Medical Mutual Jobs - Page 2 | CareerArc

Jobs at Medical Mutual - Page 2

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Displaying results 16 - 29 of 29

Senior Claims/Customer Care Specialist-TPA

Medical Mutual - Brooklyn, OH

Processes routine to complex healthcare claims and responds to inquiries from third party administration and/or ancillary product services customers regarding benefits, coverage or claim status in accordance with established performance expectations and service philosophy. Responsibilities Processes routine to complex healthcare claims and/or...

Lead Claims/Customer Care Specialist-TPA

Medical Mutual - Brooklyn, OH

Processes routine to complex claims and adjustments and responds to written or phone inquiries from third party administration and/or ancillary product customers regarding benefits, coverage or claim status. Assists with mentoring of team members, triages escalated issues and assists team members with problem resolution. Responsibilities Proc...

Supervisor, Customer Experience Learning & Development

Medical Mutual - Brooklyn, OH

Leads instructional design team responsible for the design and development of highly effective training programs using proven adult learning methodologies. Acts as liaison between business areas to determine training requirements and resolve issues. Evaluates existing instructional methods and design processes for feasibility and opportunities for improvement. Resp...

VP, IT Infrastructure, Operations and Cybersecurity

Medical Mutual - Brooklyn, OH

Responsibilities The VP, IT Infrastructure, Operations and Cybersecurity leads the strategy, development, implementation and oversight of Medical Mutual's Technology Infrastructure. The position is operationally responsible for ensuring the availability, integrity, scalability, and security for all IT systems and infrastructure. This is a key execu...

Senior ETL Developer

Medical Mutual - Cleveland, OH

Lead the process of translating complex user requirements into optimal system designs. Lead other programmers and perform complex programming tasks yourself. Lead code reviews. Write and execute test plans. Write functional specifications. Develop & maintain documentation of designs and code. Has in-depth understanding of development best practices. Has mastered the tools ...

Digital Print & Mail Equipment Operator I

Medical Mutual - Cleveland, OH

Please note this position will work either 2nd or 3rd shift Operates and monitors consoles, printers, duplication machines, computerized mail equipment, and other peripheral equipment (which includes bindery machines). Identifies and resolves hardware and software problems with the assistance of senior level operators if needed. Resolves product...

BI Quality Assurance Analyst (Job Family - Level I, II, Senior, Lead)

Medical Mutual - Cleveland, OH

Working in collaboration with various technical and non-technical teams, the BI Quality Assurance Analyst will drive quality assurance activities for Business Intelligence solutions and analytical work in support of clinical and business operations and other external business initiatives. Responsibilities: Coordinate quality assurance activities across teams to meet busines...

Dentist and Member Services Associate

Medical Mutual - Centerville, OH

Superior Dental Care, a Medical Mutual company located in Centerville, OH is searching for a Dentist and Member Services Associate to support our team. Duties include answering 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). Respo...

Senior Technical Lead, .NET Development

Medical Mutual - Cleveland, OH

Acts as the technical lead for a small team of .NET developers under the direction of the IT Manager. Leads the process of translating user stories and customer acceptance criteria of increasing complexity into a logical, efficient and optimal systems design. Develops and maintains new and existing web applications by writing code based on the aforementioned design to ensure that busin...

Project Manager- Temporary Position

Medical Mutual - Cleveland, OH

Medical Mutual has been selected as a Northeast Ohio Top Workplace by the Plain Dealer for the past ten years. We're looking for talented and innovative people to help us continue being the best health insurance choice for Ohioans. Medical Mutual is seeking a sharp, well-organized Departmental Assistant that is a self-starter. This support role is a temporary position supporting our bu...

Assistant Medical Director

Medical Mutual - Cleveland, OH

This position can be remote within the state of Ohio. Medical Mutual has an immediate need for an Assistant Medical Director to join our team of physician reviewers. A General/Internal Medicine or Surgical Specialty (Ortho/General) is highly preferred. Responsibilities Provides clinical expertise to the utilization review process...

Payor Reimbursement and Pricing Analyst

Medical Mutual - Cleveland, OH

Provides analytical support during contract negotiation process. Assists contracting in building tools that model rate. Provides understanding of financial impact based on history. Performs claims repricing, discount analyses, etc. to support group sales efforts and RFPs. Measures accuracy of projections. In the forefront of managing and tracking medical costs for senior leadership team by impl...

RN Case Manager

Medical Mutual - Cleveland, OH

Under limited supervision, evaluates and provides support to members, their families, and physicians in addressing member needs. Educates members and families to make informed personal health care decisions and determines the most effective treatment options. Facilitates communication between member, physician and community. Responsibilities ...

Manager, Contracting and Provider Relations

Medical Mutual - Cleveland, OH

Responsible for developing and executing the strategic direction for Managed Care Networks.Facilitates the management of provider networks. Responsibilities Interacts on various projects, administration of policies and procedures with various areas in managed care operations; including credentialing, network performance, care management, and provider registration. ...