Job Description

Job Location Allied Benefit Systems - CHICAGO, IL 60606 Position Type Full Time Salary Range $70,000.00 - $105,000.00 Salary Job Category Medical Management

The Care Plus Manager is responsible for leading a team dedicated to delivering innovative offerings through our Allied Digital platform under the Care Plus services, including Care Navigation, Virtual Primary Care, and referrals to other medical management programs. T his role ensures operational excellence by overseeing team performance, driving workflow enhancements, and fostering a member-centric approach to care. The Care Plus Manager will collaborate closely with internal stakeholders and external partners to continuously develop and refine processes, resolve member challenges, and support seamless integration of services. This position requires strategic thinking, strong leadership, and a commitment to improving member experience and health outcomes through coordinated care solutions.

ESSENTIAL FUNCTIONS

• Manages the Care Plus team including Care Navigators and Coordinators to ensure that requests are supported timely and effectively resulting in a positive member experience.
• Facilitates complex escalations in collaboration with the Product team, Medical Management leadership, Account Management, and external vendor partners.
• Utilizes analytics to track volume, access, engagement, outcomes, and experience to provide Medical Management leadership with data related to program performance.
• Ensure team hits KPIs on a monthly basis.
• Collaborate with clinical leadership, IT/product, analytics, vendor partners, provider groups, and health plan clients to enhance service design and delivery.
• Develops, implements and maintains workflows across Care Plus, Care Navigation and Virtual Primary Care products.
• Lead projects and continuous improvement initiatives.
• Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
• Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
• Actively engage, coach, counsel and provide timely, and constructive performance feedback.
• Other duties as assigned.

EDUCATION

• Bachelor's degree or equivalent work experience required.

EXPERIENCE & SKILLS

• At least 5 years of case management experience, preferably from a third-party administrator, carrier, or within the healthcare industry required.
• At least 3 years at a supervisor level and successfully demonstrated leadership competencies required. Managing teams of employees with a variety of backgrounds and tenure.
• Proven ability to resolve complex member issues and work collaboratively with internal and external partners.
• Ability to monitor and prioritize multiple deadlines and projects simultaneously.

POSITION COMPETENCIES

• Accountability
• Communication
• Action Oriented
• Timely Decision Making
• Building Relationships/Shaping Culture
• Customer Focus

PHYSICAL DEMAND

This is a standard desk role long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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Qualifications