Description
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.
Job Summary:
In partnership with other Medical Mutual areas (e.g., Sales, Provider Network, Provider Service Engagement) serve as a clinical leader responsible for leading a team focused on advancing population health programs with strategic health systems, provider groups, employer groups, and community organizations.
Responsibilities:
- Oversee team responsible for partnering with employer groups, health systems and provider groups to educate them on Medical Mutual population health capabilities, better understand needs of employer group along with health systema and provider capabilities, identify areas of alignment, and increase collaboration in population programs that help medical mutual members improve their health while reducing the long-term cost of care.
- Partner with other organizational leaders to advance strategies that include defining and implementing analytics to support multiple initiatives and objectives with providers, health systems, and employer groups. Customize clinical model to partner with highly strategic providers in VBC arrangement and employer groups at varying level of size
- Develop relationships with community organizations that help Medical Mutual members address barriers to care
- Supporting new business and client retention functions through finalist presentations, RFP support, and client meetings.
- Collaborate with CQHS leaders to identify opportunities in population health model and implement strategies to strengthen services, value proposition, etc.
- Performs other duties as assigned.
Qualifications:
Education and Experience:
- Bachelor's Degree in Nursing, Public Health or related field preferred; Master's degree preferred; Graduate of a registered nursing program approved by the Ohio State Nursing Board
- 8 years of experience in varied patient healthcare settings, 3 years of which are in a clinical leadership capacity
- Experience working with health systems, provider, employer groups to develop and implement initiatives which improve overall quality performance and cost of care for population
Technical Skills and Knowledge:
- Ability to form partnerships with providers, health systems, and employer groups through an understanding of their objectives and skill at finding opportunities to leverage the strengths of their organization and Medical Mutual for a shared benefit
- Comprehensive knowledge of population health programs and their ability to achieve outcomes at the individual, group and community level
- Knowledge of clinical policies and procedures development
- Knowledge of population health principles or patient-center medical home principles
- Strong health data analysis skills
- Strong presentation and account management skills
- Excellent written and verbal communication skills
- Intermediate Microsoft Office skills including Word, Excel and 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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