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Jobs at Johns Hopkins Medicine

Found 36 jobs at Johns Hopkins Health Plans

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Business Analyst Health Services
Requisition #:
631468
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
Schedule:
Day Shift
Who you are: As a Business Analyst in Health Services for Johns Hopkins Health Plans, you will perform audit analysis and review of processes and work flows within our clinical teams in addition to implementing new processes and creating efficiencies within the end product delivery. You are detail-oriented and able …

Capital Project Manager III
Requisition #:
630421
Location:
Johns Hopkins Health Plans, Baltimore, MD 21201
Category:
Manager/Supervisor
Schedule:
Day Shift
Position Summary Project Managers are responsible for the construction of additions, alterations, and renovations at The Johns Hopkins Hospital, The Johns Hopkins School of Medicine, the Johns Hopkins Bayview Medical Center, and/or various satellite ambulatory locations that require project management support. The ideal candidate should possess proficiency delivering all aspects …

Clinical Quality Managed Care Specialist
Requisition #:
631125
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Allied Health/Clinical Professional
Schedule:
Day Shift
Who you are: As a Clinical Quality Managed Care Specialist, you are a guru when it comes to working in a NCQA-accredited managed care organization. You not only understand Clinical HEDIS and Stars Measures, you have led the implementation of interventions and continuous quality improvement and you understand the impact …

Clinical Training Specialist
Requisition #:
631130
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Allied Health/Clinical Professional
Schedule:
Day Shift
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 …

CREDENTIALING SPECIALIST I JHHP
Requisition #:
629404
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Clerical and Administrative Support
Schedule:
Day Shift
Who you are: As a Credentialing Specialist for Johns Hopkins HealthCare, you are the go-to for all administrative duties required in the credentialing verification process. Your excellent communication and interpersonal skills make you a great team player. You have superior organizational skills that allow you to self-manage your workload. In …

Customer Care Representative
Requisition #:
632633
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Clerical and Administrative Support
Schedule:
Rotating Shift
Who you are: You are patient. You have excellent listening skills. You are passionate about providing exceptional customer service and you understand the importance of your role as a Customer Care Representative and the impact it has on our Medicare Advantage members. You are flexible and can adapt to change …

Director of Financial Planning and Analysis
Requisition #:
627873
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Leadership
Schedule:
Day Shift
ROLE ACCOUNTABILITIES: The Director of Finance – Federal Markets will be responsible for the financial management and reporting of Johns Hopkins Health Plan’s USFHP, Medicare Advantage, and EHP lines of business ($1B+ annual expenses). This position manages a highly specialized group of 3+ financial professionals that will support the organization’s …

Director of Managed Care Contracting & Value-Based Care Program
Requisition #:
631786
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Leadership
Schedule:
Day Shift
Summary Reports to the AVP, Network Management and is responsible for the overall direction and management of the contracting value-based care (VBC) and network development strategies. Responsibilities include negotiating provider reimbursement rates and contract terms, developing value-based care arrangements, planning, directing, organizing and evaluating the implementation of strategic objectives to …

Epic Analyst - CRM
Requisition #:
630090
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Who you are: As an Epic Analyst, you bring your Epic configuration experience and understanding of clinical/business operations workflows and system configuration to the table and you don’t disappoint. You design, configure, validate, and repeat. Then you facilitate complex application and systems enhancements or upgrades along the way. You are …

ETL Developer
Requisition #:
628290
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Who you are: As an ETL Developer for Johns Hopkins HealthCare, you have the perfect blend of ETL experience, along with the experience in Health Insurance concepts (claims, pharmacy, regulatory programs such as HEDIS, etc.) to successfully design and implement data engineering solutions in a dynamic, high-productivity team. What you’ll …

Executive Assistant
Requisition #:
630017
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Clerical and Administrative Support
Schedule:
Day Shift
Who you are: As an Executive Assistant for JHHP’s Program Management department, you are crucial to the success of the executive's ability to lead. You are an independent, self-motivated person that is able to perform administrative duties such as scheduling, drafting, editing, and typing complex reports, developing, implementing, and maintaining …

Executive Director of Compliance
Requisition #:
630166
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Leadership
Schedule:
Day Shift
Summary The Executive Director of Corporate Compliance and Regulatory Affairs (“Exec. Director”) at Johns Hopkins Health Plans (JHHP) reports to the Johns Hopkins Health System (JHHS) Chief Compliance Officer (and reports via a matrix relationship to the President of JHHP). The Exec. Director is responsible for the development, implementation, communication, …

FIELD SALES REP
Requisition #:
629917
Location:
Johns Hopkins Health Plans, Newport News, VA 23601
Category:
Non-Clinical Professional
Schedule:
Day Shift
Who you are: As the TRICARE (US Family Health Plan) Relationship Representative for Johns Hopkins HealthCare, you are passionate about the health and well-being of our military members and their families. An advocate for the highest quality of care, you are proud to communicate the benefits of the US Family …

IT Security Analyst (Cyber Security)
Requisition #:
627484
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Who you are: As a Cyber Security Analyst for Johns Hopkins Health Plans, you understand the importance of best practices and staying up to date on current technology as it relates to your role in managing security risks. Your attention to detail and ability to think outside the box to …

Lead Ops Specialist Medicare Part D
Requisition #:
627370
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Pharmacy
Schedule:
Day Shift
Who you are: As the Medicare Part D Lead Operations Specialist for Johns Hopkins Health Plans, you will assist the Pharmacy Management team with oversight of all Medicare Part D functions delegated to the Pharmacy Benefit Manager. You are a resource, internally, to JHHP departments, and externally, to the vendors …

MANAGER PROVIDER MAINTENANCE
Requisition #:
629247
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Manager/Supervisor
Schedule:
Day Shift
Who you are: As the Manager of Provider Maintenance and Credentialing for Johns Hopkins Health Plans, you are responsible for all Credentialing and Provider Maintenance activities. You have a deep understanding of credentialing and provider maintenance processes and their importance to a managed care organization. You are able to effectively …

Manager, Medicare Risk Adjustment
Requisition #:
631674
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Manager/Supervisor
Schedule:
Day Shift
Who you are: As the Manager of Medicare Risk Adjustment for the Johns Hopkins’ Medicare Advantage plan, you will lead a team of certified coders in performing audits and coding for the HCC as well as oversee provider education. Your extensive subject knowledge is complemented by your superior communication and …

Medical Economics Specialist
Requisition #:
630721
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Finance
Schedule:
Day Shift
Who you are: As a Medical Economics Specialist, you tell your story best with data, supporting a myriad of business units throughout Johns Hopkins Health Plans. You are a problem-solver and can be counted on to be organized, detail-oriented, and able to communicate your data to all your key stakeholders. …

Medicare Advantage Field Sales Rep
Requisition #:
590305
Location:
Johns Hopkins Health Plans, Washington, DC 20001
Category:
Non-Clinical Professional
Schedule:
Day Shift
Who you are: As a Field Sales Representative for Medicare Advantage, you are passionate about the health and well-being of our members and prospective members. You are an empathetic, people person that is able to naturally build and maintain relationships to increase enrollment and provide an optimal member experience along …

PATIENT ACCESS SPEC II
Requisition #:
630753
Location:
Johns Hopkins Health Plans, Baltimore, MD 21201
Category:
Clerical and Administrative Support
Schedule:
Day Shift
Patient Access Specialist II Position Summary: Receive inbound contacts (calls, emails, faxes, etc.) from patients and physicians requesting services within JHMI Coordinate complex appointment scheduling linking consults and ancillary services required for assigned specialty services within the department, maintaining patient demographic and insurance pre-registration information in appropriate department scheduling system(s) …
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