THE LARGEST COLLECTION OF JOBS ON EARTH
company:(medical mutual of ohio)
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Internship- IT Development','1800437','!*!Strongsville, Ohio Full-time Paid College students participate in internships that are 10-12 weeks over the summer with competitive hourly wages. Role Responsibilities: · Participates in host area on..
Regional Sales & Service Specialist - Toledo','1800444','!*! Serves as a captive agent to develop individual sales leads through event marketing, community activities, faith-based organizations and in-store visits. Focuses both on..
Internship- IT Development','1800436','!*!Cleveland, Ohio Full-time Paid College students participate in internships that are 10-12 weeks over the summer with competitive hourly wages. Role Responsibilities: · Participates in host area on..
Claims/Customer Care Specialist II - TPA','1800491','!*! Process routine to moderately complex healthcare claims and responds to inquiries from third party administration and/or ancillary product services customers regarding benefits, coverage or..
Dental Claims/Customer Care Specialist','1800471','!*! Provides excellent customer experience by responding to inquiries from ancillary product customers regarding benefits, coverage and/or claims status in accordance with established performance expectations and service..
Group Underwriter','1800347','!*!Evaluates data and risk characteristics of groups to assist in the establishment of prospect and renewal rates that are compliant and in support of corporate financial and membership goals..
Quality Care Navigator','1700376','!*! Works proactively with the cross disciplinary team (Customer Service, Case Management and Quality), to provide outreach services to Medicare members and ACA population. Assists with navigation of..
IT Operations Technician III','1800465','!*! Oversee the operation and utilization of all Data Center computer systems. Operates and monitors mainframe, mid-range, open system platforms, and network topologies. Identifies and resolves hardware..
Sr. Customer Information Systems Analyst','1800503','!*!Partners with customer service operations’ business stakeholders to understand, analyze, refine and communicate business needs, so that technical delivery teams can build effective solutions. Drives, influences..
Sr. Appeals Specialist','1800475','!*!Responsibilities Researches, reviews and responds to member and/or provider appeal issues in accordance with departmental policies and procedures, and outside regulatory agency requirements. Serves as a resource for..
Sr Medicare Products Analyst','1800496','!*!Responsibilities The Sr Medicare Products Analyst plays an intricate role in the product development of the Medicare Advantage and Medicare Supplement product lines. This role supports Medicare..
Account Executive - Cleveland','1800485','!*! Responsibilities Manages and acts as primary contact for the successful renewal, retention and add-on sales of assigned book of business. Provides in depth analysis of client..
Manager, Corporate Marketing','1800495','!*! Responsibilities In collaboration with the VP, Marketing, defines and implements strategic marketing and communications plans for all corporate, business to business, brand, and group products and services...
Financial Analyst I- Career Development Program','1800464','!*!Medical Mutual’s Career Development Program provides a one-of-a-kind opportunity for participants to jump start their careers in health insurance. The program places you in a..
Sr. HEDIS and Quality Improvement Analyst','1800492','!*! Develops reporting and analyses to identify actionable opportunities for quality improvement across all lines of business (Commercial, Marketplace and Medicare Advantage) and evaluates interventions..
Manager, HIPAA EDI Compliance','1800157','!*!Adheres to HIPAA Compliance Frameworks, fosters compliance projects that comply with all applicable regulations and statutes related to HIPAA transactions. Provides guidance to team and employees and..
Sr. Claims Customer Care Specialist','1800466','!*!Process routine to complex healthcare claims and responds to inquiries from third party administration and/or ancillary product services customers regarding benefits, coverage or claim status in..
Director, Cash Control','1800490','!*!Responsibilities Directs corporate-wide credit and collection activities for group and individual insured subscribers, self-insured groups, Multiple Employer Welfare Accounts (MEWA's) including Third Party Vendor oversight (ie. WIPRO) and..
Lead IT Project Manager','1800494','!*!Manage multiple complex projects and teams in compliance with the Company’s defined IT project management standards with the goal of delivering project objectives on time and within..
.NET Developer','1800453','!*! Assists in the process of translating user stories and customer acceptance criteria of increasing complexity into a logical, efficient and optimal systems design. Develops and maintains new and..
Actuarial Assistant','1800458','!*! Estimates current and future liabilities . Proposes premiums that achieve company goals. Responsibilities: Level I, II, III, IV · Estimates future claims. · Estimates current claims (reserving: estimates..
Membership Services Specialist','1800500','!*!Responsibilities Under general supervision, processes routine to moderately complex enrollment and billing transactions for an assigned block of customers following underwriting guidelines. Maintains eligibility records on various claims..
Sr. IT Project Manager','1800028','!*! Manage large highly complex enterprise projects, programs, and teams with support in compliance with the Company’s defined IT project management standards with the goal of delivering..