Most Recent Medical Mutual Job Listings

Location: Cleveland JOB SUMMARY LEVEL I: Prepare invoices for self-administered Health products for MMO and its subsidiaries. Administer the terms of the groups’ contracts including stop loss settlements and customer service. Perform a support role in general for the department which would include accounting and analysis. PRIMARY RESPONSIBILITIES LEVEL 1: • Weekly an...

Reports to: Manager Location: Cleveland JOB SUMMARY: Operating with limited management direction, collaborates with sales and service staff to identify value-added, cost control and quality improvement opportunities for clients. Analyzes client data to identify actionable information. Creates solutions and action plans for clients, brokers and consultants in coordination with care ...

Reports to: Director Location: Strongsville JOB SUMMARY: The Senior Analyst functions independently to make complex risk and pricing decisions to achieve acceptable loss ratios for Group Life, ADD, Dependent Life, Short Term Disability, Long Term Disability, and all Supplemental/Voluntary Products. Exercises sound judgment to make exceptions to standard underwriting policies an...

Location: Copley JOB SUMMARY: This position is primarily responsible for processing claims and handling incoming customer service calls to verify proper eligibility, plan benefits according to current account coverage and claim status. The position is part of a dedicated service team that functions in the dual role of claims production and telephonic service to our brokers, group ...

Location: Cleveland JOB SUMMARY: The Healthcare Technology Analyst and Medical Policy Writer, working under limited supervision, synthesizes available research to write corporate medical policies for technologies and procedures in all clinical service areas. Recommends and establishes medical policy guidelines that have a direct impact on customers, assuring only medically appropriat...

Location: Cleveland JOB SUMMARY: The Facilities Operating Engineer II is responsible for all the general maintenance functions to ensure the daily operations and upkeep of the building. PRIMARY RESPONSIBILITIES: • Completion of service/maintenance requests. • Complete departmental moves and relocations. • Installing tearing down cubicles. • Assists with the daily...

Reports to: T. Bachesais Location: Strongsville JOB SUMMARY: The Provider III develops computer applications based on the requests of users and interview discussions with the users. Identifies problems with programs (IRs and SSRs) and plans, codes, tests and loads fixes to the live server. May participate on a project team or may be called upon to be a project leader on less c...

Strongsville/Beachwood Reports to: Manager JOB SUMMARY: The Business Solutions Provider IV designs, constructs, tests, and implements requested application additions to Customer Service systems. PRIMARY RESPONSIBILITIES • Design, develop, document, analyze, create, test or modify computer systems or programs in connection with their use or design requirements. ...

Reorts to: Manager Location: Toledo JOB SUMMARY: Primarily responsible for the delivery and implementation of training and/or development programs. Conducts program evaluations and handles ongoing administration of training and development programs as needed. Implements tools, practices, and approaches to facilitate learning that directly supports and effectively meets the nee...

Reports to: Manager Location: Strongsville JOB SUMMARY: The Provider III develops computer applications based on the requests of users and interview discussions with the users. Identifies problems with programs (IRs and SSRs) and plans, codes, tests and loads fixes to the live server. May participate on a project team or may be called upon to be a project leader on less comple...

JOB SUMMARY: The Web Developer gathers requirements, develops SOWs, designs, constructs, tests, and implements requested application additions or modifications to the applications. This posting is specific to the Care Management and Focus Manager Applications. PRIMARY RESPONSIBILITIES: •Gather business requirements, facilitate discussions and create SOW’s. •Desi...

Reports to: Manager Location: Cleveland JOB SUMMARY: Serves as a member of the Care Management team, performing utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members; promoting effective resource management by directing member care to accessible cost-effective network providers and services ...

Location: Cleveland JOB SUMMARY: The Contracting Representative II develops, manages, promotes, guides and monitors, as well as provide services and educate Providers, Institution and Network Communities in order to establish business relationship. CONTRACTING REPRESENTATIVE II: PRIMARY RESPONSIBILITIES: • Negotiates non-standard contracts. Requires minim...

Cleveland JOB SUMMARY: Reviews and appraises the soundness, adequacy, and application of financial, regulator, and operational internal controls within Medical Mutual (including its subsidiaries and vendors). Provides reasonable assurance that principal record keeping systems provide timely, accurate, and reliable information on an ongoing basis. PRIMARY RESPONSIBILITIES:

Location: Cleveland/Toledo A trusted health insurer for more than 75 years, Medical Mutual is the largest health insurance company headquartered in the state of Ohio and rated one of the most financially secure health insurers in Ohio. As a mutual company, we operate for the benefit of our members without needing to meet the demands of stockholders or Wall Street analysts. Instead, we fo...