Training and Quality Auditor

Allied Benefit Systems is seeking a remote trainer and quality assurance professional to design, implement, and evaluate training programs and audit processes.

This range is provided by Allied Benefit Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$50,000.00/yr – $60,000.00/yr

This position will participate in the conceptualization, development, and execution of training programs. Deliver engaging, informative, and motivating training activities. Collaborate with internal departments to implement quarterly "refreshers." Additionally, perform quality and risk management evaluation and analysis, regulatory and compliance responsibilities through collaboration with the Data Analyst.

• Develop course content, core competencies, evaluation tools, and materials for training activities.
• Manage quarterly updates of reference materials for proprietary strategies and other assigned areas.
• Propose and implement recommendations for improved processes including the identification of training requirements, training gap analysis, and employee needs assessment(s).
• Design, deliver, and respond to development requests from other departments.
• Organize and facilitate onboarding of department new hires.
• Facilitate and review audit results from all department teams; audits consist of any entry made related to a member.
• Identify and analyze case impacts for Allied Care Medical Management Reporting to ensure content represents overall member engagement to further enhance client retention and assist in marketing to new business.
• Perform audits of department-related claims, specifically CVS Caremark, limited distribution drug arrangements, transplant, and miscellaneous claims processed by the Enhanced Case Management Advocate to ensure appropriate payment is made.
• Identify department-wide trends and offer suggestions for improvement and or additional areas of focus.
• Collaborate with Data Analyst in data gathering, analysis, and reporting metrics as needed.
• Collaborate with Data Analyst to identify enhancements that will improve processes and support future business needs.
• Other duties as assigned.

• Bachelor’s degree or equivalent work experience required.

• 2 years of training experience required, preferably in healthcare or social service industry.
• Comfortable with medical terminology.
• Strong verbal and written communication skills.
• Ability to collaborate with internal and external stakeholders.
• Intermediate level experience with Microsoft Suite products, including Office, Word, Excel, Access and PowerPoint.
• Ability to function well in a high‑paced and at times stressful environment.

• Job Knowledge
• Time Management
• Accountability
• Communication
• Initiative
• Customer Focus

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

• Remote

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 100 Mbps download/25 Mbps upload. Reliable internet service is essential for staying connected and productive.

Compensation is not limited to base salary. Allied values our Total Rewards and offers a competitive benefit package including 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.