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Provider Analyst - Sales (Hybrid) job in Cleveland at Medical Mutual of Ohio

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Provider Analyst - Sales (Hybrid) at Medical Mutual of Ohio

Provider Analyst - Sales (Hybrid)

Medical Mutual of Ohio Cleveland, OH Full-Time
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Are you ready to build a career with a welcoming and diverse team? Medical Mutual is hiring a Provider Analyst to join our Provider Contracting & Network Management division in our downtown Cleveland location Hybrid is an option for the work schedule. 

Medical Mutual offers a robust benefits package, unique perks and a great atmosphere for employees. The welcoming, friendly nature of our teams is one of our hallmarks. We’ve been named a Top Workplace in Northeast Ohio for 12 consecutive years.

Performs claims repricing, discount analyses, and other needed analysis to support group sales efforts and RFPs.

Responsibilities

Provider Analyst- Levels I, II, III, IV

  • Analyzes employer group claims history to project discounts in support of group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value.
  • Provides tactical and strategic support and recommendations to Sales based on their knowledge of MMO products and network. 
  • Coordinates monitors and participates in the analysis of financial information focused on changes in discount and the impact on claims repricing analysis. 
  • Peer review and training
  • Works on various special projects and ad-hoc reports on an as needed basis.  

Qualifications

Provider Analyst- Level I, II

  • Bachelor’s degree in business administration, economics, statistics, IT, related field or equivalent work experience. Advanced degree preferred.
  • 2 to 3 years health care consulting, provider contracting, or provider reimbursement experience.
  • Demonstrated experience and knowledge of systems applications and implementations, including spreadsheet and database applications.
  • Strong mathematical aptitude with a demonstrated ability to make quantitative and analytical assessments, forecasts and projections.    
  • Analytical skills to thrive in a fast-paced environment as well as be comfortable with management exposure.

Provider Analyst- Level III, IV

  • Bachelor’s degree in business administration, economics, statistics, IT or related field
  • Master’s degree preferred.
  • 5 to 6 years health care consulting, provider contracting, or provider reimbursement experience.
  • Demonstrated experience and knowledge of systems applications and implementations, including spreadsheet and database applications.
  • Strong mathematical aptitude with a demonstrated ability to make quantitative and analytical assessments, forecasts and projections.
  • Demonstrated leadership skills and/or project management experience.
  • Knowledge of CMS pricing methodologies preferred.

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:

  • Top Workplace in Northeast Ohio. Year after year we've received this recognition!
  • On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
  • On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
  • Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
  • Business Casual attire

Excellent Benefits and Compensation:

  • Competitive compensation plans
  • Employee bonus program
  • 401(k) with company match and an additional company contribution
  • Excellent medical, dental, vision, and disability insurance

An Investment in You:

  • Career development programs and classes
  • Mentoring and coaching to help you advance
  • Education reimbursement up to $5K per year

About Medical Mutual:

We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

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. #CB

US-OH-Cleveland

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