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Medical Mutual Jobs (NOW HIRING)

Medical Mutual

Data Exchange Engineer

Dublin, OH · On-site

Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio, providing high-quality health coverage to over 1.2 million members. The Data Exchange Engineer plays a ...

Medical Mutual of Ohio

Senior FP&A Analyst

Cleveland, OH · On-site

$82K - $103K/yr

Medical Mutual employees must submit their applications through MySource. Note: This is a hybrid role based in Brooklyn, OH, requiring three days per week on-site. Founded in 1934, Medical Mutual is ...

Medical Mutual of Ohio

Senior Financial Analyst

Cleveland, OH · On-site

$82K - $103K/yr

Medical Mutual employees must submit their applications through MySource. Note: This is a hybrid position based in Brooklyn, OH, requiring (3) days on-site per week. Founded in 1934, Medical Mutual ...

Medical Mutual of Ohio

Data Exchange Engineer

Dublin, OH · On-site

$110K - $132K/yr

Medical Mutual employees must submit their applications through MySource. Note: This position is fully on-site and reports to our Dublin, Ohio office five days per week. Founded in 1934, Medical ...

Medical Mutual of Ohio

Sales Support Coordinator

Dallas, TX · On-site

$20.25 - $27.50/hr

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 ...

Medical Mutual

VP Pharmacy Management

Brooklyn, OH · On-site

$121K - $160K/yr

Shinn **Medical Mutual employees must submit their applications through MySource. Develops and maintains strategies to manage pharmaceuticals that produce the best outcomes at the lowest cost.

Medical Mutual of Ohio

Financial Analyst

Dublin, OH · On-site

Medical Mutual employees must submit their applications through MySource. Note: This is a hybrid role based in Dublin, OH, requiring three days per week on-site. Founded in 1934, Medical Mutual is ...

Medical Mutual

VP Pharmacy Management

Cleveland, OH · On-site

$124K - $165K/yr

Shinn **Medical Mutual employees must submit their applications through MySource. Develops and maintains strategies to manage pharmaceuticals that produce the best outcomes at the lowest cost.

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How much do medical mutual jobs pay per year?

As of Jul 13, 2026, the average yearly pay for medical mutual in the United States is $161,013.00, according to ZipRecruiter salary data. Most workers in this role earn between $122,000.00 and $214,000.00 per year, depending on experience, location, and employer.

How does working at Medical Mutual as an insurance claims specialist involve collaboration with other departments?

As an insurance claims specialist at Medical Mutual, collaboration with departments such as customer service, underwriting, and medical review is frequent and essential. You may work closely with customer service representatives to clarify member concerns or resolve complex claims, and coordinate with the medical review team to evaluate claims requiring clinical input. Effective communication and teamwork are key, as many claims require input from multiple stakeholders to ensure accurate processing and compliance with company policies.

What are the key skills and qualifications needed to thrive as a Medical Mutual Insurance Agent, and why are they important?

To thrive as a Medical Mutual Insurance Agent, you need a solid understanding of insurance products, state licensing, and sales techniques. Familiarity with customer relationship management (CRM) software, quoting tools, and underwriting systems is typically required. Strong interpersonal skills, attention to detail, and the ability to explain complex policies clearly help agents stand out. These skills are crucial for building client trust, ensuring compliance, and meeting sales targets in a competitive insurance market.

What is the difference between Medical Mutual vs Medical Claims Processor?

AspectMedical MutualMedical Claims Processor
Required CredentialsHealth insurance knowledge, customer service skills, sometimes insurance certificationsKnowledge of insurance policies, claims processing, often certifications preferred
Work EnvironmentOffice setting, insurance companies, healthcare organizationsOffice environment, insurance companies, healthcare providers
Employer & Industry UsageInsurance providers, healthcare organizationsInsurance companies, third-party claims processing firms
Common Search & ComparisonMedical Mutual vs Medical Claims Processor

Medical Mutual and Medical Claims Processors both work within the healthcare insurance industry. Medical Mutual typically refers to an insurance provider offering health coverage, while Medical Claims Processors handle the processing of insurance claims. Both roles require knowledge of insurance policies and customer service skills, often with overlapping certifications. The main difference lies in their functions: Medical Mutual provides insurance coverage, whereas Medical Claims Processors manage claims processing. Understanding these distinctions helps job seekers find the right role in the healthcare insurance industry.

What is Medical Mutual?

Medical Mutual is an insurance company that primarily provides health insurance plans to individuals, families, and businesses. Based in Ohio, it offers a range of coverage options including medical, dental, vision, and Medicare plans. Medical Mutual is known for its extensive network of healthcare providers, customer-focused service, and long-standing presence in the insurance industry. The company also offers wellness programs and resources to help members manage their health and healthcare costs.
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Medical Mutual jobs near you
Manager, Utilization Management Medical Director

Manager, Utilization Management Medical Director

Medical Mutual of Ohio

Cleveland, OH • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Medical Mutual of Ohio rating

8.6

Company rating: 8.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

80th of 281 rated insurance

Job description

Medical Mutual employees must submit their applications through MySource.
This is a hybrid-remote role based out of the Brooklyn, OH office, with the Manager, Utilization Management Medical Director expected to work onsite on four designated in-office days each week.
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.
Job Summary:
Provides leadership to Assistant Medical Director teams based upon specialty or geographic area and performs utilization management review in area of expertise. Fosters continuous improvement in policies, processes, and all parts of the operations.
Responsibilities:
  • Oversee physician's utilization review process and determinations.
  • Participate in quality processes such as audits and quality improvement projects.
  • Provide leadership support to assistant medical directors
  • Ensure physician compliance with clinical goals through monitoring of care management performance.
  • Recommend changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols.
  • Provide guidance to assistant medical director team in the coordination of quality care.
  • Performs other duties as assigned.

Qualifications:
Education and Experience:
  • MD or DO from an accredited medical school with an active, unrestricted (state) license to practice medicine in United States
  • Minimum of 5 years of established (clinical) care practice experience required
  • Physician reviewer experience in the insurance industry preferred

Professional Certification(s):
  • Board Certification, in nationally recognized specialty (ABMS or AOA) is required.
  • Active Unrestricted license to practice medicine in US

Technical Skills and Knowledge:
  • Foundational windows-based computer skills, including typing, word processing, presentation, and internet research skills.
  • Strong understanding of integration of evidence-based medicine and managed care principles.

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:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • 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.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
#LI-CS1 #LI-HYBRID
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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