Manages the Certificate Development staff and their work. Oversees the creation of plan documents for individual and all size group products. Leads certificate/policy state filing efforts covering a wide range of products on behalf of Medical Mutual and its subsidiaries. Negotiates changes or acceptance of language with Departments of Insurance, to achieve filing approval

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. Negotiates on behalf of the corporation in both litigation and non litigation settings (e.g. with various regulatory agencies, customers, vendors, transaction partners, etc.). Develops standar

Strategic Planning and Support Works closely with the EVP to develop and execute strategic initiatives that align with the company's goals. Provides analysis, insight, and recommendations to inform the decision making process. Operational Oversight Serves as a trusted advisor to the EVP closely involved in day to day operations and ensuring alignment with strategic initia

Provides professional development coaching and training to Members. Coordinates and completes case management of Administrative Referrals. Consults with Human Resources and supervisory personnel from client companies regarding employee issues and concerns and HR practice policy. Conducts telephonic triage and assessment on issues including behavioral health, substance abu

Conducts telehealth and in person intake assessments and triage, providing in the moment support to members on issues, including but not limited to behavioral health, substance abuse, relationship, and work life, and coordinates resources. Provide onsite support and training to client organizations. Coordinates and completes case management of intakes. Makes clinical dete

Claims/Customer Care Specialist I TPA Processes routine healthcare claims while providing customer service via inbound/outbound phone calls and written communications. Assists with projects as directed by management. Performs other duties as assigned. Claims/Customer Care Specialist II TPA Processes routine to moderately complex healthcare claims and/or adjustments while

Communicates with business unit(s) and sourcing to ensure collaboration with any potential performance issues with supplier along with any other. Helps identify high risk suppliers and develops performance tracking / key performance indicators based on services being performed; ensures key contractual components are being followed. Facilitates the need for maintaining a b

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and confidence of policyholders througho

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

This is a hybrid role requires work to be performed at an onsite physical location on a regular basis (generally 2 3 days/week in Brooklyn, Ohio ). Collaborates with other software developers, business systems analysts, and liaisons to translate user requirements and systems objectives of increasing complexity into a logical, efficient and optimal systems design. Develops