Supporting the Enhanced Care Advocate and ECM team, the full-time Remote Healthcare Case Manager will manage vendor, carrier, and CMS communications, develop care plans for members with diverse health scenarios, and coordinate case evaluations and referrals remotely. Key responsibilities Review clinical data and develop strategic care plans connecting members to specialized vendor partners Coordinate with members, clients, and Allied staff to implement care plans and troubleshoot escalated issues Document casework impacts to highlight cost savings and improvements in member health outcomes Required qualifications Bachelor's degree or equivalent work experience required 2 years of experience with Group Health Insurance and Self-Funded Health Plans required Experience in Medicare, Medicaid, Case Management, and prescription drug benefits preferred Proficient with Microsoft Office Suite or related software Life and Health Insurance Producers License is preferred, but not required