Medical Mutual · 20 hours ago
Wellness Program Manager
Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio, providing peace of mind to over 1.2 million members. The Wellness Program Manager is responsible for developing, implementing, and administering wellness programs aimed at improving health outcomes for client groups and members, while collaborating with various stakeholders to promote wellness services.
Health CareHealth InsuranceInsuranceLife Insurance
Responsibilities
Manages an assigned portfolio, often under supervision, of typically smaller and/or more routine client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship
Participates in departmental and divisional projects offering research on health and wellness trends to ensure the Company's market leadership in Wellness. Supports population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies
Supports external vendor relationship management that complement the Company’s wellness initiatives. Supports cross-functional teams through implementation and assures program is maintained according to plan and within budget
Develops relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions
Supports more senior staff with new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting
Learns and maintains knowledge of federal and regulatory guidelines and NCQA standards associated with wellness programs. Supports more senior staff with updates to policies and procedures and delegated vendor oversight as appropriate
Performs other duties as assigned
Manages an assigned portfolio of typically smaller and/or moderately complex client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship
Participates in departmental and divisional projects offering research and consultation on health and wellness trends to ensure the Company's market leadership in Wellness. Develops, implements and manages typically more complex population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies
Manages external vendor relationships that complement the Company’s wellness initiatives. Leads cross-functional teams through implementation and assures program is maintained according to plan and within budget
Develops and sustains relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions
Participates in new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends and presents wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting
Assures compliance with federal and regulatory guidelines and NCQA standards associated with wellness programs. Creates and updates policies and procedures and conducts delegated vendor oversight as appropriate
Performs other duties as assigned
Manages an assigned portfolio of typically larger and/or more complex client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship
Participates in departmental and divisional projects offering research and consultation on health and wellness trends to ensure the Company's market leadership in Wellness. Develops, implements and manages typically more complex population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies
Manages external vendor relationships that complement the Company’s wellness initiatives. Leads cross-functional teams through implementation and assures program is maintained according to plan and within budget
Develops and sustains relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions
Participates in new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends and presents wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting
Orients, trains and assists more junior level staff
Assures compliance with federal and regulatory guidelines and NCQA standards associated with wellness programs. Creates and updates policies and procedures and conducts delegated vendor oversight as appropriate
Performs other duties as assigned
Qualification
Required
Bachelor's degree in health and wellness, health care administration, public health or related field
Up to 1 year experience developing and implementing wellness programs and interventions in a health plan or an employer group
Knowledge of population health and wellness programs
Basic knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs
Good verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences
Good vendor relationship management skills
Intermediate Microsoft Office skills (Word, Excel, PowerPoint)
Bachelor's degree in health and wellness, health care administration, public health or related field
3 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs and interventions in a health plan or an employer group
Knowledge of population health and wellness programs with the ability to design, plan, deliver and evaluate programs to large and small health plan client groups
Knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs
Good verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences
Good vendor relationship management skills
Intermediate Microsoft Office skills (Word, Excel, PowerPoint)
Bachelor's degree in health and wellness, health care administration, public health or related field
5 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs and interventions in a health plan or an employer group
Extensive knowledge of population health and wellness programs with the ability to design, plan, deliver and evaluate programs to large and small health plan client groups
Knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs
Strong verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences
Strong vendor relationship management skills
Intermediate to advanced Microsoft Office skills (Word, Excel, PowerPoint)
Preferred
Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist
Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ)
Master's degree
Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist
Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ)
Master's degree
Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist
Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ)
Company
Medical Mutual
Medical Mutual Provides and administers health benefits for citizens in Ohio.
H1B Sponsorship
Medical Mutual has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (18)
2023 (17)
2022 (15)
2021 (24)
2020 (16)
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Wire
2025-04-09
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2025-03-14
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