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Mgr, IT Infrastructure Transformation
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...
Medical Drug Management Nurse Reviewer
Medical Mutual - OH
This is a remote opportunity in Ohio. Note, q uarterly on-site requirement in Brooklyn, Ohio. Ohio candidates 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...
Provider Credentialing & Data Records 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...
PAR - Case Manager II
Medical Mutual - Toledo, OH
The Case Manager II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Toledo, 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 through our high-quality health...
Supervisor, Claims Services
Medical Mutual - Brooklyn, OH
The Supervisor, Claims Services position is an on-site position located at our 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 through our high-quality health, life, disability, dental, vision and indem...
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...
Mgr, Sales Reporting
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...
Mgr, Sales Analytics
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...
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, ad-hoc/situational onsite requirement i n Brooklyn, Ohio. Ohio residents 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, dental, vision and ind...
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...
PAR - Provider Credentialing & Data Specialist II
Medical Mutual - Toledo, OH
Under general supervision, performs typically routine to moderately complex initial and ongoing practitioner, provider, and organization data entry and credentialing into the various modules of the Provider Data Management System. Ensures compliance with standards set by individual states, federal and accrediting organizations and meets production and quality metrics. ESSENTIAL FUN...
