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Medical Insurance Manager Jobs in Ohio (NOW HIRING)

Unison Health

Fair Hearing - Medical Insurance

Toledo, OH · On-site

$29.25 - $38.75/hr

Medical with federal minimum deductibles * Dental and Vision coverage * Retirement planning and ... Oversee and manage Medicaid grievances and appeals related to service denials, reductions ...

CWI

F&I Manager

Piqua, OH · On-site

$100K - $180K/yr

Finance & Insurance Manager Camping World is seeking a Finance & Insurance Manager to join our ... Full-time associates are offered a comprehensive benefit package including medical, dental, vision ...

New

Camping World

F&I Manager

Piqua, OH · On-site

$100 - $180/hr

Camping World is seeking a Finance & Insurance Manager to join our growing team.Are you working ... Full-time associates are offered a comprehensive benefit package including medical, dental, vision ...

Camping World Holdings, Inc.

F&I Manager

Piqua, OH · On-site

$100K - $180K/yr

Camping World is seeking a Finance & Insurance Manager to join our growing team. Are you working ... Full-time associates are offered a comprehensive benefit package including medical, dental, vision ...

Camping World

F&I Manager

Piqua, OH · On-site

$100K - $180K/yr

Camping World is seeking a Finance & Insurance Manager to join our growing team. Are you working ... Full-time associates are offered a comprehensive benefit package including medical, dental, vision ...

Freeway Insurance

Insurance Sales Manager

Kent, OH · On-site

Comprehensive Benefits package including medical, dental, vision and life insurance * Retirement ... What You Will Do: The Store Manager is the driving force behind our business. This exciting ...

Freeway Insurance

Insurance Sales Manager

Akron, OH · On-site

Comprehensive Benefits package including medical, dental, vision and life insurance * Retirement ... What You Will Do: The Store Manager is the driving force behind our business. This exciting ...

Freeway Insurance

Insurance Sales Manager

Lima, OH

Comprehensive Benefits package including medical, dental, vision and life insurance * Retirement ... What You Will Do: The Store Manager is the driving force behind our business. This exciting ...

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All JobsMedical Insurance JobsMedical Insurance Manager JobsMedical Insurance Manager Jobs in Ohio

Medical Insurance Manager information

See Ohio salary details

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How much do medical insurance manager jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medical insurance manager in Ohio is $42.63, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $54.90 per hour, depending on experience, location, and employer.

What does a medical insurance manager do?

A Medical Insurance Manager oversees the daily operations of a healthcare facility's insurance department. They are responsible for managing insurance claims, ensuring compliance with regulations, and maintaining relationships with insurance providers. Their role includes supervising staff, resolving claim disputes, and optimizing processes to maximize reimbursements and minimize denials. Medical Insurance Managers play a crucial role in ensuring that patients and healthcare providers receive proper payment for services rendered.

What are the key skills and qualifications needed to thrive as a medical insurance manager?

To thrive as a Medical Insurance Manager, you need in-depth knowledge of health insurance regulations, claims processing, and a background in healthcare administration or a related field. Familiarity with insurance management software, billing systems, and compliance tools is typically required, along with relevant certifications like Certified Professional in Healthcare Quality (CPHQ) or Certified Medical Manager (CMM). Strong analytical skills, leadership, and effective communication are crucial soft skills for managing teams and navigating complex insurance processes. These abilities ensure efficient operations, regulatory compliance, and high-quality service for patients and providers.

What are the biggest challenges medical insurance managers face when coordinating between healthcare providers and insurance companies?

Medical Insurance Managers often encounter challenges in ensuring clear communication and alignment between healthcare providers and insurance companies. They must navigate complex policy details, address discrepancies in claims, and resolve billing issues efficiently to prevent delays in patient care and reimbursement. Staying updated on changing regulations and insurance protocols is essential, as is fostering strong relationships with both parties to facilitate smooth processes. Effective problem-solving and negotiation skills are critical to overcoming these challenges and maintaining seamless operations.

What is the difference between Medical Insurance Manager vs Medical Claims Supervisor?

AspectMedical Insurance ManagerMedical Claims Supervisor
CredentialsCertifications like CPC, CCS, or CPC-H often preferredSimilar certifications may be required, focusing on claims processing
Work EnvironmentOffice setting, healthcare insurance companies, or hospital administrationHealthcare facilities, insurance companies, or third-party administrators
Employer & IndustryInsurance companies, healthcare providers, or government agenciesHospitals, insurance firms, or claims processing centers
Search & Comparison IntentUnderstanding managerial roles in insuranceFocus on claims processing and supervision

The Medical Insurance Manager oversees insurance policies, compliance, and team management, focusing on strategic planning. The Medical Claims Supervisor handles claims review, processing, and quality control, emphasizing operational tasks. Both roles require similar certifications and work environments but differ in scope and responsibilities.

How much do medical insurance managers make in the US?

Medical insurance managers in the US typically earn a median annual salary of around $80,000 to $120,000, depending on experience, location, and the size of the organization. Senior roles or those with specialized certifications can earn higher salaries, often exceeding $150,000 annually.

How much do medical insurance managers make?

Medical insurance managers typically earn a median annual salary of around $80,000 to $120,000, depending on experience, location, and the size of the organization. They often require strong knowledge of healthcare policies, insurance regulations, and management software. Salaries can vary widely based on industry and certification levels.

What is the role of a medical insurance manager?

A medical insurance manager oversees the administration of health insurance plans, ensuring compliance with regulations, managing claims processing, and coordinating with healthcare providers and clients. They often analyze policy data, implement coverage strategies, and may use insurance management software to streamline operations.

What are the most commonly searched types of Medical Insurance jobs in Ohio?

The most popular types of Medical Insurance jobs in Ohio are:

What cities in Ohio are hiring for Medical Insurance Manager jobs?

Cities in Ohio with the most Medical Insurance Manager job openings:

Medical Insurance Manager jobs near you
Infographic showing various Medical Insurance Manager job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $88,670 per year, or $42.6 per hour.

Fair Hearing - Medical Insurance

Unison Health

Toledo, OH • On-site

$29.25 - $38.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago

Job description

Why Join Unison Health? 

Unison Health provides a mission-driven work environment focused on staff support, professional growth, and work-life balance. We are committed to helping our employees thrive while making a lasting difference in the lives of children and families. For over 50 years, Unison Health has proudly supported individuals, families, and communities across Ohio. From behavioral health and substance abuse treatment to primary healthcare, we are dedicated to our mission: Making Lives Better.

Compensation & Benefits:

  • Paid Time Off (PTO) Starting at 16 Days/Year
  • Medical with federal minimum deductibles
  • Dental and Vision coverage
  • Retirement planning and employer contribution
  • Apply to Hear More!

Position Summary:

Medicaid Appeals, Grievance & Fair Hearing Officer is a senior administrative and compliance role responsible for overseeing Medicaid grievances, appeals, and State Fair Hearing activities in compliance with 42 CFR Part 438. This position serves as the organization’s primary subject matter expert on adverse benefit determinations, authorization denials, continuation of benefits, and Ohio Medicaid State Fair Hearing preparation and representation.

Key Responsibilities & Role Highlights:  

  • Oversee and manage Medicaid grievances and appeals related to service denials, reductions, suspensions, terminations, and failure-to-act cases in accordance with regulatory requirements.
  • Ensure Notices of Action are issued and reviewed for compliance, including required timelines, content, appeal rights, and continuation of benefits provisions.
  • Coordinate with clinical, utilization management, billing, and provider teams to gather documentation and support appeal determinations.
  • Lead the preparation and coordination of Ohio Medicaid State Fair Hearings, including appeal summaries, hearing packets, and supporting documentation.
  • Represent or support the organization during hearings before the Ohio Department of Job and Family Services (ODJFS) Bureau of State Hearings.
  • Provide guidance and training to providers and staff regarding Medicaid appeals, grievances, hearing rights, and regulatory requirements.
  • Monitor, identify, and escalate compliance concerns, including potential issues related to denials, recoupments, and adverse benefit determinations.
  • Analyze grievance and appeal trends, prepare reports for leadership, and recommend quality improvement and risk mitigation strategies.

Education & Experience Requirements:  

  • Bachelor’s degree in health administration, Social Work, Public Administration, Legal Studies, or a related field required.
  • Experience managing Medicaid grievances, appeals, and/or State Fair Hearing processes required.
  • Working knowledge of Medicaid regulations, including 42 CFR Part 438.
  • Strong written and verbal communication skills, with the ability to prepare formal appeal summaries and case documentation.
  • Master’s degree or advanced credential preferred (e.g., JD, RN, LISW-S, LPCC-S, or equivalent).
  • Experience representing or supporting cases in Ohio Medicaid State Fair Hearings preferred.
  • Knowledge of behavioral health, substance use disorder (SUD), and/or long-term services and supports (LTSS) preferred.
  • Strong organizational, analytical, and problem-solving skills with attention to detail and regulatory compliance.

  Unison Health is an Equal Opportunity Employer (EOE).

Apply