The Aerospace Group Data & Analytics Lead is responsible for directing, developing, and managing group wide information systems and services while also contributing to development of group initiatives. Leads the planning and management of resources to deliver the most efficient technology and data solutions across all group and divisional locations. Develops the IT team a

The Aerospace Group Data & Analytics Lead is responsible for directing, developing, and managing group wide information systems and services while also contributing to development of group initiatives. Leads the planning and management of resources to deliver the most efficient technology and data solutions across all group and divisional locations. Develops the IT team a

Collaborates with leadership and end users (nurses, physicians, pharmacists, support staff) to conceptualize and solution opportunities to meet the business needs and improvements. Conducts interviews, learns the business functions, educates, offers options and support through individual and group sessions. Reviews configuration requirements with systems staff. Supports d

Business Systems Specialist I Works with management, external vendors, and Information Systems to define, develop, test, audit and implement new business systems and processes. Identifies and solves production issues, which may require system changes. Communicates system changes to users and Training. Audits and identifies technical impacts for business requirements. Driv

Reviews and evaluates appeal requests and electronic inquiries in order to identify and classify member and provider appeals and Ohio Department of Insurance (ODI) inquiries. Using internal systems, determines eligibility, benefits, and prior activity related to the claims payment or service denial issues related to appeal requests. Completes cases within State and Federa

The Sr. Organizational Development Specialist will be critical in developing Medical Mutual's organizational change management center of excellence. The role will be involved in a diverse number of transformational change management projects at Medical Mutual of Ohio. This person will educate leaders and team members about the process of change using ADKAR as a foundation

Supervises all production activities and projects to ensure efficient workflow continuity and timely completion of shared responsibilities. Monitors and manages system utilization to prioritize and resolve request conflicts. Monitors the security of processes and resolves Heath Insurance Portability and Accountability violations in relation to processes. Teaches and train

MA Performance Analyst Manages a portfolio of MA initiatives focused on driving revenue and controling costs, or growing membership and plan promotion. Assists with the development of initiative scope and determines project requirements. Leads cross functional teams consisting of several key business areas. Holds key areas responsible for achieving the profitability goals

Develops and drives strategic initiatives, provider partnerships, and transactions to support the expansion and enhancement of division and market level value based operations. Designs and oversees implementation of population health operations and integration strategy that supports and delivers on the Company's health vision, values, goals, operating, and financial perfo

Member Communications Specialist II Writes and edits content for varied and moderately complex customer retention materials maintaining a clear message and consistent brand identity with few, if any, grammar errors or typos. Develops general communications to internal business units and brokers and assists senior staff with complex communications programs. Coordinates wit

Develops and maintains new and existing applications by analyzing, designing and writing code of increasing complexity that satisfies a logical, efficient and optimal systems design. Leads program level and system level testing, implementation, and break fix tasks associated with business applications, including multiple platforms. Develops documentation of technical work

Enterprise Business Intelligence and Reporting Analyst II Gathers, organizes, and analyzes data from various sources to support business intelligence and reporting initiatives. Contributes to design and implementation of reporting solutions, ensuring data accuracy and consistency. Ensures data integrity and adherence to data quality checks to ensure accurate reporting. Cr

Architect I Acts as a subject matter expert (sme) to assist various IT areas to support efficiencies in overall design for implementations of new technologies and improvement of existing processes. Advises on best practices and ensures policy and procedure adherence. Assists in the definition of the current and future state and the transitional plan. Focuses on the increm

Business Systems Analyst II Captures business needs and shapes requirements through dialogue with business partners and IT. Assists in the development of the business case and project estimates for the proposed solution. Supports the development of documentation of solutions and verifies against user requirements. Assists in conducting design reviews and walkthroughs to c

Working under direct to general supervision, monitors the Company's provider network with respect to quality and utilization performance standards. Develops standard reporting and analytics to support Value Based Contracting (VBC) initiatives. Assists in supporting the contracting regions with quality, utilization, and cost analysis. Provider Network Performance Analyst I