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Infrastructure Engineer I-V
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...
Pharmacy Precert Nurse
NJM Insurance Group - Trenton, NJ
Reporting directly to the Medical Director and indirectly to Medical Services, the Pharmacy Precert Coordinator supports our Workers' Compensation line of business by performing prospective and retrospective Utilization Review of pharmaceutical/medication requests in accordance with regulatory guidelines, where appropriate, and to ensure requests are clinically supported based upon NJM Medic...
Complex Claim Specialist (Workers' Compensation Claims) – Hammonton or West Trenton, NJ
NJM Insurance Group - Trenton, NJ
NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. The Complex Claim Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage ...
Complex Claim Specialist (Workers' Compensation Claims) – Hammonton or West Trenton, NJ
NJM Insurance Group - Hammonton, NJ
NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. The Complex Claim Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage ...
Quality Control and Compliance Associate
NJM Insurance Group - Trenton, NJ
Reporting to the Medical Services QC Supervisor in our West Trenton, New Jersey corporate office, the QC & Compliance Associate is responsible and accountable for conducting complete and thorough reviews of medical bills and participating in targeted compliance and process audits to support the department. This role also supports the MSA QC Supervisor in completing compliance c...
Claims Account Specialist (Workers' Compensation Claims) - West Trenton, NJ
NJM Insurance Group - Trenton, NJ
NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. T...
Telephonic Counselor
Medical Mutual - Brooklyn, OH
Employee Services has an immediate need for a full-time skilled Counselor. The Counselor will provide counseling and case management for our EAP members who call for immediate support as well as face to face sessions at our Brooklyn OH location. Primary responsibilities include conducting telephonic triage, assessment, providing in the moment support and coordinating resources, seeing member...
Sr Counselor-Administrative Referral
Medical Mutual - Brooklyn, OH
Employee Services has the immediate need for a full-time Senior Counselor, Administrative Referral. The Counselor will provide telephonic support, coaching, training, resource coordination, and case management for our EAP members who are interested in professional development or have been referred via the Administrative Referral Program. This is a hybrid position, and the successful candidat...
Value Based Contracting Data Analyst (Hybrid-Cleveland, Ohio)
Medical Mutual - Cleveland, OH
This is a hybrid role in Cleveland, Ohio. Responsibilities Value-Based Contracting Data Analyst Working under general supervision, supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ In...
Client Account Manager
Medical Mutual - New York, NY
Employee Services has the immediate need for a remote, full time Client Service Account Manager to maintain our current clients in southern Westchester county NY, northeastern PA & southern CT regions. The full time Client Service Account Manager will work from their home office to maintain existing business with Employee Assistance Program (EAP) clients in the assign...
Quality Control Auditor
Richmond American Homes - Denver, CO
BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We're proud to be one of the most established bui...
Loan Processing Manager
Richmond American Homes - Denver, CO
BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We're proud to be one of the most established bui...
Underwriter
Richmond American Homes - Denver, CO
BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We're proud to be one of the most established bui...
Loan Officer - Bilingual Preferred (Spanish/English)
Richmond American Homes - Phoenix, AZ
BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We're proud to be one of the most established...
Loan Officer
Richmond American Homes - Riverside, CA
BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We're proud to be one of the most established...
