This role is hybrid in Cleveland, Ohio.
Responsibilities
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
Provider Network Performance Analyst II
Provider Network Performance Analyst III
Senior Provider Network Performance Analyst
Monitors and oversees the Company's provider network with respect to quality and utilization performance standards. Provides necessary data to support contracting initiatives for the Provider Engagement (PE) department while working to implement value based contracting arrangements. Makes recommendations on process improvement opportunities with respect to performance against Value Based Contracting goals and objectives.
Provider Network Performance Analyst I
Education and Experience:
Technical Skills and Knowledge:
Provider Network Performance Analyst II
Education and Experience:
Technical Skills and Knowledge:
Provider Network Performance Analyst III
Education and Experience:
Technical Skills and Knowledge:
Senior Provider Network Performance Analyst
Education and Experience:
Technical Skills and Knowledge:
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:
Excellent Benefits and Compensation:
An Investment in You:
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.
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.