Use your case management and health plan experience to support members behind the scenes, from the comfort of a fully remote role. This position is ideal for someone who enjoys reviewing clinical information, coordinating care plans, and partnering with vendors and internal teams to improve outcomes for members in self funded health plans.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based third party administrator that designs and manages flexible group health plans for employers nationwide. They specialize in self funded health plans, working closely with brokers, vendors, and clients to control costs while supporting member health. As part of the Medical Management team, you’ll help connect members to the right resources at the right time and highlight the impact of coordinated care.
Schedule
- Full time position
- Fully remote within the United States
- Standard weekday schedule in a computer and phone based environment
- Requires reliable high speed internet via cable or fiber (minimum 100 Mbps download / 25 Mbps upload)
What You’ll Do
- Review clinical notes, claims, and baseline information for health scenarios such as behavioral health, wellness, specialty prescriptions, maternity, and more
- Develop strategic care plans for members by coordinating with specialized vendor partners and Allied Care Clinicians
- Implement care plans by working directly with members, clients, internal staff, and external vendors
- Collaborate with Clinical Case Management and fellow Case Managers to obtain clinical information, present cases when needed, and troubleshoot escalated issues
- Communicate with CMS to obtain essential member information when appropriate
- Manage relationships with prescription drug vendors, including member setup, ongoing support, and pricing negotiation as needed
- Document case impact to show cost savings and improved health outcomes from implemented care plans
- Complete weekly and monthly administrative tasks to support the Enhanced Case Management program
- Act as a liaison between clients, brokers, members, Allied leadership, and internal departments
- Identify opportunities to improve internal processes within Enhanced Case Management and across Allied teams
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of experience with group health insurance and self funded health plans
- Strong verbal and written communication skills with an emphasis on customer service and collaboration
- Excellent organizational skills, attention to detail, and time management with a track record of meeting deadlines
- Ability to review information, assess issues, and propose viable solutions
- Strong analytical and problem solving skills
- Experience with Medicare, Medicaid, case management, and prescription drug benefits preferred
- Experience in a clinical, social work, or hospital setting is a plus
- Life and Health Insurance Producer license preferred but not required
- Proficiency with Microsoft Office or similar tools
Benefits
- Competitive salary, typically 48,000 to 55,000 dollars per year depending on experience
- Medical, dental, and vision insurance
- Life and disability insurance
- Generous paid time off
- Tuition reimbursement
- Employee assistance program (EAP)
- Technology stipend to support remote work
- Remote friendly culture designed to help you thrive from home
If you want a remote case management role where your work directly shapes member outcomes and documents real impact, this is a strong fit to pursue now rather than “someday.”
Bring your health plan knowledge, coordination skills, and member first mindset to a team that relies on them every day.
Happy Hunting,
~Two Chicks…