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Pharmacy Operations Specialist-Paramount
Medical Mutual - OH
Note: this position has the option to work hybrid or remote. Eastern or Central Time Zones preferred. 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. W...
Care Navigator
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 1.2 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 indivi...
Clinical Information Specialist
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 indivi...
Site Reliability Engineering Manager
Medical Mutual - Dublin, 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...
Registered Nurse Clinical Appeal & Claim
Medical Mutual - OH
Note: This position allows you the flexibility to work at home. We are looking for applicants that have a strong clinical utilization management background. Medicare experience is a plus. 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 h...
Value Based Contracting Data Analyst
Medical Mutual - OH
This role is hybrid in Cleveland, Ohio. (Will need to be onsite 1 day/week) Responsibilities Value-Based Contracting Data Analyst JOB SUMMARY: Working under general supervision, supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops an...
Employer Group Consulting Analyst
Medical Mutual - OH
Note, requires a minimum of (2) days per year in-office in Brooklyn, Ohio. Eastern & Central Time Zones preferred. 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, denta...
Medical Coding Compliance Specialist
Medical Mutual - OH
We are seeking candidates that reside in the EST or CST time zones. 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-fun...
Medical Record Retrieval Specialist
Medical Mutual - OH
The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local Medical Mutual office. 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-q...
IT Operations Technician I-IV
Medical Mutual - Columbus, 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...
Risk Adjustment Provider Programs Specialist
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 1.2 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 indivi...
IT Project Manager I-IV
Medical Mutual - Dublin, 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...
Project Manager
Medical Mutual - OH
Note, this role will be a hybrid work schedule of remote and in-office in Brooklyn, Ohio. 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...
Instructional Designer
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 1.2 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 indivi...
COB Specialist
Medical Mutual - OH
Responsibilities COB Specialist I Researches and responds to inquiries/issues to ascertain specifics of multiple health insurance coverages for members and dependents. Contacts membership, providers, and other insurance companies to gather coordination of benefits (COB) data. Determines source of problem, impact to customers, and resolution. ...
