Support members through complex health journeys while working 100% from home. This Case Manager I role lets you use your group health, case coordination, and problem-solving skills to improve outcomes and control costs for self-funded health plans.
About Allied Benefit Systems
Allied Benefit Systems partners with employers nationwide to design, administer, and manage self-funded group health plans. They specialize in flexible, customized benefits supported by strong clinical and case management programs. Allied is remote-friendly and invests in tools, training, and support so employees can thrive from anywhere.
Schedule
- Full-time, salaried position
- Fully remote, supporting the Chicago, IL–based organization
- Standard weekday office schedule (specific hours set by team)
- Requires reliable high-speed internet (minimum 100 Mbps download / 25 Mbps upload) via cable or fiber for secure systems access and remote work
What You’ll Do
- Review clinical records, claims, and baseline case information for members with varied health needs (behavioral health, wellness, specialty prescriptions, maternity, and more)
- Develop strategic, initiative-based care plans by connecting members with specialized vendor partners and Allied Care Clinicians
- Implement care plans by coordinating with members, clients, internal Allied staff, and external vendors
- Partner closely with Clinical Case Management and other Case Managers to gather clinical details, present complex cases, and troubleshoot escalated issues
- Communicate with CMS to obtain essential member information as needed
- Maintain and support prescription drug vendor relationships, including member setup, ongoing support, and pricing negotiation when appropriate
- Document case impact, highlighting cost savings and improved member outcomes from implemented care plans
- Complete weekly and monthly administrative tasks as part of the Enhanced Case Management program
- Serve as a liaison between clients/brokers/members and Allied executives and internal departments
- Identify and help optimize internal processes within Enhanced Case Management and across Allied teams
What You Need
- Bachelor’s degree or equivalent work experience (required)
- 2+ years of experience with group health insurance and self-funded health plans (required)
- Strong verbal and written communication skills, with a professional, member-focused style
- Excellent interpersonal and customer service skills
- Strong organization, attention to detail, and time management with a proven track record of meeting deadlines
- Ability to review information, assess issues, and propose practical solutions
- Solid analytical and problem-solving skills
- Experience with Medicare, Medicaid, case management, and/or prescription drug benefits (preferred)
- Background in clinical, social work, or hospital system roles (a plus)
- Life and Health Insurance Producer License (preferred, not required)
- Proficiency with Microsoft Office Suite and related tools
Benefits
- Salary range: $48,000 – $55,000 annually
- Medical, dental, and vision insurance
- Life and disability coverage
- Generous paid time off
- Tuition reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
- Remote-friendly culture where strong performers can grow from anywhere
If you enjoy digging into clinical and claims details, building smart care plans, and being the calm, organized bridge between members, vendors, and internal teams, this role fits you.
Take the next step toward a stable, growth-minded remote healthcare role.
Happy Hunting,
~Two Chicks…