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Medical Mutual Of Ohio Jobs





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SPONSORED JOB
Location
Strongsville, OH
Posted Date
Aug 09,18
Source
Employer     

Manager, IT Technical Infrastructure','1700477','!*! Responsible for architecting, implementing and maintaining oversight of the Mainframe, ISeries and Data Exchange infrastructure environments. Manages projects and teams associated with the analysis, design, build..

SPONSORED JOB
Location
Cleveland, OH
Posted Date
Aug 15,18
Source
Employer     

Actuarial Assistant- Medicare','1800390','!*!Job Summary: Estimates current and future liabilities. Proposes premiums that achieve company goals. Responsibilities: Estimates future claims. Estimates current claims (reserving: estimate unpaid claim liabilities). Analyzes historical experience..

SPONSORED JOB
Location
Cleveland, OH
Posted Date
Aug 15,18
Source
Employer     

Manager, Actuarial Services','1800387','!*!Job Summary: Manages the work of a team to achieve company goals. Analyzes and reports on developing experience and proposals. Responsibilities; Manages and trains team members. Proposes premiums..

 
Location
Cincinnati, OH
Posted Date
Aug 18, 18
Info Source
Employer  - Full-Time   

Individual/Medicare – Broker Sales Rep – Southwest OH','1800402','!*! Responsibilities Develops relationships with brokers/agencies who sell within the individual and Medicare insurance markets to improve broker’s sales efforts, enhance efficiencies to..

 
Location
Toledo, OH
Posted Date
Aug 07, 18
Info Source
Employer  - Full-Time   

RN Case Manager','1800342','!*!The Nurse Case Manager must practice case management within the scope of their licensure (based on the standards of the discipline). The case manager staff will be expected..

 
Location
Strongsville, OH
Posted Date
Jul 26, 18
Info Source
Employer  - Full-Time   

Specialty Product Sales Representative','1800319','!*!A Specialty Sales & Broker Representative, working under director supervision, assists with selling and renewing specialty product (life, disability, dental, indemnity and vision) groups in assigned territory..

 
Location
Cleveland, OH
Posted Date
Aug 03, 18
Info Source
Employer  - Full-Time   

Customer Care Specialist (Service Consultant) - Cleveland','1800377','!*!Responsibilities In this key role, your primary responsibility will be to provide outstanding service. We’ll count on you to create peace of mind as..

 
Location
Cleveland, OH
Posted Date
Aug 15, 18
Info Source
Employer  - Full-Time   

Manager, Employer Group Analytics','1800381','!*!Lead the design and execution of analyses and reports for clients and their representatives that identify actionable opportunities to improve appropriate use of care, lower total costs..

 
Location
Strongsville, OH
Posted Date
Aug 08, 18
Info Source
Employer  - Full-Time   

OnBase Developer','1800268','!*!Assists in the process of translating user requirements and systems objectives of increasing complexity into a logical, efficient and optimal systems design. Develops and maintains new and existing applications..

 
Location
Cleveland, OH
Posted Date
Aug 11, 18
Info Source
Employer  - Full-Time   

Actuarial Assistant- Medicare','1800390','!*!Job Summary: Estimates current and future liabilities. Proposes premiums that achieve company goals. Responsibilities: Estimates future claims. Estimates current claims (reserving: estimate unpaid claim liabilities). Analyzes historical experience..

 
Location
Beachwood, OH
Posted Date
Aug 16, 18
Info Source
Employer  - Full-Time   

Infrastructure Engineer -Red Hat & AIX','1800109','!*! Ensures reliability and stability assigned platforms and systems. Complete technical tasks, troubleshoots issues, provides input on methods and systems, provides off hours support (on-call)..

 
Location
Cleveland, OH
Posted Date
Aug 03, 18
Info Source
Employer  - Full-Time   

Clinical Information Specialist','1800370','!*!Serves as business unit project lead in professional writing for Care Management and Pharmacy Department responses for the Proposal Unit and other areas of sales Requests for Proposals..

 
Location
Cleveland, OH
Posted Date
Aug 11, 18
Info Source
Employer  - Full-Time   

Manager, Actuarial Services','1800387','!*!Job Summary: Manages the work of a team to achieve company goals. Analyzes and reports on developing experience and proposals. Responsibilities; Manages and trains team members. Proposes premiums..

 
Location
Strongsville, OH
Posted Date
Aug 15, 18
Info Source
Employer  - Full-Time   

IT Security Project Leader','1800229','!*! The ideal candidate for the role will manage and provide guidance to security projects. You will have a high-level knowledge of security technology, be innovative, highly..

 
Location
Beachwood, OH
Posted Date
Aug 15, 18
Info Source
Employer  - Full-Time   

Software Developer IV (COBOL)','1800392','!*!Leads the process of translating user requirements and systems objectives of increasing complexity into a logical, efficient and optimal systems design. Develops and maintains new and existing..

 
Location
Cleveland, OH
Posted Date
Aug 13, 18
Info Source
Employer  - Full-Time   

Pharmacy Services Specialist','1800386','!*!Assists customers such as plan sponsors, members, pharmacies, providers, and internal departments with benefit overrides, claims processing, benefit determination, and drug prior approval support activities. Ensures benefits are..

 
Location
Strongsville, OH
Posted Date
Aug 09, 18
Info Source
Employer  - Full-Time   

Manager, IT Technical Infrastructure','1700477','!*! Responsible for architecting, implementing and maintaining oversight of the Mainframe, ISeries and Data Exchange infrastructure environments. Manages projects and teams associated with the analysis, design, build..

 
Location
Cleveland, OH
Posted Date
Aug 07, 18
Info Source
Employer  - Full-Time   

Clinical Intervention Pharmacist','1800199','!*!Develops strategies and engages members and/or providers to conduct clinically and financially meaningful interventions that impact member drug therapy. These interventions are aimed at improving pharmaceutical care for..

 
Company
Location
Cleveland, OH
Posted Date
Aug 16, 18
Info Source
Employer  - Full-Time   

Group Contract Specialist II The candidate prepares fully insured large group health plan contracts and maintains signed contracts. Works with internal areas to review and respond to group-requested contract changes..

 
Location
Cleveland, OH
Posted Date
Aug 18, 18
Info Source
Employer  - Full-Time   

Sr. Appeals Specialist','1800397','!*!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..

 
Location
Strongsville, OH
Posted Date
Aug 02, 18
Info Source
Employer  - Full-Time   

Credentialing Support Specialist','1800362','!*!Performs a variety of clerical and related support functions involving the application of standard procedures to enhance the overall efficiency of the assigned department Responsibilities • Updates CPIMS..

 
Location
Strongsville, OH
Posted Date
Aug 02, 18
Info Source
Employer  - Full-Time   

Software Developer II','1800344','!*! Collaborates with other software developers, business analysts and liaisons to translate user stories and customer acceptance criteria of increasing complexity into a logical, efficient and optimal systems..

 
Location
Cleveland, OH
Posted Date
Aug 16, 18
Info Source
Employer  - Full-Time   

Manager, Sales Administration','1800348','!*!Responsibilities Manages the assignment and maintenance of 51 book of business accounts. Supports Goldmine use and development. Facilitates process for service issue escalation. Manages the execution of divisional..

 
Location
Strongsville, OH
Posted Date
Aug 15, 18
Info Source
Employer  - Full-Time   

Medicare Operations Analyst-TPA','1800394','!*!Under minimal supervision, serves as a subject matter expert and collaborates with internal departments and external vendors to ensure dental administration processes and systems are in compliance with..

 
Job title
GRANTED JOB
Location
Cleveland, OH
Posted Date
Aug 18, 18
Info Source
Employer  - Full-Time   

Sr Clinical Auditor','1800400','!*!Working under limited supervision, audits typically more complex outpatient, inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider..

 
Location
Cleveland, OH
Posted Date
Aug 16, 18
Info Source
Employer  - Full-Time   

Sr. Medicare Pharmacy Specialist','1800395','!*!Ensures the successful operations and compliant administration of the Medicare Part D (pharmacy) program. Oversees Pharmacy Benefit Manager (PBM) to meet CMS compliance for all delegated activities...

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