JHHP Operations Reporting & Analytics Manager

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Make It Happen At Hopkins!

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth.

Position Summary:

Reporting to the Senior Director of Operations Support, the Operations Reporting & Analytics Manager is responsible for defining, developing and preparing reports, dashboards and analysis to support and drive Operational decisions. This position is responsible for providing specialized analytics and data driven insights to assist in developing recommendations for process improvement, identifying trends and identifying root cause analysis. The incumbent will be responsible for collaborating with various areas to operationalize process improvements and mitigate/resolve negative trends in operational data.

Tasks & Duties of Position:

• Develop, maintain, and present operational reports and dashboards to support business decision-making.
• Identify reporting gaps and data integrity issues within the Enterprise Data Warehouse (EDW) during the migration to Databricks, partnering with IT to investigate and resolve data discrepancies.
• Collaborate with management to define, measure, and monitor key performance indicators (KPIs) across all lines of business.
• Provide ad hoc reporting and claims analysis to support operational business units and strategic initiatives.
• Identify opportunities for process improvement and monitor the effectiveness and impact of implemented changes.
• Conduct root cause analyses and collaborate with cross-functional teams to develop and implement solutions.
• Mentor and train new analysts, supporting their professional development and growth within the organization.
• Perform routine and ad hoc provider and claims audits to ensure accurate system configuration and data integrity.
• Support both scheduled and ad hoc internal and external audits by providing analysis, documentation, and reporting as needed.

Requirements:

Education:

Requires a Bachelor’s degree in economics, statistics, mathematics, actuarial science, or similar degree. Master’s degree or professional designation in a related field is strongly preferred. Equivalent work experience may be substituted as appropriate.

Work Experience:

• Seven (7) or more years of experience in data analysis, including at least five years within the healthcare services industry, required.
• Two years of progressive leadership or supervisory experience preferred.
• Extensive experience working with databases, including proficiency in Microsoft Access (required) and strong SQL coding skills (preferred), with the ability to extract, manipulate, and analyze large, complex datasets to produce meaningful reports for senior leadership.
• Strong knowledge of healthcare data, business operations, and the insurance industry is required. Experience with Medicare Advantage, Medicaid, Commercial health plans, and/or provider-led value-based care programs is highly preferred.