Managed Care Coordinator jobs in 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 and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

The Clinical Operational Excellence Director (Managed Care Chief of Staff) Serves as a consultant providing strategic guidance, operational support, and facilitating communication across the business unit. Anticipates the needs of the Executive Vice President (EVP), understands the complexities of the business, and effectively communicate with internal and external stakeholders. Position is hybrid, Brooklyn, OH, requires 2-3x days weekly onsite in Brooklyn.

Responsibilities:

Strategic Planning and Support:

Works closely with the EVP to develop and execute strategic initiatives that align with the company’s goals.

Provides analysis, insight, and recommendations to inform the decision-making process.

Operational Oversight:

Serves as a trusted advisor to the EVP closely involved in day-to-day operations and ensuring alignment with strategic initiatives.

Refines complex data and insights into actionable recommendations.

Presentations and Project Management:

Develops and prepares presentations, reports, and other materials to communicate key messages, initiatives, and strategic plans to internal and external stakeholders. Ensures that presentations are visually appealing, concise, and effectively convey complex information.

Manages special projects and initiatives, including research, analysis, and implementation of new processes or programs. Monitors project timelines, milestones, and deliverables to ensure successful outcomes.

Key Meeting Organization:

Coordinates the agenda, logistics, etc. for staff meetings and workshops for business unit’s leadership team.

Qualifications:

•Master’s degree in business or health care administration, finance, or related field. In lieu of degree may consider equivalent combination of education/training and experience.

•8 years of professional experience in managed care or equivalent experience in a health plan or financial services directly related to assigned area; 3 years of which are in leadership or as a high-level individual contributor.

•Consulting experience is a plus.

•Six Sigma certified preferred.

•Certified Project Management Professional (PMP) or other industry recognized certification.

•Excellent business acumen and knowledge of key performance indicators and metrics with the ability to apply advanced concepts to business operations.

•Excellent oral, written, and interpersonal communication skills.

•Strong Microsoft Office and analytical reporting skills.

•Strong presentation skills and the ability to interact with various levels in the organization.

•Strong knowledge of financial and accounting principles.

•Strong knowledge of health plan and managed care operations and best practices.

•Ability to occasionally travel to offsite locations.

•Ability to occasionally work evenings and weekends.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide 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 individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.