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Care Navigator
Medical Mutual - OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
MMP - Mgr, Agency & Sales Support
Medical Mutual - United States of America
Job Summary: Oversees and drives the success of the Agency Support and Licensing teams. This role is pivotal in shaping the overall agent experience, ensuring the seamless onboarding of new agents/producers, maintaining ongoing compliance with licensing requirements as well as continuous support of a growing distribution channel with evolving needs. This role develops...
Government Programs Data Analyst
Medical Mutual - OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Client Accounting Specialist
Medical Mutual - Brooklyn, OH
The Client Accounting Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical Mutual office. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans throug...
Clinical Information Specialist
Medical Mutual - OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Business Systems Analyst I-IV
Medical Mutual - Brooklyn, OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Business Systems Analyst I-IV
Medical Mutual - Brooklyn, OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Site Reliability Engineering Manager
Medical Mutual - Dublin, OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Regulatory/Contract Lawyer
Medical Mutual - Brooklyn, OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Registered Nurse Clinical Appeal & Claim
Medical Mutual - OH
Note: This position allows you the flexibility to work at home. We are looking for applicants that have a strong clinical utilization management background. Medicare experience is a plus. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our h...
PAR - Provider Inquiry Representative I
Medical Mutual - Toledo, OH
This is a hybrid role and requires employees to be in our Toledo office 3 days a week. Investigates and resolves all inquiries (telephonic, written and faxed) from participating and non-participating hospitals, primary and specialty care physicians, ancillary and allied health care professionals regarding claim status, claim payment, authorization confirmations, facilitations...
Value Based Contracting Data Analyst
Medical Mutual - OH
This role is hybrid in Cleveland, Ohio. (Will need to be onsite 1 day/week) Responsibilities Value-Based Contracting Data Analyst JOB SUMMARY: Working under general supervision, supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops an...
Employer Group Consulting Analyst
Medical Mutual - OH
Note, requires a minimum of (2) days per year in-office in Brooklyn, Ohio. Eastern & Central Time Zones preferred. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, denta...
Director Systems Development & Maintenance
Medical Mutual - Brooklyn, OH
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Provider Network Performance Analyst (Hybrid - Cleveland, Ohio)
Medical Mutual - Brooklyn, OH
This role is hybrid in Cleveland, Ohio. Responsibilities Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance standards. Develops standard reporting and analytics to support Value Based Contracting (VBC) initiatives. Assists in supporting the contract...
