Top 197 Senior quality auditor Jobs in Illinois

Medical Benefits & Case Management Specialist (Remote)
Allied Benefit Systems —Chicago, IL
- $50,000 - $60,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Contracts
- Disability insurance
- Health insurance
11d
Senior Internal Auditor
Fortune Brands —Deerfield, IL
- $80,000 - $126,500 a year
- Full-time
- Hybrid work
- Spanish
- Oracle
- CPA
- Health insurance
- Adoption assistance
Quick Apply
ISO Quality Manager
Chicago Tube And Iron Company —Romeoville, IL
- $90,000 - $100,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
Quick Apply
Accounting Manager
The Inland Real Estate Group of Companies —Oak Brook, IL
- $112,228 - $143,090 a year
- Full-time
- 7 years
- CPA
- Pass drug screening
- Paid parental leave
- Paid holidays
Quick Apply
11d
Senior Financial Officer
The Springfield Housing Authority —Springfield, IL
- $74,816.67 - $112,225.00 a year
- Full-time
- Inventory management
- Office
- Master's degree
Quick Apply
3d
Staff Auditor
Fortune Brands —Deerfield, IL
- $60,000 - $80,000 a year
- Full-time
- Hybrid work
- Spanish
- Mid-level
- Residential
- Health insurance
- Adoption assistance
Quick Apply
Sr Rebates Analyst
Fresenius Kabi —Lake Zurich, IL
- $85,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- English
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Senior QA Associate I
AbbVie —North Chicago, IL
- $84,500 - $162,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 4 years
- Paid holidays
- Health insurance
Senior Auditor
Contact Government Services, LLC —Chicago, IL
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Quality Engineer- Design Quality – Lifecycle Management
AbbVie —North Chicago, IL
- $84,500 - $162,000 a year
- Full-time
- Engineering
- Presentation skills
- Senior level
- Paid holidays
- Health insurance
Director, Preclinical Quality Assurance
AbbVie —North Chicago, IL
- $182,000 - $346,000 a year
- Full-time
- Hybrid work
- Experience equivalent to degree accepted
- Senior level
- Leadership
- Paid holidays
- Health insurance
Senior Manager - Supplier Quality
S & C Electric Company —Chicago, IL
- $170,302 - $225,644 a year
- Email
- Engineering
- 11+ years
- Senior level
- Paid parental leave
- Health savings account
Supervisor, Clinical Compliance (RN) - Remote
Guidehealth —Rockford, IL
- $85,000 - $91,000 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Disability insurance
11d
Senior Quality Assurance Engineer
Katalyst Healthcares & Life Sciences —Mundelein, IL
- Contract
- Analysis skills
- Senior level
Quick Apply
Sr. Engineer, Quality
LG Energy Solution Michigan, Inc. —Matteson, IL
- $90,000 - $120,000 a year
- Full-time
- 7 years
- Microsoft Office
- Databases
- Paid holidays
- Disability insurance
Quick Apply
Manager, Claims Compliance
Uber —Chicago, IL
- $117,000 - $162,000 a year
- Full-time
- Office
- 3 years
- Presentation skills
- 401(k)
Internal Audit Senior Manager
Stepan Company —Northbrook, IL
- $123,000 - $180,000 a year
- Hybrid work
- 7 years
- CPA
- Office
- Profit sharing
- Paid parental leave
5d
Senior Manager, Supplier Quality & Audits
Baxter —Deerfield, IL
- $136,000 - $187,000 a year
- Up to 50% travel
- 5 years
- Travel
- Paid parental leave
- Employee stock purchase plan
2d
Director, Digital Quality & Analytics
Quest Diagnostics —Wood Dale, IL
- $150,000 - $220,000 a year
- Full-time
- 8 years
- Bachelor's degree
- Military encouraged
- Employee stock purchase plan
- Disability insurance
Quick Apply
Billing Compliance, Senior Auditor
Endeavor Health —Evanston, IL
- $30.46 - $45.69 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Research
- 3 years
- Free parking
- Wellness program

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Medical Benefits & Case Management Specialist (Remote)

Allied Benefit Systems -
Chicago, IL

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Job Details

Full-time
$50,000 - $60,000 a year
11 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance

Qualifications

Vendor relationship building
Medical claims processing
Care coordination
Managing patients as a clinical case manager

Full Job Description

POSITION SUMMARY

The Case Management Administrator is responsible for managing complex case management scenarios involving members with significant medical conditions, including organ transplant cases. This role coordinates medical benefits administration, vendor relationships, documentation, and escalated issue resolution to support accurate claims processing and positive member outcomes. Success in this role requires strong healthcare knowledge, problem solving skills, and the ability to collaborate effectively with internal and external stakeholders.

ESSENTIAL FUNCTIONS

Assess, monitor, and maintain a caseload of members experiencing complex medical conditions
Coordinate and support vendor contracting related to organ transplant scenarios, including but not limited to stem cell transplants
Manage and support vendor relationships and associated workflow expectations such as claims processing, appeals, and invoicing
Maintain system documentation for transplant scenarios, pharmacy medications, and escalated reviews
Resolves department escalation by collaborating with various internal departments and vendors
Collaborate with department team members, Case Management Liaisons, and the Senior Case Management Administrator on complex member scenarios, escalations, client renewals
Collaborates on documentation of communication procedures and workflows
Notify the Case Management Training & Quality Auditor of updates to systems and processes
Support training to internal staff as needed when appropriate
Other duties as assigned

EDUCATION

Bachelor's degree in a relevant field or equivalent work experience, preferred.

EXPERIENCE AND SKILLS

Minimum 2 years of experience managing complex case management scenarios, required.
Must have 2 years of experience in medical benefits, health insurance, healthcare administration, or a related field, including knowledge of claims processing and healthcare operations, required.
Comfortable with advanced medical terminology.
Experience with organ transplant cases and/or transplant care coordination preferred.
Strong communication, collaboration, and problem solving skills.
Intermediate proficiency with Microsoft Office Suite.

POSITION COMPETENCIES

Accountability
Analytical Thinking
Collaboration
Communication
Customer Focus
Functional Expertise
Initiative

PHYSICAL DEMANDS

This is a standard desk role requiring extended sitting and computer work.

WORK ENVIROMENT

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 and 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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Refine Your Search

senior quality auditor jobs in illinois

Medical Benefits & Case Management Specialist (Remote)

Senior Internal Auditor

ISO Quality Manager

Accounting Manager

Senior Financial Officer

Staff Auditor

Sr Rebates Analyst

Senior QA Associate I

Senior Auditor

Senior Quality Engineer- Design Quality – Lifecycle Management

Director, Preclinical Quality Assurance

Senior Manager - Supplier Quality

Supervisor, Clinical Compliance (RN) - Remote

Senior Quality Assurance Engineer

Sr. Engineer, Quality

Manager, Claims Compliance

Internal Audit Senior Manager

Senior Manager, Supplier Quality & Audits

Director, Digital Quality & Analytics

Billing Compliance, Senior Auditor

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