Medical Mutual Jobs - Page 2 | CareerArc

Jobs at Medical Mutual - Page 2

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Senior Provider Contracting Representative

Medical Mutual - Cleveland, OH

Develops, manages, promotes, guides and monitors, as well as services, and educates Providers, Institutions and Network Communities in order to establish business relationships. Provides coaching and mentoring to other contracting reps and coordinators Responsibilities: Negotiates non-standard contracts. Requires minimal assistance with non-standard negotiations. Compiles and ...

Group Contract Specialist II

Medical Mutual - Cleveland, OH

Prepares fully insured large group health plan contracts and maintains signed contracts. Works with internal areas to review and respond to group-requested contract changes and prepares non-disclosure agreements for data requests from groups and consultants. Responsibilities Prepares, reviews and processes various non-disclosure agreements, ensuring appropriate agreements are sig...

Customer Care Specialist (Service Consultant)

Medical Mutual - Brooklyn, OH

We are hiring for our Brooklyn office! The start date for these positions will be in April. Participates in up to a year-long formal call center training program that provides knowledge and skills needed to resolve and respond to customer inquiries regarding the Company's health insurance products and services. Navigates systems and provides customer service in accordance ...

Software Developer IV*

Medical Mutual - Beachwood, OH

Software Developer IV (COBOL) job site: 23700 Commerce Park Rd, Beachwood, OH 44122. Job duties: Conduct research, design, development, and testing of operating systems-level software,compilers, and network distribution software for medical insurance and general computing applications using scientific analysis and mathematical models. Lead the process of translating user requirem...

Claims/Customer Care Specialist II-TPA

Medical Mutual - Strongsville, OH

Processes routine to moderately 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 moderately complex healthcare claims and...

SCCM Administrator (Infrastructure Engineer II)

Medical Mutual - Strongsville, OH

Ensures reliability and stability of assigned platforms and systems. Completes technical tasks, troubleshoots issues, provides input on methods and systems, provides off hours support (on-call) as a part of a rotation, under general supervision. Completes service requests and maintenance support in a timely manner. Administer the SCCM tool set back end to keep the system ...

Provider 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...

Senior Customer Insight Analyst (Speech Analytics)

Medical Mutual - Brooklyn, OH

Under limited supervision, applies advanced cross business knowledge and experience to uncover insights from data and analytics, assess gaps, make recommendations and work with various operational areas to streamline and improve the customer experience and cross company operational performance. Brings the voice of the customer to life, ensuring customer feedback is leveraged for decision making...

Operational Data Stores Developer (Software Developer I)

Medical Mutual - Strongsville, OH

Note: This position will start in Strongsville, OH and move to Brooklyn, OH in mid-2020. Partners with other software developers, business systems analysts, and liaisons to translate user requirements and systems objectives into a logical, efficient and optimal systems design. Develops and maintains new and existing applications by writing code based on the aforementioned d...

HEDIS Analyst (Job Family) -- Lead, Senior or Level II Analyst

Medical Mutual - Cleveland, OH

HEDIS Analyst (Job Family) -- Lead, Senior or Level II Analyst Supports corporate and departmental strategies and goals for the annual HEDIS submission process. Effectively applies business knowledge and technical expertise to support business initiatives to report clinical quality of care received by members. Works closely with the Quality team to develop year-round strategies to improve ...

IT Architect

Medical Mutual - Strongsville, OH

Please note this position will start in Strongsville, OH and move to Brooklyn, OH in Spring, 2020. Assists in the development of strategies, processes, standards and enterprise design patterns for the IT organization. Aligns priorities with business strategy and facilitates optimal application of technology to business processes. Works across departments and drives commo...

Manager, Corporate Communications

Medical Mutual - Cleveland, OH

Medical Mutual provides health insurance to more than 1.6 million Ohioans. For more than 85 years, the Company has improved the lives of its members by offering high-quality group and personal healthcare coverage. Medical Mutual is seeking a talented Manager, Corporate Communications to manage internal and external communications strategy including company-related news and information, executiv...

Department Assistant- Temporary Position

Medical Mutual - Cleveland, OH

As the oldest and one of the largest health insurance companies in Ohio, Medical Mutual provides health insurance to more than 1.6 million Ohioans. For more than 85 years, Medical Mutual has improved the lives of its members by offering high-quality group and personal healthcare coverage. Medical Mutual has been selected as a Northeast Ohio Top Workplace by the P...

Clinical Project Manager

Medical Mutual - Cleveland, OH

Manages clinical system projects including planning, implementing, and monitoring activities with the objective to understand, document and identify improvements of new practices within a clinical system. Functions as a champion and subject matter expert in the application of Lean methods to achieve process efficiencies, reduction in variations and in eliminating/reducing waste. ...

Senior .Net Developer (Software Developer IV)

Medical Mutual - Cleveland, OH

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 business rules, security standards and government regulations are met. Works on a self-organizing, collaborative ...