Medical Mutual of Ohio

Medical Mutual of Ohio.

  • Ohio


  • Irreversible.

  • Full-time.

Established in 1934, Medical Mutual is the earliest and among the biggest medical insurance business based in Ohio. We supply assurance to more than 1.6 million Ohioans through our top quality health, life, impairment, oral, vision and indemnity strategies. We provide completely guaranteed and self-funded group protection, consisting of stop loss, along with Medicare Advantage, Medicare Supplement and private strategies.

Medical Mutual’ s status as a shared business implies we are owned by our insurance policy holders, not investors, so we do not solution to Wall Street experts or pay dividends to financiers. Rather, we concentrate on establishing product or services that enable us to much better serve our clients and the neighborhoods around us and assist our members accomplish their finest possible health and lifestyle.

Provides medical knowledge to promote the shipment of high quality, expense reliable, (member centric) treatment. Adds to the accomplishment of scientific quality; quality rankings enhancement, proper inpatient and outpatient usage, price, compliance, development and focused enhancement which efforts are regularly executed and effectively performed to accomplish objectives.

Responsibilities

  • Provides scientific competence to the usage evaluation procedure and decisions.
  • Provides pre-determination evaluations and evaluations of claims decisions, offering scientific, coding and repayment competence.
  • Ensures compliance with scientific objectives through tracking of care management efficiency.
  • Ensures the suitable and most cost reliable expense efficient treatment is gotten.
  • Recommends modifications and improvements to present handled care, evaluation standards, and medical requirements based upon scientific understanding of healthcare shipment systems, usage techniques, compensation approaches and treatment procedures.
  • Assists in advancement and analysis of medical policy, consisting of medical need requirements, scientific practice standards, and brand-new innovation evaluations.
  • Provides assistance to case management group in the coordination of quality care.
  • Performs other responsibilities as designated.

Qualifications

Qualifications

Education and Experience:

  • MD or DO from a recognized medical school with an active, unlimited (state) license to practice medication in United States
  • Minimum of 5 years of recognized (medical) care practice experience needed
  • Physician customer experience in the insurance coverage market chosen

Professional Certification( s)

  • Board Certification, in nationally acknowledged specialized (ABMS or AOA) is needed
  • Active Unrestricted license to practice medication in United States

Technical Skills and Knowledge:

  • Foundational windows based computer system abilities, consisting of typing, data processing, discussion, and web research study abilities.
  • Strong understanding of combination of evidence-based medication and handled care concepts.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

  • Performs operate in a workplace setting with moderate levels of sound, sitting for extended periods of time, utilizing computer systems and phones, and with direct exposure to fluorescent lighting.

Medical Mutual is seeking to grow our group! We really worth and regard the skills and capabilities of all of our staff members. That’s why we provide a remarkable bundle that consists of:

A Great Place to Work:

  • Top Workplace in Northeast Ohio. Every year we’ve gotten this acknowledgment!
  • On-site wellness center at the majority of places. Take pleasure in individual fitness instructors, towel service, locker space, weight space, elliptical devices, and a range of classes!
  • On-site snack bar serving hot breakfast and lunch, at a lot of areas. Options varying from buffet, made to buy, cold and hot sandwiches, or a range of meals prepared fresh daily. Corner store at many places
  • Employee discount rate program. Discount rates at lots of locations around town, simply for being a Medical Mutual employee
  • Business Casual outfit

Excellent Benefits and Compensation:

  • Competitive payment strategies
  • Employee reward program
  • 401( k) with business match and an extra business contribution
  • Excellent medical, oral, vision, and impairment insurance coverage

An Investment in You:

  • Career advancement programs and classes
  • Mentoring and training to assist you advance
  • Education repayment approximately $5K each year

About Medical Mutual:

We make every effort to produce assurance. Our clients can trust us to do things ideal and to assist them get worth from their health insurance. We’re the biggest health insurance company in Ohio and for over 85 years, we’ve been serving our members and the Ohio neighborhoods where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with remarkable profession chances that use difficulty, development and a fantastic work/life balance. We desire skilled, ingenious, and driven individuals to assist us continue to be the very best medical insurance option of Ohioans and assist make Ohio the very best it can be! Our headquarter structure lies in the heart of downtown Cleveland and we have numerous workplaces throughout the state. Join us at one near you!

At Medical Mutual and its household of business we commemorate distinctions and are equally purchased our workers and our neighborhood. We are happy to be an Equal Employment Opportunity and Affirmative Action Employer. Certified candidates will get factor to consider for work no matter race, color, religious beliefs, sex, sexual preference, gender understanding or identity, nationwide origin, age, marital status, veteran status, or special needs status.

We keep a drug-free office and carry out pre-employment drug abuse and nicotine screening. Medical Mutual and its household of business are thought about a federal professional. The federal government is needing that all staff members of its professionals be totally immunized. To be in compliance with this federal requirement, Medical Mutual needs COVID-19 vaccinations, or certifying exemption documents, for all workers. Evidence of vaccination status is needed sometimes of hire.

Medical Mutual of Ohio.

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