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PAR - Provider Inquiry Representative I
Medical Mutual - Toledo, OH
This is a hybrid role and requires employees to be in our Toledo office 3 days a week. Investigates and resolves all inquiries (telephonic, written and faxed) from participating and non-participating hospitals, primary and specialty care physicians, ancillary and allied health care professionals regarding claim status, claim payment, authorization confirmations, facilitations...
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...
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...
Director Systems Development & Maintenance
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...
Telephonic Counselor
Medical Mutual - Rochester, NY
Employee Services has the immediate need for a full time remote telephonic Counselor. The Counselor will provide counseling and case management, for our EAP members who call for immediate support. Primary responsibilities include conducting a telephonic triage, assessment, providing in the moment support and coordinating resources. Master's deg...
Provider Network Performance Analyst (Hybrid - Cleveland, Ohio)
Medical Mutual - Brooklyn, OH
This role is hybrid in Cleveland, Ohio. Responsibilities Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance standards. Develops standard reporting and analytics to support Value Based Contracting (VBC) initiatives. Assists in supporting the contract...
PAR - Provider Credentialing & Data Specialist II
Medical Mutual - Toledo, OH
Under general supervision, performs typically routine to moderately complex initial and ongoing practitioner, provider, and organization data entry and credentialing into the various modules of the Provider Data Management System. Ensures compliance with standards set by individual states, federal and accrediting organizations and meets production and quality metrics. ESSENTIAL FUN...
Cash Recovery Specialist
Medical Mutual - Brooklyn, OH
Note: (1) day per week in-office requirement 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 self-funded group co...
Client Account Executive
Medical Mutual - United States of America
Employee Services has the immediate need for a remote, full time Account Executive to maintain our current clients in the Marquette, Michigan region. The full time Account Executive will work from their home office to maintain existing business with Employee Assistance Program (EAP) clients in the Marquette, Michigan region. The successful candidate will conduct both ...
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...
Customer Care Specialist (Correspondence)
Medical Mutual - United States of America
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...
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...
Clinical Quality Data Analyst
Medical Mutual - Brooklyn, OH
Candidates residing in the EST or CST Time zones preferred for this position 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...
Document Services Specialist I-II
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...
