Senior Corporate Counsel
Brooklyn, OH
Identifies and analyzes employment legal issues, analyzes and assesses risk, and presents clear recommendations and hands on counsel to all levels of executive staff and management. Nego...

Specialty Account Manager
Brooklyn, OH
Manage client accounts using strong customer service and proactive communication with clients and brokers. When health products exist or are in contention of selling, the Specialty Produ...

Manager, Compliance Program
Brooklyn, OH
Manages the implementation and operation of the Medical Mutual Compliance Program. Participates in risk assessment and work plan development processes. Develops compliance communications...

Nurse Reviewer - Medicare
Cleveland, OH
Evaluates clinical information using established national decision support criteria, company policies, and individual patient considerations to ensure the provisions of safe, timely, and...

HEDIS Analyst
Cleveland, OH
HEDIS Analyst I Supports corporate and departmental strategies and goals in alignment with regulatory specifications for the annual Healthcare Effectiveness Data and Information Set (HED...

Manager, Acute & Post Acute Utilization Management
Cleveland, OH
Manages operations and projects of assigned commercial and government care management area in accordance with departmental and corporate objectives. This may include precertification rev...

Marketing & Advertising Specialist
Cleveland, OH
Marketing & Advertising Specialist I Implements marketing strategies for consumer facing Medicare and Individual ACA campaigns. Develops and manages marketing collateral and sales materi...

Agile Business Analyst I-IV
Cleveland, OH
Business Systems Analyst I Captures business needs and shapes requirements through dialogue with business partners. Supports the development of documentation of solutions and verifies ag...

Data Engineer
Cleveland, OH
Develop data pipelines to integrate and transform data for analysis Support other data users and enable applied use of data to solve business problems Business meetings to understand dat...

Dental Network Recruiter
Cleveland, OH
Schedules and makes personal visits to key providers with goal of adding new providers to the dental network. Convinces providers to work with network development team to enter into prov...

Lead User Experience Researcher
Brooklyn, OH
We are looking for a Lead User Experience Researcher or a Senior User Experience Researcher. This role is hybrid with 1 day/week at Brooklyn, Ohio site. Senior User Experience Researcher...

Clinical Services Support Specialist
Cleveland, OH
Sends and receives correspondence from various sources such as providers, members, and internal departments, and determines appropriate recipient, action and priority following departmen...

Information Management Business Analyst
Cleveland, OH
Information Management Business Analyst Captures business requirements for data and information needs across functional areas within the enterprise. These activities include but not limi...

Provider Reimbursement Analyst
Cleveland, OH
Provider Reimbursement Analyst II Under general supervision, supports assigned provider network contracting region with typically routine to moderately complex financial analysis. Mainta...

Claims/Cust Care Spec II-TPA
Brooklyn, OH
Processes routine to moderately complex healthcare claims and/or adjustments while providing customer service via inbound/outbound phone calls and written communications. Under direction...