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Jobs at Medical Mutual

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Manager, Appeals, Grievances & Experience-Government

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 individ...

Customer Care Workforce Intraday Coordinator

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 individ...

Facility Technician

Medical Mutual - Cleveland, OH

Executes general maintenance functions to ensure the daily operation and upkeep of the buildings. Responsibilities Completes service/maintenance requests (includes off site support and snow removal functions). Assists with the daily operation of the building systems to ensure all mechanical systems, air handlers, chiller, UPS systems and kitchen ...

Account Administrator (Brooklyn, OH)

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 individ...

Bravo-Database Developer (Remote)

Medical Mutual - United States of America

The Database Developer is responsible for creating database structures and scripts that will enhance Bravo's software platform. The Senior Database Developer also ensures the smooth running of Bravo's databases by reviewing and optimizing queries. Responsibilities Produce ad-hoc queries and develop reports to support business needs. Creation and ...

Director Specialty Product Sales

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 Compliance Specialist

Medical Mutual - OH

Ensures compliance with all statutory, regulatory and accreditation requirements for the Company's provider network. Acts as the Subject Matter Expert (SME) for the department to interpret new or updated regulations and accordingly develop or enhance policies and procedures. Educates, supports, and collaborates with internal business partners in implementing processes that meet all requireme...

Director, Specialty Product Underwriting

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...

Acute & Post Acute Nurse Reviewer II (Part-time, Weekends)

Medical Mutual - Cleveland, OH

Under limited supervision, applies medical necessity guidelines in making authorization determinations for inpatient admissions, concurrent, and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients have a safe and timely transition to next appropriate level of care. Responsibilities Ev...

.Net Developer I - V

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 individ...

Provider Contract Manager

Medical Mutual - Rossford, OH

Develops, manages, promotes, guides and monitors, as well as provides services and educates Providers, Institution and Network Communities in order to establish business relationships. Responsibilities Demonstrates a thorough understanding of assigned contracting regions by developing relationships with office personnel. Explains ...

Certificate Development Specialist I

Medical Mutual - Cleveland, OH

Participates in an on-the-job training program in order to prepare routine and/or standard documents (certificates of coverage) describing benefits for fully insured health plans. Responsibilities Receives extensive training on the Company's products and related certificates of coverage and the certificate publis...

SDC - Dentist & Member Services Associate

Medical Mutual - Centerville, OH

Answer incoming calls from dental offices (in and out of network dentists/offices), members, clients/purchasing employers and Brokers effectively utilizing provided resources (system and printed). Responsibilities Assist callers with questions regarding the following: SDC's multiple dental products; with full knowledge and understanding of the si...

Sr Appeals Specialist - MA

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 individ...

Account Administrator (Columbus)

Medical Mutual - Columbus, 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 individ...