Senior Transplant Coordinator – Care Coordination

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Allied Benefit Systems

201 - 500 employees

Founded 1980

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

📋 Description

• Manage high-level internal and external relationships, organ transplants, and department escalations • Resolve department escalations by collaborating with internal departments and vendors • Represent the department in cross-functional team meetings and provide strategic insights • Mentor and collaborate with the Associate Liaison • Lead vendor relationships and process improvements • Provide expert support for organ transplant claims and contracts • Document complex systems, processes, procedures, workflows, and enhancements • Serve as transplant claim and contract subject matter expert with Claims Team and transplant vendors • Ensure transplant claims are priced and paid correctly • Perform training for internal staff, external clients, and vendors as needed • Back up the Case Management Supervisor • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in a relevant field or equivalent work experience, preferred • 3 or more years of related experience in healthcare/health insurance • Transplant coordinator experience is a plus but not required • Comfortable with advanced medical terminology • Organ transplant specialization • Significant experience in contract negotiation • Strong leadership, communication, and collaboration skills • Intermediate-level experience with Microsoft Office, Word, Excel, Access, and PowerPoint • Ability to work with cable broadband or fiber internet service with at least 100Mbps download and 25Mbps upload

🏖️ Benefits

• Flexible remote work and comfort of working from home • Medical Insurance • Dental Insurance • Vision Insurance • Life and Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend

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