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Company: Medical Mutual
Location: Brooklyn, OH
Career Level: Mid-Senior Level
Industries: Banking, Insurance, Financial Services

Description

Note: In-office requirement 1-2 days per week in Brooklyn, Ohio. 

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 individual plans.

Under limited supervision, develops, implements, and administers larger and/or more complex assigned portfolio of wellness programs aimed at improving quality, cost, and health outcome goals for client groups and members. Collaborates with internal departments, client group representatives, and vendors to promote wellness services and optimize client group health and wellness benefits.

Responsibilities

·         Manages an assigned portfolio of typically larger and/or more complex client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship.

·         Participates in departmental and divisional projects offering research and consultation on health and wellness trends to ensure the Company's market leadership in Wellness. Develops, implements and manages typically more complex population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies.

·         Manages external vendor relationships that complement the Company's wellness initiatives. Leads cross-functional teams through implementation and assures program is maintained according to plan and within budget.

·         Develops and sustains relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions.

·         Participates in new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends and presents wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting.

·         Orients, trains and assists more junior level staff.

·         Assures compliance with federal and regulatory guidelines and NCQA standards associated with wellness programs. Creates and updates policies and procedures and conducts delegated vendor oversight as appropriate.

·         Performs other duties as assigned.



Qualifications

Qualifications

Education and Experience

·         Bachelor's degree in health and wellness, health care administration, public health or related field. Master's degree preferred.

·         5 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs and interventions in a health plan or an employer group.

Professional Certification(s)

·         Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist preferred.

·         Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ) preferred.

Technical Skills and Knowledge

·         Extensive knowledge of population health and wellness programs with the ability to design, plan, deliver and evaluate programs to large and small health plan client groups.

·         Knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs.

·         Strong verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences.

·         Strong vendor relationship management skills.

·         Intermediate to advanced Microsoft Office skills (Word, Excel, PowerPoint).

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:

  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:

  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide 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. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

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


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