Palladian Departments and Workforce

Select the "Read more..." button to review the Palladian Health operational departments. This will provide you with a brief description of their functions to assist you in identifying employment opportunities that are best suited to your experience, skills and interests.

Job Opportunities at Palladian Health

Palladian Health, LLC is always seeking motivated and reliable individuals to join our team! We are proud to afford talented staff with opportunities for professional advancement in our growing company. Experience requirements vary by position. Palladian Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Palladian Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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. Palladian continually welcomes resumes for the following in the event of an unexpected opening.

Available Positions

Select a position below to expand the details.


Position Overview

The Manager, Customer Service will work closely with and report directly to the Vice President of Operations to oversee daily operational and administrative functions of all areas within Customer Service. An understanding of applicable regulatory requirements or client specific performance standards and processing specifications is essential to the position.

Direct Reports

Customer Service Representatives and Receptionist

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Monitor staff performance to ensure that inquiries are being processed in a timely, accurate and professional manner
  • Improve customer service quality results by studying, evaluating and re-designing processes and desk level information
  • Establish and communicate customer service metrics
  • Assist staff in resolving complex or out of policy operational problems
  • Compile internal data for client specific reports and audits when necessary
  • Oversee and ensure completion of all internal audits
  • Ensure timely and accurate department payroll submission
  • Participate in the recruitment and selection of team members
  • Coach and provide support to staff
  • Establish employee goals and conduct employee performance reviews
  • Cultivate relationships with clients
  • Perform related duties as assigned

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • Associate’s degree and four (4) + years of experience in a customer service/call center environment OR Bachelor’s degree and three (3) + years in a customer service/call center environment

Preferred / Qualifications:

  • Two (2) + years of management experience
  • Bachelor’s Degree
  • Experience in a managed care environment
  • Excellent communication skills
  • Strong organizational/time management skills
  • Ability to operate a PC, navigate computer applications; MS Office knowledge preferred

Other Skills/Abilities

  • Leadership skills
  • Critical thinking skills, strong communication skills, high degree of interpersonal management ability
  • A positive/cooperative attitude
  • Professionalism
  • Ability to make decisions and delegate appropriately
  • Problem solving skills
  • Ability to maintain confidentiality
  • Dependability
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

The Network Management Agent (Provider Relations / Network) is responsible for promoting, building and maintaining all specialty networks through a concerted recruiting campaign. Responsible for generating leads, mailing and e-mailing applications packets and/or direct mail piece, credentialing applications packets, followed with an intense follow-up campaign ensuring information was received and questions answered. Once applications are received, Network Management Agents also credential and re-credential participating providers in a timely, accurate and professional manner and maintain accurate databases on these providers. This position reports directly to the Manager, Network Management.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Recruit practitioners
  • Maintain appropriate logs and reports
  • Enter provider information into appropriate database and file information accurately
  • Verification of practitioner demographic information
  • Maintain accurate and complete practitioner information
  • Internet browsing capabilities for research
  • Manage inbound and outbound call lines
  • Process applications to credential and re-credential providers
  • Process changes of information
  • Interact with providers to resolve issues and ensure proper documentation is received and current in the provider file
  • Record minutes of Credentialing Committee activity, as requested.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • 2 years of customer service or sales experience.
  • High School Degree or GED required.

Preferred / Qualifications:

  • Proficient computer skills
  • Ability perform typing/keying tasks for extended periods of time
  • Ability perform administrative functions with no restrictions
  • Ability to multi-task.
  • Ability to work efficiently and autonomously
  • Knowledge of Microsoft Office

Other Skills/Abilities

  • Problem solving skills
  • Personable/Strong people skills
  • Strong organizational and time management skills
  • Articulate
  • Strong written communication skills
  • Calm business like composure
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Under the direct supervision of the VP of Operations, the Claims Analyst processes claims for services rendered to plan members in a timely, accurate and professional manner. A complete and thorough understanding of all regulatory requirements or client specific performance standards and processing specifications is essential to the position.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Process claims routed to claim work queues
  • Process special handle claims
  • Process adjustments and/or grievances
  • Process claims from non-participating providers
  • Ensure all contractual and regulatory performance standards are met, i.e. timely filing, prompt payment
  • Process batches through the Claims Verifier
  • Interacts with providers and clients to resolve issues

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • Associate’s degree and one (1) + years of administrative experience required
    • OR High school diploma or GED and three (3) + years of administrative experience is required

Preferred / Qualifications:

  • Bachelor’s degree
  • Claims processing experience
  • Strong keyboarding and 10-key skills, with ability to perform typing/keying tasks for extended periods of time
  • Ability to operate a PC and navigate computer applications
  • Good communication skills
  • Strong organizational and time management skills
  • Knowledge of general office technology

Other Skills/Abilities

  • A positive/cooperative attitude
  • Professionalism
  • Dependability
  • Problem solving skills
  • Ability to maintain confidentiality
  • Attention to detail and follow through
  • Team approach; ability to work well with others
  • Ability to work quickly and maintain acceptable levels of production
  • Ability to excel in dynamic workplace environment (e.g. new clients, application updates, regulatory changes, etc.)
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Responsible for providing technical assistance and support related to Windows operating systems, hardware, software and network connectivity. Responds to phone calls, emails, trouble tickets, in person requests, isolates problems and determines/implements solution.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Perform workstation setup, configuration and moves.
  • Troubleshoot, diagnose and resolve hardware, software and connectivity problems for end users.
  • Train end users in proper use of PCs, peripherals and software.
  • Maintain daily backups
  • Maintain inventory of technical equipment
  • Maintain documentation of systems and procedures
  • Assist with network and server maintenance activities
  • Administration of email system
  • Administration of patch management and antivirus systems.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • Bachelor’s degree in Computer Science or other IT field
    • OR Certification in Information Systems specialty and two (2) years of technical support experience
    • OR High School diploma and four (4) + years of technical support experience
  • Ability to lift fifty (50) pounds

Preferred / Qualifications:

  • Proficient interpersonal skills and knowledge of PC hardware, printers, computer networks
  • Knowledge of PC Hardware, Printers, Computer Networks, Windows Operating Systems, Microsoft Exchange and Microsoft Office.
  • Ability to read and interpret technical documents
  • Ability to perform typing/keying tasks for extended periods of time

Other Skills/Abilities

  • Problem solving skills
  • Interpersonal skills
  • Desire and ability to learn quickly
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Provides assistance, support and education to customers (members and providers) through telephonic and written communications for spine care related services which are managed by Palladian. Supports the Coordinated Spine Care (CSC) Program in development and implementation initiatives. Conducts communication activities and all other job duties in a timely, accurate and professional manner according to established corporate, contractual and applicable regulatory guidelines.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Telephonic assistance and education to members and providers based on Palladian CSC program recommendations or procedures
  • Conduct all telephonic calls according to Palladian Policies and Procedures
    • Strategically resolve inquiries or concerns from members and providers
    • Accurately log all information into designated database
    • Return calls to members and providers within the designated timeframe
  • Facilitate follow up communications which may include distribution of educational materials to members and providers by letter, fax or e-mail
  • Demonstrate good judgment to know when a disgruntled caller needs to be elevated to a higher level in the dept. or company
  • Communicate with members who may be experiencing psychological and/or substance abuse issues, and demonstrate good judgment to know when a call needs to be elevated for immediate attention
  • Support business development and implementation initiatives through activities such as: participation in team meetings, drafting communications as requested and providing presentations regarding the health advocate component of the CSC product
  • As requested, participate in cross training opportunities and support other corporate operational areas/departments.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • RN license with two (2) + years of patient care and customer service experience

Preferred / Qualifications:

  • Bachelor’s degree
  • Persuasive communication skills.
  • Flexibility to work evening hours as needed.
  • Ability to travel occasionally for business development or new client implementation initiatives.
  • Bi-lingual skills preferred, however not necessary.
  • Experience working on a multidisciplinary team (shared responsibilities)
  • Strong keyboarding and 10-key skills with ability to perform typing/keying tasks for extended periods of time.
  • Ability to operate a PC and navigate computer applications. MS Office knowledge preferred
  • Knowledge of general office technology
  • Knowledge of the health care delivery system

Other Skills/Abilities

  • Excellent communication skills
  • Strong interpersonal skills
  • Good judgment
  • Tolerance for change
  • Ability to multi-task and prioritize
  • Ability to effectively problem solve
  • Ability to maintain confidentiality
  • A motivated learner who is enthusiastic and eager to learn
  • Customer service driven with a strong focus on serving the member and/or provider

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

The UM Analyst is responsible for processing and recording all incoming and outgoing service authorization requests in accordance with the guidelines set up by the QA/UM Manager, as well as the federal ands state compliance standards.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Verifying eligibility of members and providers
  • Data entry of all submissions
  • Production of letters to members and providers, both automated and manual
  • Identifying and communicating issues and/or errors of an authorization
  • Assist members of the department, as well as the company, with UM related issues or projects
  • Prepare files for audit processing
  • Maintain confidentiality and use only the minimum necessary amount of protected health information (PHI) to accomplish duties
  • Other duties as required by immediate supervisor

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • High School Diploma or GED required.
  • 1 year of administrative experience required.

Preferred / Qualifications:

  • LPN
  • Associate’s Degree or Bachelor’s Degree preferred.
  • Knowledge of health benefit structure
  • Data entry skills
  • Experience working in a medical office environment
  • Microsoft Word and Excel experience

Other Skills/Abilities

  • Positive Attitude
  • Team Player
  • Punctual
  • Strong customer focus
  • Ability to assume responsibility to maintain confidentiality
  • Ability to perform typing/keying tasks for extended periods of time.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

The Executive Administrative Assistant is responsible for assisting the executive management team with daily operations which include clerical and administrative functions, as well as long-range planning and scheduling.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Maintain daily schedules for Executive Management.
  • Anticipate deadlines and clerical preparation needed in order to complete administrative projects in a timely manner.
  • Maintain communication between members of management and Executive team.
  • Plan logistics for out-of-town business trips including flight, hotel, and all applicable travel arrangements.
  • Maintain administrative and confidential files.
  • Assistant in the development of office procedures.
  • Assist in scheduling/planning of management team and Board of Directors meetings.

Additional responsibilities include special project assignments and assisting various department heads with specific projects where needed.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • 5 or more years of clerical experience required.
  • 2 + years of executive level support experience.
  • 2 + years of working experience with Microsoft Word, Excel, and PowerPoint.
  • High School Diploma or GED required.

Preferred / Qualifications:

  • Associate’s Degree or Bachelor’s Degree preferred.

Other Skills/Abilities

Knowledge of basic office equipment, and proficiency in Microsoft Word, Excel, and Power Point, are key components of this position.

  • Proficient computer skills including use of internet.
  • Ability to perform typing/keying tasks for extended periods of time.
  • Ability to perform administrative duties with no restrictions.
  • Ability to maintain confidentiality.

Critical to success in this position are certain attributes:

  • Ability to multi-task
  • Self-motivation
  • Personable/strong “people” skills
  • Creative
  • Articulate
  • Strong organizational skills
  • Calm business-like composure
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

The Clinical Peer Reviewer is responsible for providing decisions pertaining to discipline-specific medical necessity of care. Such medical necessity determinations are consistent with the Palladian Health Clinical Criteria, Palladian Health Policies and Procedures, state and federal regulations, as well as national accrediting agency standards.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Review medical information.
  • Perform classification of service type.
  • Render medical necessity decisions.
  • Render reconsideration decisions.
  • Communicate with practitioners, as indicated.
  • Render first level appeal decisions.
  • May function as a Case Reviewer by facilitating utilization management reviews in areas of service that are outside of their discipline.
  • Monitor practitioner submitted information for quality of care concerns.
  • Report conflict of interest issues.
  • Involved in the development and the review of clinical review criteria, guidelines, technology assessments, clinical research, etc.
  • Participate in meetings.
  • Other duties as assigned.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • An active, unrestricted professional license or certification to practice medicine or an appropriate healthcare discipline as a healthcare professional in a state or territory of the United States.
  • Minimum of five (5) years of clinical experience.

Preferred / Qualifications:

  • Familiarity and ability to read critically understand and synthesize the indexed scientific literature concerning practice guidelines, particularly those guidelines and parameters that involve the discipline-specific literature and practice.
  • Knowledge of relevant regulatory and accrediting agency guidelines is beneficial.
  • Ability to perform typing/keying tasks for extended periods of time.

Other Skills/Abilities

  • Critical thinking.
  • Ability to communicate with peers.
  • Strong customer focus.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Under the direction of VP Technology Delivery, the primary area of focus for this position is to support the exchange of electronic data between Palladian Health and its clients by developing and monitoring a variety of programs using up to date EDI standards. Interface with client counterparts to plan, test, and implement changes to datasets, as well as ensure continued compliance with changing regulations and data standards.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Develop and support custom integrations;
  • Perform monitoring and auditing of Healthcare EDI related information system activities
  • Create and maintain documentation related to policies, standards and procedures
  • Develop and modify SQL databases, Write T-SQL queries and stored procedures
  • Ensure upgrades and patches to Healthcare EDI related applications are anticipated, and managed through to the operational deployment
  • Enhance existing and recommend new technologies to improve company efficiency and quality

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • Bachelor’s degree in IT field
  • 3+ years of experience in the healthcare insurance industry
  • 3+ years of experience with MS SQL Server 2008 and 2014
  • 3+ years of development experience with ASP.NET (3.5, 4, 4.5),VB.NET or C#

Preferred / Qualifications:

  • Windows Forms Development is preferred
  • Proficient in reading and writing technical documents
  • A thorough understanding of benefit design applicable to claims and authorizations;

Other Skills/Abilities

  • Critical thinking skills, ability to problem solve quickly, taking into account all aspects of operational impact
  • Results oriented, a strong task manager
  • Accurate in work produced – strong attention to detail
  • Proficient team building and people skills – a strong communicator both verbally and in writing
  • Strong customer focus
  • Excellent time management skills
  • Ability to sit for long periods of time and perform typing/keying tasks

Critical to success in this position are certain attributes:

  • Problem solving skills.
  • Organized.
  • Goal oriented.
  • Desire and ability to learn quickly.
  • Desire and ability to adapt to change quickly.
  • Detail oriented.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Under the direction of the Manager of IT Applications, the Junior Developer develops software programs which meet the operational and strategic business needs of the organization. Works collaboratively with the development team members and corporate business units. The Junior Developer manages their workload to ensure timely delivery of projects. Supports the exchange of electronic data between Palladian Health and its clients by developing and monitoring a variety of programs using up to date EDI standards.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Programming in ASP.NET (4, 4.5),VB.NET or C#; Windows Forms Development
  • Develop and modify SQL databases, Write T-SQL queries and stored procedures
  • Understanding of web and windows service architecture
  • Assist with website design and content updates
  • Assist with troubleshooting and resolving end user problems
  • Develop and support custom integrations

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • Minimum of Bachelor’s Degree in an IT field
  • Two (2) years of software development experience

Preferred Skills / Qualifications:

  • Proficient in reading and writing technical documents
  • Familiarity with Web Services (REST & SOAP)
  • Two (2) + years experience with source control in a team based environment
  • Excellent time management skills
  • Ability to perform typing/keying tasks for extended periods of time.

Other Skills/Abilities

  • Problem solving skills.
  • Organized.
  • Goal oriented.
  • Desire and ability to learn quickly.
  • Desire and ability to adapt to change quickly.
  • Strong customer focus.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Under the direct supervision of the Manager of Customer Service, answer incoming calls in a timely, accurate and professional manner. This position is part-time, 2nd shift (Mon-Fri, 3:00 pm to 7:00 pm)

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Handling of all incoming calls
  • Research all inquiries:
    • Eligibility
    • Claims
    • Authorizations
    • Provider Status
    • Faxes
    • Notifications
  • Route all calls and adjustments to the appropriate departments/personnel
  • Log every incoming call and close all calls within 5 business days
  • Deal with irate callers and use good judgment to determine whether a call needs to be routed to a higher level of authority
  • Educate providers’ office as needed on processing authorizations and claims
  • Consistently follow all customer service coaching and monitoring guidelines
  • Return calls to members and providers with in the promised timeframe
  • Represent the company on the “front lines” in a polite and professional manner

Additional responsibilities include special project assignments and assisting various department heads with specific projects where needed.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • High school diploma or GED is required

Preferred / Qualifications:

  • Customer Service experience, preferably in a call center environment,
  • Experience in a health care industry is preferred
  • Phone/ Headset use experience
  • Ability to operate a PC and navigate computer applications
  • Strong keyboarding and 10-key skills with ability to perform typing/keying tasks for extended periods of time
  • Ability to use proper English grammar and demonstrate such knowledge in communication with members and providers
  • Bi-lingual skills are a plus

Other Skills/Abilities

  • Knowledge of general office technology
  • Ability to multi-task
  • Ability to problem solve
  • Outgoing personality, enjoys working with and helping others
  • Polite, friendly, professional disposition
  • Calm demeanor; not easily discouraged; short rebound
  • Fast-learner with a willingness to constantly learn
  • Strong customer focus
  • Reliability, Punctuality

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Position Overview

Under the direct supervision of the Manager of Customer Service, the Customer Service Representative will answer incoming calls from providers, insurance companies, and members in a timely, accurate and professional manner.

Direct Reports

None.

Essential Job Functions

Responsibilities include but are not limited to the following, and are subject to change from time to time at the discretion of management:

  • Handling of all incoming calls
  • Research all inquiries:
    • Eligibility
    • Claims
    • Authorizations
    • Provider Status
    • Faxes
    • Notifications
  • Route all adjustments to the appropriate departments
  • Log every incoming call and close all calls within 5 business days
  • Deal with irate callers and use good judgment to determine whether a call needs to be routed to the Complaint Department
  • Consistently follow all customer service coaching and monitoring guidelines
  • Call members and providers back in the promised timeframe
  • Maintain all required logs
  • Transfer calls to the appropriate department or individual
  • Represent the company on the “front lines” in a polite and professional manner

Additional responsibilities include special project assignments and assisting various department heads with specific projects where needed.

Job Requirements (Education/Experience)

Requirements / Qualifications:

  • 1 year of customer service experience is required
  • High school diploma or GED is required

Preferred / Qualifications:

  • Associate’s Degree or Bachelor’s Degree are strongly preferred
  • Experience in a call center environment
  • Experience working in healthcare
  • Ability to type a minimum of 35 wpm

Other Skills/Abilities

  • Knowledge of general office technology.
  • Ability to multi-task
  • Ability to problem solve
  • Ability to perform typing/keying tasks for extended periods of time.
  • Ability to use proper English grammar and demonstrate such knowledge in communication with members and providers

Critical to success in this position are certain attributes:

  • Outgoing personality
  • Polite, friendly, professional
  • Fast-learner with a willingness to constantly learn
  • Strong customer focus

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization.

Click here to apply!

Culture & Values

We acknowledge employees for their commitment to our Corporate Values. Behaviors, innovations and achievements contributing to the Company’s overall success are rewarded through our Employee Recognition Program which includes monetary and non-monetary individual recognition and rewards, as well as team and corporate celebrations.


Compensation & Benefits

We believe that employees are our most important strategic resource and recognize that each employee must be valued as an individual and treated fairly and equitably.


Diversity and Inclusion

Diversity is the mosaic of people who bring a variety of backgrounds, styles, perspectives, values and beliefs, as assets to the groups and organizations with which they interact.