Medical Mutual Jobs - Page 2 | CareerArc

Jobs at Medical Mutual - Page 2

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Manager, Server, Web Application and Cloud Support

Medical Mutual - Strongsville, OH

Please note that this role will be working from the new Brooklyn facility by mid-2020. This position oversees the daily operation and technical advancement of the Server, Web Application and Cloud Support department. The Server, Web Application and Cloud manager is primarily responsible for: 16 Direct Reports plus occasional contractors ...

SCCM Administrator (Infrastructure Engineer II)

Medical Mutual - Strongsville, OH

Ensures reliability and stability of assigned platforms and systems. Completes technical tasks, troubleshoots issues, provides input on methods and systems, provides off hours support (on-call) as a part of a rotation, under general supervision. Completes service requests and maintenance support in a timely manner. Administer the SCCM tool set back end to keep the system runn...

Provider Analyst

Medical Mutual - Cleveland, OH

Provides analytical support during contract negotiation process. Assists contracting in building tools that model rate. Provides understanding of financial impact based on history. Performs claims repricing, discount analyses, etc. to support group sales efforts and RFPs. Measures accuracy of projections. In the forefront of managing and tracking medical costs for senior leadership team by impl...

HEDIS Analyst (Job Family) -- Lead, Senior or Level II Analyst

Medical Mutual - Cleveland, OH

HEDIS Analyst (Job Family) -- Lead, Senior or Level II Analyst Supports corporate and departmental strategies and goals for the annual HEDIS submission process. Effectively applies business knowledge and technical expertise to support business initiatives to report clinical quality of care received by members. Works closely with the Quality team to develop year-round strategies to improve ...

Specialty Drug Clinical Intervention Pharmacist

Medical Mutual - Cleveland, OH

Develops strategies and engages members and/or providers to conduct clinically and financially meaningful interventions that impact member drug therapy. These interventions are aimed at improving pharmaceutical care for our members, reducing total cost of drug therapy and improving pharmacy related quality measures such as Medicare STARS and HEDIS. &nbs...

RN Case Manager

Medical Mutual - Cleveland, OH

Under limited supervision, evaluates and provides support to members, their families, and physicians in addressing member needs. Educates members and families to make informed personal health care decisions and determines the most effective treatment options. Facilitates communication between member, physician and community. Responsibilities

Manager, Provider Network

Medical Mutual - Cleveland, OH

Facilitates the management of provider networks. Formulates and recommends the strategic direction for Managed Care Networks. Responsibilities Interacts on various projects, administration of policies and procedures with various areas in managed care operations; including credentialing, network performance, care management, and provider registration. Identifies opp...

Senior .Net Developer

Medical Mutual - Cleveland, OH

Leads the process of translating user stories and customer acceptance criteria of increasing complexity into a logical, efficient and optimal systems design. Develops and maintains new and existing web applications by writing code based on the aforementioned design to ensure that business rules, security standards and government regulations are met. Works on a self-organizing, co...