Program Manager, Clinical Operations
Requisition #: 198751
Location: Johns Hopkins Health Care, Hanover, MD 21076
Category: Non-Clinical Professional
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Nov. 14, 2019
Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.
Reports to Chief Medical Officer/Medical Director of HHA Advantage MD (HHA) and serves as the primary contact/liaison between Health Services and HHA. Responsibilities include oversight and development of Health Services Advantage MD operations for Utilization Management, Care Management, Behavioral Health, Quality Improvement and Appeals as well as Health Services vendors supporting the administration of HHA services. The Program Manager in collaboration with Health Services Management, establishes performance metrics and monitors reports and trends for vendor service level agreements (SLA) to ensure excellent service delivery to our members, providers, and regulators. The Program Manager for Medicare Advantage in collaboration with Health Services Management ensures Health Services maintains the highest possible standards of quality and operational compliance in alignment with Advantage MD’s and JHHC’s business strategy, regulatory requirements, and CMS Stars measures including leading the Health Services Stars Joint Operating Committee (JOC). This position is also responsible for coordinating efforts and dependencies across the matrix organization to ensure deliverables are met timely and accurately.
In cooperation with the Advantage MD administration and JHHC operations, the Program Manager ensures each Health Services department is aware of regulatory requirements and are meeting them timely. Works collaboratively with other areas of the organization to ensure they understand and meet compliance requirements. Regularly reports results to executive leadership and makes recommendations for improvement if appropriate. Strategize with Advantage MD leadership regarding program expansion, business development and new models of care.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.
Johns Hopkins Medicine.