Alliance Health

Software Engineer

• Design & Develop RESTful APIs
• Build and maintain .NET & .NET Core services using C#
• Apply clean architecture, CQRS, and DDD patterns
• Implement JWT based authentication/authorization
• Optimize performance for large data sets
• Create & Maintain Supporting Applications
• Write console utilities that consume APIs
• Contribute to Angular/TypeScript front ends and legacy MVC/Razor views
• Produce data export/import tools (CSV, TXT, XLSX)
• Leverage GitHub Copilot and VS Code extensions for AI driven code generation
• Conduct peer code reviews and enforce DRY, SOLID, and security best practices
• Write and maintain meaningful unit tests and contribute to team code coverage and quality targets
• Apply AI-assisted coding tools responsibly with validation, review, and secure coding practices
• Follow established organizational architecture standards (Clean Architecture, layered design, CQRS, or equivalent patterns)
• Push code to Azure DevOps Git repos
• Define build/release pipelines (YAML) for automated testing and deployment to IIS/Azure App Service
• Use PowerShell/CLI scripts for environment provisioning
• Develop T SQL stored procedures, functions, and SSRS reports
• Model entities with Entity Framework Core; manage migrations
• Tune queries for high volume operations
• Maintain up to date API Swagger/OpenAPI specs
• Create consumer guides, troubleshooting run books, and onboarding docs in Confluence/SharePoint
• Mentor junior developers on API design and AI assistant usage
• Attend sprint planning, daily stand ups, retrospectives
• Track work in Azure Boards; update status and acceptance criteria
• Conduct static code analysis (SonarQube, etc.)
• Review and remediate OWASP Top 10 findings
• Follow secure development, PHI-safe, and regulatory compliance standards where applicable

Net Application Developer – Full-time

Manager

• Lead all communication among care team members and act as the primary point of contact for members served
• Complete comprehensive assessments at enrollment, yearly or at changes in condition
• Develop Plans of Care derived from the completed assessments
• Consistently evaluate the appropriateness of services and ensure implementation of plans of care
• Actively collaborate with care teams, members supported, and service providers
• Complete and upload all supporting documentation related to care management activity

Care Manager II

• SharePoint Development and Administration
• Design, develop, debug, test, deploy, document, and maintain SharePoint solutions
• Use out-of-the-box functionality, as well as custom SharePoint forms and development using SharePoint Framework SPFx
• Implement, deploy, package, and maintain intranet portal site and SharePoint site
• Contribute to the process development and best practice
• Look at new ways to improve resilience, performance levels and supportability
• Keep abreast of technical developments of operational importance to the agency and to participate in developing or setting standards as directed
• Customize SharePoint sites, lists, libraries, and workflows using third party tools and Power Automate to enhance functionality and streamline business processes
• Oversee end to end migrations from SharePoint on premises to SharePoint Online, ensuring a secure, efficient, and seamless transition for users and business processes
• Follow SharePoint best practices in content management and taxonomy
• Participate in the architectural design, development, customization, and integration efforts of solutions involving collaboration, portals, content management, and workflows
• Collaborate with SharePoint leadership, cross functional development teams, and IT stakeholders to gather requirements, design enhancements, and deliver customized SharePoint solutions that support business objectives
• Establish and maintain effective working relationships with all stakeholders
• Develop both technical and end user documentation
• Ensure that applications and related services are documented and kept current
• Provide support and training to end-users, addressing technical issues and enhancing user knowledge of SharePoint features and best practices
• Aid with on-going SharePoint websites/Intranet application maintenance
• Handle support tickets
• Provide training for end users

SharePoint Developer

• Provide oversight and direction to the Practice Transformation Specialists (PTS)
• Help develop the strategy for the PTS team in order for the AMH+ and CMAs to meet members needs and fulfill their CM credentialing criteria
• Work closely with the Sr Director of Payer and Practice Transformation to define the vision of the department based on data patterns and trends, Medicaid requirements and member needs
• Ensure that the Practice Transformation team is performing effectively and efficiently in compliance of all applicable policies and contractual requirements
• Monitor and manage staff productivity and interaction with providers, CIN and internal Alliance staff
• Ensure staff are well trained in Alliance and Practice Transformation policies, procedures, and business processes
• Provide 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
• Propose solutions for practices/health centers to consider in addressing barriers
• Collaborate with internal and external stakeholders by scheduling ongoing opportunities to share feedback and collaborate

Manager – Practice Transformation

Project Manager

• Plan, execute, and finalize projects according to deadlines and within budget
• Form teams of experts for effective project completion
• Document projected resources, dates, and goals
• Generate and manage a timeline and list of tasks and resources
• Develop and maintain cordial relationships with clients and team members
• Manage operation of all assigned projects
• Prepare and present project reports to management
• Conduct regular meetings with team members to discuss project status
• Manage problems within the project team or issues with clients
• Conduct evaluation meetings after project completion

Project Manager I

• The Care Manager l-TCL assures that individuals and families with special health care needs receive integrated whole-person care management
• Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition
• Develop Plans of Care derived from the completed assessments
• Schedule face to face, virtual, and telephonic meeting with member/guardian to provide education about Alliance Health Plan, care teams, resources, and services
• Actively collaborate with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs
• Complete documentation by obtaining and uploading all supporting documentation and release of information that will improve care management activity

Care Manager I – TCL

• Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition
• Develop Plans of Care derived from the completed assessments
• Demonstrate commitment to whole person/integrated care
• Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities
• Retrieve and review historical data to better-understand member’s treatment history
• Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
• Assist individuals/legally responsible persons (LRP) in choosing service providers, ensuring objectivity in the process
• Utilize person centered planning, motivational interviewing and historical review of assessments in JIVA to gather information and to identify supports needed for the individual
• Actively collaborates with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs and desired life goals

Care Manager I – Waiver

Director

• Provide administrative support to the Managed Care Organization (MCO) Board of Directors
• Serve as primary liaison between the Board, CEO, MCO staff, and community stakeholders
• Exercise judgement and discretion in scheduling meetings
• Maintain records of archived meeting minutes and attendance
• Compile accurate minutes of Board meetings and Board committee meetings
• Process mail for Board members and archive correspondence
• Prepare reports and presentations for the Board
• Schedule and coordinate Board meetings

Clerk to the Board of Directors

Medical Director

• 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.
• Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service.
• Process adherence to complete timely utilization reviews in Alliance’s UM platform and perform tasks efficiently.
• 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.
• Maintain awareness of regulatory requirements, utilization management guidelines, and emerging trends affecting utilization management and physical health services.

Medical Director – Physical Health

• Coordinate Care and Consult on Cases for Special Populations
• Provide staffing consultations for Special Populations, particularly youth with complex and/or special health needs
• Collaborate with Care Management resources and individuals/legally responsible persons in choosing service providers, ensuring objectivity in the process
• Participate in proactive individual case consultations with Care Management and Medical team to provide multi-disciplinary review of members’ needs
• Assess initial function, interpersonal dynamic, and overall engagement between paid supports (direct service providers, QP, etc.) and the member
• Facilitate referrals for services that fall under Early Periodic Screening Diagnosis and Treatment (EPSDT) as well as other supports including, but not limited to, NC START programs
• Coordinate monitoring and technical assistance efforts within the Care Management department to inform and guide efforts of the team
• Promote problem-solving and goal-oriented partnership with individuals/legally responsible persons, providers, etc.