Jobs at Medical Mutual

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Medical Underwriter II

Medical Mutual - Cleveland, OH

Establishes appropriate new business and renewal premiums via evaluation of medical risk. Utilizes medical expertise to provide field support to broker distribution and internal customers to facilitate enrollment growth and profitability. Reviews underwritten cases for quality assurance. Supports internal departments in project oriented endeavors. Accurately eval...

Manager, Underwriting

Medical Mutual - Cleveland, OH

Manages the administration of individual, small group, and/or large group underwriting for new business, renewals of existing business, and stop loss insurance for third party administration. Supports corporate sales and profitability initiatives by executing strategy to determine equitable rate structure for health plans through recognized risk and loss management techniques. #CB ...

Supervisor, Customer Care

Medical Mutual - Toledo, OH

Drives customer service excellence and adherence to performance goals for a team of Customer Care Specialists responding to customer inquiries regarding the Company's health insurance products and services via telephone, written, e-mail, chat or face to face. #CB Conducts regular and ongoing coaching sessions to drive the highest level of performance and ensure an optimal ...

Utilization Management Nurse Reviewer- Care Transitions

Medical Mutual - Strongsville, OH

Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members; promotes effective resource management by directing member care to accessible cost-effective network providers and services at the appropriate level of care; and facilitating timely discharge planning and continu...

Financial Analyst III

Medical Mutual - Copley, OH

Position offers opportunity to perform financial analysis and general accounting tasks, and has responsibility over operational finance functions that directly serve our customers. The Financial Analyst will work both independently and with a team to work through challenges in order to ensure a positive customer experience. Creates financial models of complex "what if" scenar...

Utilization Management Nurse Reviewer- Care Transitions

Medical Mutual - Toledo, OH

Performs discharge planning and utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members; promotes effective resource management by directing member care to accessible cost-effective network providers and services at the appropriate level of care; and facilitating timely discharge planning and continu...

SR MARKETING SPECIALIST

Medical Mutual - Cleveland, OH

The senior marketing specialist coordinates marketing functions for the Individual and Provider segments. Responsibilities include strategic planning; development and revision of marketing campaigns and materials in support of acquisition, retention and cross-sell efforts for individual members; and development of communications to internal sales teams and brokers. The senior marketi...

Provider Risk Adjustment Specialist

Medical Mutual - Columbus, OH

Responsible for risk adjustment program implementation and provider performance management. Track and monitor provider metrics to identify coding gaps and closure opportunities. Partner with providers to build relationships; ensure effective education and reporting; and proactively identify performance improvement opportunities through analysis and discussion with subject matter experts.

Financial Analyst III

Medical Mutual - Cleveland, OH

Provides analysis and accurate and timely financial information. Generates management reports and interfaces with corporate departments where necessary. Works independently to solve problems, complete special projects, and conduct monthly activities. Acts as a resource for colleagues with less experience. Supports corporate departments, both within and outside of Finance, with gen...

Business Systems Analyst II

Medical Mutual - Strongsville, OH

Provides the interface between the business and information technology areas with an understanding of priorities and high-level concerns of both areas. Works with business partners to analyze/prioritize business requirements and review/produces specifications for any change to technology applications. Works with the systems development team throughout the project life cycle to ensure tha...

Regional VP Sales

Medical Mutual - Cleveland, OH

JOB SUMMARY: The Regional Vice President of Sales plans, controls, and directs the activities of a regional (Cleveland, Toledo, Akron, Canton/Youngstown, Cincinnati/Dayton or Columbus) sales force dedicated to sales and/or service of accounts to obtain maximum sales volume for Medical Mutual (MMO) in accordance with corporate goals and objectives

Health & Wellness Coordinator

Medical Mutual - Cleveland, OH

Designs, develops, implement and evaluates wellness and health education programs and initiatives, health management tools and resources for employees and members. Designs, develops, implements, evaluates outcomes and oversees health and wellness programs for employees and clients Establishes and implements short and long-term goals, objectives, policies and operating proc...

Associate Claims Rep.

Medical Mutual - Cleveland, OH

In a production environment, independently processes claims in accordance with benefit contracts, plan policies and production/quality goal requirements. Processes claims edits from receipt to completion. Utilizes claims and ancillary systems and adheres to processing procedures resulting in the finalization of basic claims edits. Maintains working knowledge o...

Medicare Enrollment Specialist

Medical Mutual - Cleveland, OH

Position can be filled at either level Enrollment Specialist Under general supervision, processes routine to moderately complex Medicare enrollment and disenrollment requests, evaluates eligibility, generates correspondence, and makes outbound enrollment-related calls. Ensures proper documentation for all work and a suffi...

Front End Developer

Medical Mutual - Cleveland, OH

The Front End Developer IV works closely with user experience, business stakeholder, creative design and back-end development teams to create HTML5/CSS3-based content for desktop, IOS and other mobile platforms. They are also responsible for mentoring and overseeing level I,II and III Front End Developer work and providing guidance to their work. They are responsible for distributing Agi...