Medical Mutual Jobs - Page 3 | CareerArc

Jobs at Medical Mutual - Page 3

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Lead Medicare Data Analyst

Medical Mutual - Cleveland, OH

Provides strategic support for the Company's success in Medicare Advantage by leveraging data to create insights that inform progress toward success and identify actionable opportunities for optimizing Medicare Star Ratings metric performance. Analyzes, interprets and communicates complex, varied data and information to internal stakeholders. Consults with senior leadership to provide meaningfu...

Software Developer IV*

Medical Mutual - Strongsville, OH

External Notice (www.medmutual.com/careers) Medical Mutual of Ohio seeking multiple Software Developer IV (Topps)to design, construct, test, and implement requested application additions or notification to the TOPPS systems in Beachwood, Ohio. Will create and modify computer systems or programs in connection with their use or design requirements. Will need to analyze systems an...

Specialty Drug Clinical Intervention Pharmacist

Medical Mutual - Cleveland, OH

Develops strategies and engages members and/or providers to conduct clinically and financially meaningful interventions that impact member drug therapy. These interventions are aimed at improving pharmaceutical care for our members, reducing total cost of drug therapy and improving pharmacy related quality measures such as Medicare STARS and HEDIS. Responsibilities: Conducts targeted m...

Lead Business Systems Specialist

Medical Mutual - Cleveland, OH

Leads the analysis and solutions in support of technical process and system changes and reporting outcomes for claims adjudication and administration systems. Leads various teams to ensure the development, testing, implementation and maintenance of claims and customer care end-to-end processing. Responsibilities: Creates solutions for complex multi-departmental ...

Software Developer IV- TOPPS*

Medical Mutual - Beachwood, OH

External Notice (www.medmutual.com/careers) Medical Mutual of Ohio seeking multiple Software Developer IV (Topps)to design, construct, test, and implement requested application additions or notification to the TOPPS systems in Beachwood, Ohio. Will create and modify computer systems or programs in connection with their use or design requirements. Will need to analyze systems an...

Manager, Provider Network

Medical Mutual - Cleveland, OH

Facilitates the management of provider networks. Formulates and recommends the strategic direction for Managed Care 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. Identifies opportunit...

Senior .Net Developer

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 ...

.Net Developer II

Medical Mutual - Cleveland, OH

Collaborate with other software developers, business systems analysts, and liaisons to translate 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...

Medicare Advantage Project Manager

Medical Mutual - Cleveland, OH

This role will evaluate requirements for new Medicare Advantage business opportunities, implement project deliverables and create policies/procedures for new product implementation, process changes and system enhancements. # CB Responsibilities Determines business requirements and implements process changes based on new CMS/HPMS guidance to ensure CMS regulations and repor...