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Nurse Reviewer - Medicare
Medical Mutual - 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...
Specialty Account Manager
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...
Manager, Compliance Program
Medical Mutual - Brooklyn, OH
Note, this is a hybrid role in Brooklyn, Ohio; Ohio candidates preferred. As part of the Medical Mutual family of companies, we meet the ever-changing needs of consumers. We offer a variety of individual, supplemental hospital, surgical, accident, and specified disease products. With an unwavering commitment to customer satisfaction, we proactively adapt ou...
Senior Corporate Counsel
Medical Mutual - Brooklyn, OH
Hybrid- 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 1.2 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, Med...
Marketing & Advertising Specialist
Medical Mutual - OH
The Marketing & Advertising Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an OH 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-qual...
HEDIS Analyst
Medical Mutual - OH
Note, this is a remote position; Eastern and 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. We offer full...
Manager, Acute & Post Acute Utilization Management
Medical Mutual - OH
Location: This position allows you the flexibility to work at home. 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-f...
Agile Business Analyst I-IV
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...
Clinical Services Support Specialist
Medical Mutual - OH
Note, occasional onsite at home-based office in 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 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage...
Lead User Experience Researcher
Medical Mutual - Brooklyn, OH
We are looking for a Lead User Experience Researcher or a Senior User Experience Researcher. This role is hybrid with 1 day/week at Brooklyn, Ohio site. Senior User Experience Researcher The User Experience (UX) team is responsible for creating intuitive, easy to use...
Data Engineer
Medical Mutual - Brooklyn, OH
There's a reason we've been selected as a Top Workplace in Northeast Ohio for 14 consecutive years. At Medical Mutual, we are committed to caring for our most valuable asset – our dedicated employees. 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-...
Dental Network Recruiter
Medical Mutual - OH
Note, majority of the time will spend on external visits to dental practices located in OH, IN, & KY. 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 ind...
Information Management Business Analyst
Medical Mutual - OH
Note, occasional onsite requirement in 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...
Claims/Cust Care Spec II-TPA
Medical Mutual - Brooklyn, OH
The Claims/Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, Ohio 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 throu...
Provider Reimbursement Analyst
Medical Mutual - OH
This position has the option to work hybrid or remote; Eastern 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...
