Alliance Health

QA Engineer

• Serve as the project management lead and subject matter expert for assigned NCQA standard areas
• Manage the assessment of related business functions for corresponding departments within the scope of NCQA standards
• Support high-quality performance and ensure successful NCQA Accreditation process
• Support the Continuous Quality Improvement Committee
• Implement and Monitor Accreditation Workplan
• Identify gaps and risks and provide regular status reports from NCQA tracker to leadership
• Serve as lead for NCQA Accreditation reviews for assigned standard categories
• Review and update policies and procedures, reports, materials, and files for completeness, accuracy, and compliance with NCQA Standards
• Maintain calendar of documentation due dates
• Participate in Delegation Oversight and audits as appropriate
• Provide technical support and education to staff regarding NCQA Health Plan Accreditation
• Assess business area functions against current and upcoming NCQA standards
• Coordinate and collaborate with cross-departmental teams to identify and implement organization-wide strategic initiatives that support quality performance

NCQA Quality & Accreditation Specialist

Auditor

• Drive internal audit initiatives, special projects, and improvement initiatives in accordance with the Institute of Internal Auditors (IIA) Global Internal Audit Standards, including requirements for planning, performing, and communicating results
• Develop and apply audit criteria and performance measures for assigned engagements
• Apply IIA-aligned audit methodology when evaluating the adequacy, effectiveness, and efficiency of internal controls and ongoing operations
• Provide task assignments, guidance, and initial workpaper review for Internal Auditor I staff
• Perform detailed reviews of workpapers to ensure IIA expectations for evidence quality, analysis, and documentation are met
• Conduct periodic audit follow-ups to assess and report on progress or completion of management’s corrective actions
• Conduct other audit and compliance activities, such as internal investigations, as assigned
• Prepare audit and advisory reports for Director of Internal Audit review
• Apply the IIA’s guidance on risk assessment and prioritization when developing engagement-level audit objectives and testing strategies
• Design audit programs and testing procedures consistent with IIA guidance on planning and due professional care
• Maintain and refine internal audit methodology, including policies, procedures, templates, and tools
• Align audit activities with internal audit strategy, goals, and objectives
• Assist in defining and managing content for the internal audit manual
• Contribute to the development of the internal audit training program; work with supervisor to establish training goals
• Participate in organizational risk management activities, including contributing to the annual risk assessment that informs the audit plan
• Assist in the annual system-wide Enterprise Risk Management risk assessment cycle
• Support protocols to promote consistent use of IIA audit methodology
• Provide input on staff development needs and support skill‑building activities
• Support consistent application of IIA Standards by answering questions and helping staff resolve methodological issues
• Assist with occasional knowledge sharing or focused training, as needed, to strengthen team capability
• Provide mentoring and coaching to internal auditor staff and compliance auditors (analysts)
• Effectively communicate with internal audit staff, Director of Internal audit, and Alliance management
• Build relationships with key constituents and serve as a resource of professional audit advice, as appropriate
• Build and nurture key management and business relationships
• Manage external relationships, i.e. with external auditors, regulators and consultants
• Document audit results accurately and completely using the designated internal audit software
• Communicate the results of audit activities via written reports and oral presentations to appropriate management and other stakeholders

Internal Auditor II

Software Engineer

• The primary purpose of the UI Application Developer is to create and maintain Alliance Claims processing front end solution.
• This includes designing and implementing a well-formed, component-based, testable, well-integrated library of components.
• The position will also be responsible for and demonstrate the ability to be creative in designing and implementing appropriate UI/UX designs.
• Build and implement secure, efficient, and visually aesthetic user interfaces using JavaScript/TypeScript and the Angular framework with HTML and CSS/SCSS.
• Create an adaptable and secure interface applying the latest front-end technology and security best practices.
• Lead product-analysis tasks and conduct performance tests.
• Implement complex components that will include significant research and analysis.
• Ensure a clear dependency chain, regarding the app logic as well as the file system.
• Collaborate with other developers and QE team members to ensure security, high-performance and reliability of the applications.
• Interact with business teams to understand project and new feature requirements.
• Interact with support staff to identify and resolve escalated production level helpdesk bugs, bottlenecks, and obstacles.
• Participate in meetings to provide valid input in application architectural discussions and status updates of current development.
• Document and manage development tasks using TFS.