Medical Management Quality & Training Manager (Remote)

Allied Benefit Systems•Chicago, IL

12d•$85,000 - $90,000•Remote

About The Position

The Manager, Medical Management Quality & Training leads the Quality and Training function supporting Allied’s Medical Management teams. The role develops and maintains onboarding and continuing education programs, oversees quality auditing, analyzes quality and population trends, and turns findings into practical training, process improvements, and stronger client reporting. The manager partners with Medical Management leaders, Client Management, Growth Marketing, and other cross-functional teams to strengthen employee readiness, member impact, and communication of Allied’s value to clients, brokers, and stop-loss carriers. The position leads and develops the Quality and Training team, establishes training and quality practices, evaluates program effectiveness, and helps ensure client reporting accurately communicates work completed for members and value delivered to clients. It also supports continuous improvement of technology, automation, learning, reporting, and quality-monitoring tools while maintaining applicable internal policies, client requirements, vendor guidelines, and compliance expectations. This is a remote role requiring cable broadband or fiber internet service with at least 100 Mbps download and 25 Mbps upload speeds.

Requirements

Bachelor’s degree or equivalent work experience required.
At least 5 years of case management, medical management, quality, training, healthcare operations, or related experience.
At least 3 years of supervisory or people-leadership experience managing and developing employees with varied backgrounds and tenure.
Experience conducting or overseeing quality audits, providing constructive feedback, and translating audit findings or quality scores into practical performance improvements.
Experience designing and delivering structured onboarding and continuing education programs, including training modules, assessments, and learning activities beyond job aids or workflow documentation.
Strong analytical and strategic-thinking skills, including evaluating quality metrics, large data sets, client reports, claims or utilization information, and population trends and developing clear recommendations.
Strong coaching, facilitation, presentation, and communication skills, including explaining complex healthcare and operational concepts, advocating for ideas, and presenting recommendations to leadership.
Ability to collaborate across Medical Management, Client Management, Growth Marketing, and other internal teams while balancing people leadership, quality, training, reporting, and project work.
Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook, and ability to learn reporting, auditing, workflow, and learning technologies.
Ability to work remotely with cable broadband or fiber internet service providing at least 100 Mbps download and 25 Mbps upload speeds.

Nice To Haves

Experience within a third-party administrator, carrier, or healthcare organization is preferred.
Working knowledge of adult learning principles, instructional design, quality assurance practices, self-funded health plans, third-party administration, and remote or blended learning tools is preferred.

Responsibilities

Lead, coach, and develop the Quality and Training team through performance expectations, feedback, development planning, and resource allocation.
Design, deliver, and maintain structured onboarding and continuing education programs, including modules, assessments, knowledge checks, practical activities, reference tools, and refresher programs.
Partner with department leaders and subject matter experts to standardize onboarding, identify learning needs, coordinate cross-functional training, and equip employees to succeed.
Oversee quality auditing standards, calibration practices, scorecards, and review processes; guide auditors in converting findings into feedback, education, and measurable improvements.
Analyze audit results, quality metrics, employee feedback, client reporting, case volume, utilization, claims, and population trends to identify gaps and recommend improvements.
Evaluate quality and training initiatives through competency reviews, assessments, audit outcomes, trend analysis, and stakeholder feedback; adjust programs as needed.
Ensure impact narratives, value stories, and client reporting accurately communicate member work and value delivered to clients.
Collaborate with Medical Management leadership, Client Management, and Growth Marketing to align priorities with client needs and develop approved external materials, case studies, and visuals.
Communicate and advocate for recommendations, explaining rationale, anticipated impact, resource needs, and next steps while balancing competing priorities.
Support continuous improvement of technology, automation, learning, reporting, and quality-monitoring tools while maintaining applicable policies, client requirements, vendor guidelines, and compliance expectations.
Perform other duties as assigned.