Manages operations and projects of assigned commercial and government care management area in accordance with departmental and corporate objectives. This may include precertification review, concurrent review, prospective review, retrospective review and discharge planning, or clinical quality improvement. Manages and monitors workload, staffing, and training and developm

Marketing & Advertising Specialist I Implements marketing strategies for consumer facing Medicare and Individual ACA campaigns. Develops and manages marketing collateral and sales materials for Medicare and Individual ACA products. Works with in house Design team and agency partners to develop creative assets, including flyers, brochures, direct mail and print ads. Works

Plan, organize, and manage staff and overall operations to ensure stability of the organization's infrastructure. Hire, develop, and retain highly responsive and customer focused analysts to ensure the effective operation of the ITOC. Manage tools, systems, and procedures to ensure effective management of issues and customer satisfaction. Guide the creation, maintenance,

Business Systems Analyst I Captures business needs and shapes requirements through dialogue with business partners. Supports the development of documentation of solutions and verifies against user requirements. Supports testing, implementation, and training phases of systems projects. Participates in design reviews and walkthroughs to communicate systems designs and valid

Generates leads through multiple channels to finalize sale and achieve large portion of company's revenue growth. Ensures completion of request for proposals, negotiates sales, presents rates and recommends solutions to brokers and clients, and finalizes new business. Leads development of a strong pipeline of new business opportunities of significant size through customer

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 throug

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 contracting regions with quality, utilization, and cost analysis. Provider Network Performance Analyst I

Gathers applicable statutes, regulations and documentation and compiles and reports compliance data for product filings to regulatory agencies. Supports workflow associated with statutory and regulatory changes. Follows new or enhanced processes based on research. Assists with responding to state product filing objections. Administers standard regulatory change management

Schedules and makes personal visits to key providers with goal of adding new providers to the dental network. Convinces providers to work with network development team to enter into provider contract negotiations. Supports the team through the negotiation process. Builds and maintains provider business relationships and knowledge of assigned geographical regions. Represen

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, and accessible customer journeys for the company's customers members, employers, brokers, and providers.

Sends and receives correspondence from various sources such as providers, members, and internal departments, and determines appropriate recipient, action and priority following departmental guidelines. Prepares and assigns clinical tasks, ascertains information is correct, and directs to the appropriate recipient. Performs administrative support functions; creates and mai

Infrastructure Engineer I Completes service requests and maintenance support in a timely manner. Learns assigned technology platforms through direct interaction with coworkers, approved training classes and management directed activities. Documents system information and creates reports as directed by supervision. Optimizes work performance through teamwork and a strong c

Information Management Business Analyst Captures business requirements for data and information needs across functional areas within the enterprise. These activities include but not limited to conducting customer interviews; business requirements definition and documentation; define business processes; and articulate requirements to business users and technical solution t

IT Project Manager I Assists in managing all stages of the IT projects assigned with management support, including planning, implementing and monitoring activities. Work with IT line managers and team members to develop appropriate methodology plans and assists with appropriate tasks, resources, milestones, cost analysis and timelines. Provide all levels of project commun

Sr. Proposal Specialist Acts as project lead in responding to routine to complex RFPs with minimal supervision including responding, preparing, coordinating, and packaging to meet RFP specifications/requirements. Pre populates RFPs with standard database content with minimal supervision. Manages outreach and receipt of information from internal departments. Secures and do