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Supervisor, Provider Credentialing & Data
Medical Mutual - OH
Note, this is a remote opportunity. Eastern & Central Time Zones preferred. 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 1.2 million members through our high-quality health, life, disability, dental, vision and indemn...
Prior Authorization Nurse Reviewer
Medical Mutual - OH
Note: This position allows you the flexibility to work at home within the state of Ohio. We are looking for applicants that have a strong clinical utilization management background. Medicare experience is a plus. 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 ...
Medicare Nurse Reviewer
Medical Mutual - OH
Under limited supervision, applies medical necessity guidelines in making authorization determinations for inpatient admissions, concurrent, and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients have a safe and timely transition to next appropriate level of care. Note: This position allows you the flexibility to...
Financial Accounting Analyst
Medical Mutual - OH
Note, this is a remote opportunity in Ohio. Ohio candidates preferred. 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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans....
Provider Network Compliance Specialist
Medical Mutual - OH
Note, this is a remote opportunity in Ohio. Ohio candidates p referred. 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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans....
Provider Contract Support Specialist- Sr.
Medical Mutual - OH
Please note that Rossford/Toledo, OH area candidates are preferred 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 through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and sel...
Pharmacy Information Services Specialist II
Medical Mutual - OH
Note, this is a remote opportunity in Ohio. Ohio candidates preferred 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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully...
Director, Case Management
Medical Mutual - OH
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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Actuarial Analyst
Medical Mutual - OH
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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Care Navigator
Medical Mutual - OH
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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Consulting Analyst
Medical Mutual - OH
Note, requires a minimum of (2) days per year in-office in Brooklyn, Ohio. Eastern & Central Time Zones preferred. 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 through our high-quality health, life, disability, dental, vi...
Medicare Pharmacy Coordinator
Medical Mutual - OH
Note, this is a fully remote opportunity . Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after. Responsibilities Medicare Pharmacy Coordinator I Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicar...
Assistant Medical Director
Medical Mutual - OH
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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
Registered Nurse Clinical Appeal & Claim
Medical Mutual - OH
Note: This position allows you the flexibility to work at home within the state of Ohio. 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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured...
Provider Credentialing & Data Specialist (Credentialing)
Medical Mutual - OH
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 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and indivi...
