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Supervisor, Acute & Post Acute Utilization Management

Medical Mutual - OH

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 1.6 million Ohioans 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 individ...

Regional Sales & Service Specialist

Medical Mutual - OH

Serves as a captive agent to develop individual sales leads through event marketing, community activities, faith-based organizations and in-store visits. Focuses both on under and over 65 audience to educate and sell appropriate health insurance and ancillary products. Closes a minimum of 150 contracts annually with a target of 175. Responsibilities ...

Marketing Specialist

Medical Mutual - Brooklyn, OH

Assists with implementing elements of strategic marketing and communication plans for assigned marketing segments. Develops and revises general or standardized marketing materials and supports more senior level staff with more complex materials. Responsibilities •Writes and edits content for general or standardized marketing materials maintaining a clear ...

Risk Adjustment Programs Analyst

Medical Mutual - Cleveland, OH

Under limited supervision, serves as a primary liaison between all areas of the RAPs department including Information Services, Chart Retrieval, Medical Coding and Analytics. Supports the complete and accurate capture of conditions for members enrolled in government programs, ensuring the Company receives the appropriate reimbursement to help cover the conditions of enrollees. Identifi...

Human Resource Business Partner- Hybrid

Medical Mutual - Cleveland, OH

Are you ready to build a career with a welcoming and diverse team? Medical Mutual is hiring a Human Resource Business Partner in Cleveland, Ohio. Hybrid is an option for the work schedule. In addition to competitive pay, Medical Mutual offers a robust benefits package, unique perks and a great atmosphere for employees. The welcoming, friendly nature of our teams is o...

Provider Contract Manager - Hybrid

Medical Mutual - Cincinnati, OH

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 1.6 million Ohioans 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 individ...

Sr. Staff Accountant - Hybrid

Medical Mutual - Cleveland, OH

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 1.6 million Ohioans 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 individ...

Mgr, Systems Dev. & Main. - Hybrid

Medical Mutual - Brooklyn, OH

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 1.6 million Ohioans 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 individ...

Accounting Assistant II - Hybrid

Medical Mutual - Brooklyn, OH

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 1.6 million Ohioans 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 individ...

Supv, Clinical Systems

Medical Mutual - Cleveland, OH

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 1.6 million Ohioans 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 indivi...

Nurse Reviewer – Medicare

Medical Mutual - Cleveland, OH

Under limited supervision, applies medical necessity guidelines in making authorization determinations for inpatient admissions, concurrent, and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients have a safe and timely transition to next appropriate level of care. Note: This position allows you the flexibility to...

HRIS Analyst- Hybrid

Medical Mutual - Cleveland, OH

Are you ready to build a career with a welcoming and diverse team? Medical Mutual is hiring a HRIS Analyst to join our Human Resource division in our downtown Cleveland location Hybrid is an option for the work schedule. Medical Mutual offers a robust benefits package, unique perks and a great atmosphere for employees. The welcoming, friendly nature of our teams is one of...

Supervisor, TPA Operations

Medical Mutual - Brooklyn, OH

Coordinates the activities of, and provides staff the appropriate tools and training to support all applicable customer experience interactions. Coaches, develops and fosters a highly effective team, ensuring established goals and standards are met. Manages daily workload to uphold productivity levels, quality outcomes, inventory volumes, performance guarantees, timeliness measures, customer...

Payroll Administrator (Hybrid)

Medical Mutual - Cleveland, OH

Responsibilities Payroll Administrator Process payroll related transaction for employees. Compiles, prepares and maintains payroll reports. Reconciles and analyzes payroll accounts. Trains, audits, resolves, and reconciles transactions and issues with Ceridian, Kronos and Payroll self-service. Processes and audits benefit and HR trans...

IT Quality Analyst I - IV - Hybrid

Medical Mutual - Brooklyn, OH

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 1.6 million Ohioans 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 indivi...