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Supervisor, Membership Services

2 months ago

Cleveland, United States Medical Mutual Full time
The Supervisor, Membership Services position is only considering candidates that reside no more than 50 miles from the Brooklyn, OH Medical Mutual office. This role requires you to be on-site at the corporate office at least once per 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 1.6 million Ohioans 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.

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 and help our members achieve their best possible health and quality of life.

Supervises operations and staff engaged in group and/or individual health insurance enrollment, premium billing and reconciliation-related activities.

Responsibilities

•Provides day to day supervision of operations and staff to meet production standards and regulatory requirements. Provides technical expertise and guidance and resolves complex or escalated issues. Participates in the selection and retention of staff, provides and/or supports training, mentors, and conducts performance reviews and disciplinary actions.

•Identifies problem areas and implements improvements in systems, training, business processes, and policies. Creates, updates and/or implements operational changes, quality controls, system modifications and documentation (including desk procedures, forms, templates, reports and training content) in response to regulatory changes, process improvements, and annual changes to product offerings.

•Maintains subject matter expertise in health and life insurance programs and enrollment rules. Reviews and interprets relevant regulatory memos, seasonal file changes, and compliance guidance to support management in identifying impacts to operations and systems.

•Performs other duties as assigned. Qualifications

Education and Experience:

•Bachelor's degree in Health Informatics, Healthcare or Business Administration or related field or the equivalent combination of training/education and experience.

•7 years progressive health insurance operations experience, primarily in enrollment/billing, and preferably in a leadership capacity.

Technical Skills and Knowledge:

•Advanced knowledge of health insurance enrollment, payment reconciliation and premium billing processes, regulations and standard accounting procedures.

•Intermediate to advanced Microsoft Office and database reporting skills.

•Ability to write policies, procedures, forms, templates and other documents that are compliant with Federal laws.

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.

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.