Account Administrator I Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; certificate review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Understands the functions of all areas of the company and builds internal and external networks to navigate p

IT Security Analyst II Policy Development and Maintenance Manages and ensures Policies are in place to meet relevant federal and state laws and regulations. Maintains IT Policies repository and facilitates annual review process. Internal/External Audit Support Assists internal and external IT audits (SOC2, HIPAA, ITCG) evidence collection. Risk Assessment and Prioritizati

Plans and manages the determination of appropriate rates for professional, ancillary and hospital contracts. Manages internal business relationships with Actuarial and Underwriting to determine how contracted rates will impact appropriate regions. Manages the analyses of payer value based contract opportunities specific to capitated, bundled payments, and other emerging p

The Sr. Organizational Development Specialist will be critical in developing Medical Mutual's organizational change management center of excellence. The role will be involved in a diverse number of transformational change management projects at Medical Mutual of Ohio. This person will educate leaders and team members about the process of change using ADKAR as a foundation

Supervises all production activities and projects to ensure efficient workflow continuity and timely completion of shared responsibilities. Monitors and manages system utilization to prioritize and resolve request conflicts. Monitors the security of processes and resolves Heath Insurance Portability and Accountability violations in relation to processes. Teaches and train

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

MA Performance Analyst Manages a portfolio of MA initiatives focused on driving revenue and controling costs, or growing membership and plan promotion. Assists with the development of initiative scope and determines project requirements. Leads cross functional teams consisting of several key business areas. Holds key areas responsible for achieving the profitability goals

Manages daily operations of development staff, provides technical expertise to staff supervised, and resolves problems escalated to the Manager level. Develops work plans, goals and objectives, and evaluates project progress in relation to development staff activities. Advises and consults with IT Department peers regarding the identification of software and information i

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Actuarial Analyst III, IV, Associate Actuary, & Actuary Estimates future claims. Estimates current claims (reserving estimate unpaid claim liabilities). Analyzes historical experience. Reviews appropriateness of rating factors by plan, area, network, etc. Proposes premiums that achieve company goals. Forecasts the future. Loads and tests premiums. Performs ad hoc analyses

Works collaboratively with company stakeholders (Care Management, Provider Engagement, IT, Finance) to define, document, execute and deliver on business/systems requirements, and criteria to support the company's health informatics strategy Leads and interfaces with relevant parties to resolve issues, and maintain/accelerate progress to meet informatics projects outcomes

Develops and drives strategic initiatives, provider partnerships, and transactions to support the expansion and enhancement of division and market level value based operations. Designs and oversees implementation of population health operations and integration strategy that supports and delivers on the Company's health vision, values, goals, operating, and financial perfo

Member Communications Specialist II Writes and edits content for varied and moderately complex customer retention materials maintaining a clear message and consistent brand identity with few, if any, grammar errors or typos. Develops general communications to internal business units and brokers and assists senior staff with complex communications programs. Coordinates wit

Provides consultation to non system administrators, the development team and infrastructure team with the design and support of host systems with client and internal applications by actively participating in client and internal project meetings. Creation and maintenance of end to end automation of deployment, monitoring, and infrastructure management. Build and configure