execute Testing Create test plans, test cases, and data sets for unit, system, and user acceptance testing (UAT) Coordinate UAT with business stakeholders; triage defects and manage retests Validate performance and throughput against SLAs Support Implementation & Operations Assist with go-live readiness (runbooks, SOPs, cutover/backout plans) Monitor initial production runs, perform data reconciliations, and resolve issues Participate in incident response and root-cause analysis; document lessons learned Maintain Documentation & Knowledge Base Maintain current interface inventories, data dictionaries, and lineage/flow diagrams Author and update end-user and technical documentation according to department standards Communication & Collaboration Communicate complex topics to technical and non-technical audiences Collaborate with internal teams and external vendors to ensure alignment and timely delivery Contribute to data governance and interoperability standards Continuous Improvement Recommend process improvements, reusable templates, and automation for mapping, testing, and monitoring Track and report integration KPIs (e.g., timeliness, error rates, data completeness) Minimum Requirements Education and Experience Vocational or Technical Training in computer science, information systems, business administration, or a related field; and five (7) years of experience in data integration/interoperability, ETL, or data engineering; Or Associate's degree in computer science, information systems, business administration, or a related field; and six (6) years of experience in data integration/interoperability, ETL, or data engineering; Or Bachelor's degree in computer science, information systems, business administration, or a related field; and four (4) years of experience in data integration/interoperability, ETL, or data engineering. Additional Required Experience: Hands-on experience gathering requirements and producing source-to-target mappings and interface specifications. Experience with data integration concepts and tools (e.g., ETL/ELT, SSIS), APIs (REST/JSON), and secure file transfer (SFTP/MFT). Experience validating healthcare or payer/provider data sets and applying HIPAA privacy/security considerations. Demonstrated ability to write SQL for data profiling, validation, and reconciliation. Preferred: Experience in a healthcare setting (payer, provider, HIE, HISPs) designing/supporting data exchanges (e.g., 837, 835, NCPDP, CMS-1500/UB-04, HL7 v2/FHIR). Experience with API management, Git/TFS/DevOps, and CI/CD practices. Experience coordinating UAT and production cutovers for integrations. Knowledge, Skills, & Abilities Knowledge of and experience with SQL, preferably T-SQL ETL/ELT concepts; SSIS or similar Data mapping, STMs, ICDs APIs (REST/JSON), basic .NET or equivalent familiarity Healthcare data formats (HL7 v2/FHIR, X12/EDI 837/835, NCPDP) DW/star schema awareness; data lineage SDLC, requirements management, and testing practices Communication, facilitation, and documentation Ability to work independently and in a team setting 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. Salary Range $91,884-$119,450/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

Benefits: 401(k) matching Paid time off Training & development Job Title: Direct Support Professional (DSP) Job Type: Full-Time / Part-Time / PRN (Flexible Schedules Available) Pay: $18-$20.00/hour (based on experience, medication certify) Reports To: Program Manager / Residential Supervisor About Us: We are a mission-driven organization based in Columbus, Ohio, dedicated to providing compassionate, person-centered care to individuals with developmental disabilities and mental health needs. Our Direct Support Professionals (DSPs) play a critical role in empowering the people we serve to live meaningful, independent lives in the community. Position Summary: As a Direct Support Professional, you will provide hands-on support, supervision, and companionship to individuals with intellectual and developmental disabilities in residential, day, or community-based settings. Your role is essential in helping individuals achieve their personal goals, maintain health and safety, and enhance their quality of life. Key Responsibilities: Provide direct care and supervision to individuals in accordance with individualized service plans (ISPs). Support clients with activities of daily living (ADLs), including bathing, dressing, grooming, toileting, and meal preparation. Assist with medication administration and health-related tasks (training provided). Foster community integration by accompanying individuals to appointments, recreational activities, and volunteer/work sites. Document daily activities, progress notes, behavioral observations, and incidents accurately and timely. Promote independence, dignity, and choice for all individuals supported. Respond appropriately to crisis situations, using de-escalation techniques and behavioral support plans when necessary. Maintain a safe, clean, and positive environment in all settings. Qualifications: High school diploma or GED required. Must be at least 18 years old. Valid driver's license and acceptable driving record (preferred). Ability to pass a background check and drug screening. CPR/First Aid certification (or willingness to obtain upon hire). Experience working with individuals with developmental disabilities or in a caregiving role preferred, but not required-training provided. Strong communication, problem-solving, and teamwork skills. Compassionate, patient, and committed to person-centered care. Benefits: Competitive pay with shift differentials and overtime opportunities. Paid training and professional development. Health, dental, and vision insurance (for eligible employees). Paid time off (PTO) and holiday pay. Supportive team environment and opportunities for advancement. Work Environment: This position may involve working in private homes, group homes, or community settings. Candidates must be comfortable with lifting, assisting with mobility, and providing personal care as needed. Equal Opportunity Employer: We are an equal opportunity employer and value diversity. All employment decisions are made on the basis of qualifications, merit, and service needs. To Apply: Submit your resume and a brief cover letter outlining your interest and availability. We look forward to meeting compassionate individuals who are ready to make a difference! Compensation: $18.00 - $20.00 per hour We genuinely care about our clients, our coworkers, our partners and our community. We care about the services we provide and positive outcomes for all our stakeholders. We value who we are and who we serve. We recognize that each person is different, with different skills, background, knowledge, and experience. We all have something special to contribute! We work to meet the needs of every client every time! No exceptions! No excuses! We are committed to providing great, safe service, going the extra mile for our clients and one another. We encourage our employees to take action and give their best every day. We embrace an environment that empowers employees to lead and make decisions. We don't dwell on our problems, we fix them!

The primary purpose of this position is to provide administrative support to the Managed Care Organization (MCO) Board of Directors, specifically the Board Chairperson and Board Vice-Chairperson. This position also supports the CEO and Chief of Staff through consultation/collaboration related to Board matters. This position will serve as primary liaison in person, by email and by telephone, specifically between the Board, CEO, MCO staff, persons Alliance serves, government officials, and community stakeholders. The successful candidate will be required to work onsite at the Alliance Home office (Morrisville, North Carolina), an average of 4-6 days per month; including the first Thursday of each month in order to support Alliance board meetings. In addition they must be available for occasional travel to the other Alliance office locations as needed. Responsibilities & Duties Administrative Support (for Board, Board Chairperson, and Board Vice-Chairperson) Exercise judgement and discretion in scheduling meetings with internal and external stakeholders Receive visitors and telephone calls and make an appropriate disposition of inquiries that involve the interpretation of MCO departmental policies and programs Establish, coordinate, and manage a complex central filing system for the Board to include archiving meeting minutes and materials for the Board and at minimum the following Board Committees: Executive, Network Development and Services, Client Rights/Human Rights and potentially Quality Management, Audit and Compliance Maintain accurate record of archived meeting minutes, lists of persons appointed to Board and Board committees and their terms; accurate Board member attendance for all Board meetings and Board Committee meetings; ensure accurate meeting compensation is paid quarterly Provide support to Board by compiling accurate minutes of monthly Board meetings and additional Board committee meetings as assigned, and in accordance with Board By-Laws and per NC Open Meetings Law requirements; index, prepare and store minutes from Board meetings; index and store minutes for all Board committees as assigned Process mail for Board members and archive per record retention policy Receive, review and respond to correspondence and/or assign to appropriate individuals for preparation of replies. This may be done in coordination with the Executive Assistant to the Office of the CEO Prepare a variety of reports, presentations, and correspondence and as needed for the Board, consult with the CEO and Chief of Staff Schedule and coordinate Board and specified Board Committee meetings ensuring adequate space, equipment, materials, refreshments, accurate composition of agendas/minutes according to Open Meetings Law, etc. Coordinate/facilitate annual Open Meetings Law training for staff who support Board and CFAC meetings, and for Board Executive Committee members Facilitate orientation and onboarding for new Board members and new Board Chairpersons Sign off on Board Policies when approved by the Board Receive, review and/or route items for Board Chairperson, Vice-Chairperson signature(s) Register Board members for training, coordinate lodging, travel and reimbursement as needed This position is cross trained with the Executive Assistant to the CEO/CoS (Chief of Staff) to provide direction and detailed training to and will provide backup coverage for Executive Assistant to CEO/CoS when needed Clerk to the Board/Liaison Use substantial authority and discretion to make independent decisions when conferring with management and representatives of other county and state departments Recommend solutions or alternatives in anticipation of challenges, potential delays, and/or risks Function as a liaison between the Board and internal or external contacts. Serve as liaison and resource for staff who support Board Committees Collaborate with CEO and General Counsel to ensure effective Board meetings per established processes and statutory requirements Provide guidance/direction in the management of CFAC Steering Committee and other board sub-committee meetings and recordings as needed If needed, approve leave and reimbursement requests for CoS; maintain documents related to the CEO's personnel file Create agendas for Board meetings and specified Board Committees; gather information for meeting agenda packets; notify Board members, appropriate staff and interested parties of date, time, and location of meetings; and track annual/routine agenda items for agendas Assist the Board in management activities; use substantial authority and judgement to make independent decisions when conferring with management and representatives of other county and state departments (e.g., MCO management, clerks to local BOCCs (Boards of County Commissioners), etc.) Advise the Board and CEO of necessary appointments or reappointments. Ensure the advertisement of vacant seats and communicate appointment recommendations to respective BOCCs Prepare written material for distribution and publication to the Area Board, governmental officials, MCO Department Heads, etc. Ensure accurate notice of Board and specified Board Committee meetings as required by Open Meetings Law and Alliance Policy Minimum Requirements Education & Experience : Graduation from high school and five (5) years of progressively responsible administrative/office management experience; Or Completion of a two-year secretarial science of business administration program and three (3) years of progressively responsible administrative/office management experience; Or Graduation from a four-year college or university, preferably with major emphasis on business administration, public administration, of related field and one (1) year of progressively responsible administrative/office management experience. Prior experience serving as a board clerk or equivalent role required. Must be certified NC notary public or obtain certification within six months of employment. Preferred: Additional Training Preferred: Previous experience in a behavior healthcare agency preferred. Knowledge, Skills, & Abilities Considerable knowledge of modern office procedures, practices, and equipment. General knowledge of the principles and practices of public administration, business administration, and some knowledge of personnel policies and practices. Ability to initiate and exercise judgment and discretion in applying and interpreting policies and procedures. Ability to establish and maintain effective working relationships with associates, officials, and the public. Ability to express comments and opinions clearly and concisely in oral or written form. Thorough knowledge of NC General Statutes applicable to MCOs and Open Meetings Law. Skill in event planning and setting up meetings. Ability to listen to extensive discussions and provide a concise summary of all pertinent data. Knowledge of grammar, punctuation, syntax and spelling with the ability to compose effectively. Must possess exceptional organizational skills. Ability to plan, assign and review the work of others. Ability to understand and carry out oral and written instructions. Salary Range $68,722 to $96,640/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity An excellent fringe benefit package accompanies the salary, which includes: 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

The Provider Network Evaluator II-Clinical Quality Review performs Clinical Quality Reviews (CQR), Oversight Reviews, and plan of correction implementation reviews of service providers contracted with Alliance Health. Additionally, in limited situations, Provider Network Evaluator II-CQR may investigate instances of concern to ensure individuals receive sufficient, safe, and effective services rendered by providers in the Alliance Health network. This is a full-time hybrid position. Weekly travel is required to conduct on-site reviews. The selected candidate must reside within the following Alliance catchment area counties: Cumberland, Durham, Harnett, Johnston, Orange or Wake, or live approximately 60 miles from an Alliance office located in Wake, Johnston and Cumberland counties. 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 assistant 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 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 Minimum Requirements Master's degree from an accredited college or university in a Human Services field (such as Psychology, Social Work, etc.) and 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. Knowledge, Skills, and Abilities 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 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 $60,234 -$78,305/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

The Director, Artificial Intelligence will lead a team of data professionals responsible for driving the development and implementation of AI/ML solutions that drive business growth, improve operations, and enhance customer experiences. This is a full-time hybrid 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 in Morrisville 1 day per week and for business meetings as needed. Selected candidate must reside in North Carolina. Responsibilities & Duties Manage and Develop Staff Responsible for establishing and implementing a safe working environment that meets all licensure, regulatory, and accreditation requirements Lead, train and develop the members of the Artificial Intelligence team and assist them in delivering clear and actionable information Develops plans to monitor and manage staff productivity and success in meeting assigned objectives Ensure staff are well trained in Alliance policies, procedures, and business processes Reviews, make recommendations and implement the needed systems and tools to successfully fulfill corporate objectives and to support Alliance staff and team members Lead the identification and development of the Artificial Intelligence Team roles, configuration and recruitment Provide solution design guidance to the Artificial Intelligence team, ensuring delivery of best-in-class solutions for the challenges at hand Leads ongoing coaching and mentoring to staff on new technology tools and practices, including change management practices, to support a learning environment to advance team skills 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 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 Oversee Artificial Intelligence Operations Lead the development and implementation of AI/ML initiatives across the organization, ensuring alignment with business objectives and strategies Collaborate with cross-functional teams to design, build, and deploy AI/ML models and solutions Oversee the collection, processing, and analysis of large datasets from various sources to fuel AI/ML models Develop and maintain relationships with external partners, vendors, and academia to stay ahead of the curve in AI/ML innovation Ensure the successful deployment of AI/ML solutions across the organization, including training, support, and ongoing maintenance Foster a culture of innovation and experimentation, encouraging collaboration and knowledge sharing across the organization Develop, define, and enforce best practices, processes, policies and system security to ensure alignment with all corporate strategy and goals Communication and Collaboration Lead in a consultant role in advising executive and senior leadership on complex and high-risk strategic and contractual operational IT initiatives Collaborate with leaders across the organization to help them understand and identify the value drivers to improve business operations and meet organizational objectives Communicate corporate initiatives with both technical and non-technical Alliance executives and other team members, using active leadership skills across project team and the business community Develop cross-departmental teams and analytics business application expertise throughout the Alliance organization Minimum Requirements Education & Experience : Bachelor's degree in Computer Science, Data Science, Engineering, Mathematics, Statistics or a related technical field and 5 (five) years of experience with increasing responsibilities in managing and supporting information technology in a healthcare setting. Significant experience in a health care, insurance or medical setting is desirable, specifically in advanced analytics and information systems planning to support business goals. Experience should include the following: • Artificial Intelligence and Machine Learning • Productivity and reporting applications such as Data Analytics • Business processes and their interrelationship gained through 5 (five) or more years of related experience • Analyzing and resolving complex issues, both logical and interpersonal Preferred: Specific experience with clinical management information systems is a plus. Knowledge, Skills, & Abilities- Strong technical expertise in AI/ML algorithms, data modeling, and data engineering Excellent analytical, strategic conceptual thinking, strategic planning and execution skills Experience with AI/ML platforms and tools, such as TensorFlow or PyTorch Experience with GenAI Models, such as Meta Llama and Mistral AI Excellent verbal and written communication skills, including the ability to explain AI concepts Planning and organizational skills Demonstrated skills in Microsoft Project, Excel, Word, and PowerPoint and other commonly used software and data analysis software Proven track record of delivering successful AI/ML projects and solutions Strong business acumen, including industry, domain-specific knowledge of the enterprise and its business units Ability to identify and calculate risk levels and implement mitigation techniques. Ability to work effectively with, manage, motivate and get results from diverse stakeholders, including executive and senior leadership. Ability to work across multiple, distributed, functional groups. 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. Salary Range $128,618-$173,635/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: 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

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested

PART-TIME and FULL-TIME- HOUSE MANAGER positions available - As a DSP( direct support professional), you will serve as a friend, mentor, and support-person to individuals with developmental disabilities. You will provide individualized direct care, lead socialization activities, help develop daily living skills, and assist with daily living needs. We genuinely care about our clients, our coworkers, our partners and our community. We care about the services we provide and positive outcomes for all our stakeholders. We value who we are and who we serve. We recognize that each person is different, with different skills, background, knowledge, and experience. We all have something special to contribute! We work to meet the needs of every client every time! No exceptions! No excuses! We are committed to providing great, safe service, going the extra mile for our clients and one another. We encourage our employees to take action and give their best every day. We embrace an environment that empowers employees to lead and make decisions. We don't dwell on our problems, we fix them!