Medical Mutual Job - 40823079 | CareerArc
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Company: Medical Mutual
Location: Cleveland, OH
Career Level: Associate
Industries: Banking, Insurance, Financial Services

Description

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 individual plans.

Medical Mutual is searching for a Sr Products Analyst who plays an integral role in the product development of the Medicare Advantage and Medicare Supplement product lines. This role supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits, and performing sales by acquisition channel analysis for the Medicare Advantage and Medicare Supplement business lines.

Responsibilities

•Leads and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices.  Provides clear and precise summary documents and reports for all levels of management.  

•Develops and presents in-depth analysis on industry wide Medicare Advantage formularies. Creates modeling, develops analysis, and presents insights to management. Collaborates with Product Management and Pharmacy to evaluate formulary analysis for product benefit design changes.

•Prepares analysis to identify trends and issues, troubleshoot errors and propose methods for resolution, validates data against other data sources, requirements and/or technical specifications, and work with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and complete data.

•Utilizes data mining and analytical expertise to understand large data sets. Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits.

•Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines. Performs data analysis of trend experience used by management in making benefit decisions and changes for pricing and annual bid submission.

•Functions well within a matrix organization collaborating with leadership from multiple business areas at all levels.

•Assist management in evaluating and implementing product changes by providing data analysis and reporting.



Qualifications

Qualifications

•Bachelor's degree in Business, Healthcare or other quantitative field 

•Master's Degree preferred

•5 years experience in statistical analysis or data analysis of which 2 years are in a Medicare Advantage organization

•Demonstrated ability to pull large data sets and perform data manipulations/analysis

•Knowledge of various data mining, reporting, and reconciliation tools and methodologies.

•Defining metrics and instrumenting data tracking

•Highly proficient in Microsoft Office, SAS, SQL, Tableau

 

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

  • Top Workplace in Northeast Ohio. Year after year we've received this recognition!
  • On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
  • On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
  • Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
  • Business Casual attire

Excellent Benefits and Compensation:

  • Competitive compensation plans
  • Employee bonus program
  • 401(k) with company match and an additional company contribution
  • Excellent medical, dental, vision, and disability insurance

An Investment in You:

  • Career development programs and classes
  • Mentoring and coaching to help you advance
  • Education reimbursement up to $5K per year

About Medical Mutual:

We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

 

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.


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