Medical Management Quality & Training Manager; Remote

Position: Medical Management Quality & Training Manager (Remote)
Position Summary

The Manager, Medical Management Quality & Training leads the Quality and Training function supporting Allied's Medical Management teams. This role develops and maintains onboarding and continuing education programs, oversees quality auditing, analyzes quality and population trends, and converts 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 the articulation of Allied's value to clients, brokers, and stop-loss carriers.

Essential

Functions

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

Education

• Bachelor's degree or equivalent work experience required.

Experience And Skills

• 5+ years of case management, medical management, quality, training, healthcare operations, or related experience, preferably within a third-party administrator, carrier, or healthcare organization.
• At least 3 years of supervisory or people-leadership experience managing and developing employees with varied backgrounds and levels of tenure.
• Demonstrated experience conducting or overseeing quality audits, delivering constructive feedback, and translating audit findings or quality scores into practical performance improvements.
• Demonstrated experience designing and delivering structured onboarding and continuing education programs, including training modules, assessments, and learning activities beyond job aids or workflow documentation.
• Stro…