Manager of Systems Configuration

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

• Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office!
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

As a Manager of Systems Configuration, you’ll:

• Play a critical role in the management of the core claims platform(s), editing and pricing systems, strategic systems implementations as well as oversight of external vendors.
• Provide vision and direction on daily activities related to the benefits and pricing requirements used to configure the claim processing platform(s) and third party applications
• Ensure systems are compliant with all contract changes by performing routine and system testing, auditing and overall claims system maintenance.
• Provide continuous coordination and oversight of external vendors to ensure they are implementing changes according to documented business requirements as well as ensuring external vendors are meeting SLA’s and resolving issues timely and accurately.

What you’ll bring:

• 5+ years of claims experience
• 3+ years of supervisory experience in a managed care environment
• Comprehensive understanding of managed care operations including system configuration and regulatory requirements related to claims adjudication
• Requires a Bachelor’s degree in business administration or related discipline. Master’s degree in system related field preferred.

Who we are:

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.