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Jobs at Johns Hopkins Medicine

Found 18 jobs in Hanover, MD at Johns Hopkins Medicine

Appeals Nurse (RN) Analyst
Requisition #:
673220
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Nursing
Schedule:
Day Shift
Employment Type:
Full Time
Position Summary: Responsible for the timely review and resolution of clinical appeals submitted by providers and members across all lines of business. Communicates appeal determinations in accordance with regulatory requirements and serves as a clinical resource to support non-clinical staff with administrative denials and coding-related appeals. Maintains accurate tracking of …

Business Analyst - Medicare Advantage Product Development (Remote)
Requisition #:
671953
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
Position Summary: This position reports to the Director, Medicare Advantage Product Development & Strategy. The Business Analyst – Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the development, implementation, and optimization of Medicare Advantage products. This …

Cybersecurity Analyst
Requisition #:
658369
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
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 …

Executive Assistant I - EXEC DIR Provider Relations & Credentialing
Requisition #:
673804
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Clerical and Administrative Support
Schedule:
Day Shift
Employment Type:
Full Time
The Executive Assistant is an individual that is crucial to the success of an Executive’s ability to lead. Under a moderate level of guidance and direction, the Executive Assistant will perform administrative duties such as scheduling, drafting, editing, and typing complex reports, developing, implementing, and maintaining appropriate office protocol and …

IT AUDIT MANAGER
Requisition #:
669670
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. 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 …

Marketing Manager, Medicare Advantage
Requisition #:
673896
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Manager/Supervisor
Schedule:
Day Shift
Employment Type:
Full Time
Johns Hopkins Health Plans is seeking a strategic, data-driven Marketing Manager to lead growth marketing initiatives for our Medicare Advantage business. This leader will combine deep knowledge of Medicare marketing with advanced AI capabilities to develop highly personalized, compliant, and measurable campaigns that accelerate membership growth, improve member engagement, and …

Priority Partners Outreach Coordinator
Requisition #:
671126
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
Responsible for responding to prospective member and provider inquiries generated through advertising and marketing initiatives in accordance with departmental policies and procedures. Assesses members' health and social risk factors to identify care needs and coordinates appropriate care plans and interventions. Assists members in overcoming barriers to accessing healthcare services by …

Program Director Medicare Compliance
Requisition #:
673797
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Manager/Supervisor
Schedule:
Day Shift
Employment Type:
Full Time
This is a modified hybrid role: 1-2 days per week. Location is Hanover, MD. The Johns Hopkins Health Plan is seeking a driven Program Director - Medicare Compliance to lead our Medicare compliance program and ensure full adherence to CMS and regulatory requirements. This role oversees daily program operations, guides …

Senior Health Data Analyst - Risk Adjustment
Requisition #:
667474
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
The Senior Health Data Analyst is responsible for the creation, development, and communication of Risk Adjustment targets, performance and ongoing reporting; providing specialized analytics and data driven insights to myriad business units through the organization. In a collaborative manner, will provide data-driven guidance to support the organization’s goal of providing …

Senior Marketing Manager - HealthCare Solutions
Requisition #:
673163
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Marketing
Schedule:
Day Shift
Employment Type:
Full Time
Location: Remote/Hybrid (based on business needs) Department: Johns Hopkins Health Plans | HealthCare Solutions Make an Impact Beyond Marketing At Johns Hopkins HealthCare Solutions , we bring the power of Johns Hopkins science, research, and innovation to organizations seeking to improve the health and well-being of populations around the world. …

Sr Financial Analyst - Managed Care
Requisition #:
666562
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Finance
Schedule:
Day Shift
Employment Type:
Full Time
Imagine a health plan provider that shares the same goals as its members and the medical teams who care for them. Standing with them and for them. Going beyond just covering costs to provide access to the best in health care and ensure the best possible outcome. We are Johns …

Sr Health Data Analyst - Compliance & Privacy
Requisition #:
668376
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. 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 …

Sr Marketing Specialist USFHP (Remote)
Requisition #:
673246
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Marketing
Schedule:
Day Shift
Employment Type:
Full Time
Senior Marketing Specialist (USFHP) Johns Hopkins Health Plans Johns Hopkins Health Plans seeks a Senior Marketing Specialist to lead omni-channel strategy and planning for growth marketing, lead generation, and enrollment for the US Family Health Plan (USFHP) TRICARE Prime® plan. The role plans and coordinates email and SMS campaigns, direct …

Sr Program Manager - HEDIS Initiatives
Requisition #:
673245
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
This position reports to the Director, Medicare Stars & Quality Performance, and with matrix’ed dotted line reporting to the Director of Medicaid & Commercial Quality Performance. This position will lead initiatives focused on driving HEDIS performance improvement across all JHHP lines of business. The HEDIS Initiatives Program Manager will be …

Strategic Provider Partnerships Manager (Value-Based Care)
Requisition #:
669676
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
Position Summary Reporting to the Director of Value-Based Care, the Strategic Provider Partnerships Manager serves as the primary relationship manager and strategic advisor for a portfolio of high-priority value-based provider partnerships. This role is responsible for driving provider performance improvement across quality, risk adjustment, patient experience, utilization, and total cost …

USFHP Field Services Representative - Northern/Central Virginia
Requisition #:
669205
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
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 …

Utilization Review Nurse - Managed Care
Requisition #:
673794
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Nursing
Schedule:
Day Shift
Employment Type:
Full Time
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. 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 …

Vendor Auditor
Requisition #:
672269
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Healthcare Operations
Schedule:
Day Shift
Employment Type:
Full Time
Position Summary Under the general supervision of the Department Director, the Vendor Auditor is responsible for independently conducting claims and vendor performance audits to ensure compliance with contractual obligations, regulatory requirements, and Johns Hopkins Health Plans' quality standards. This position manages the day-to-day oversight of the organization's highest-risk vendor population …
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Featured Jobs

Utilization Review Nurse - Managed Care

Hanover, MD

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. 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 …

Sr Program Manager - HEDIS Initiatives

Hanover, MD

This position reports to the Director, Medicare Stars & Quality Performance, and with matrix’ed dotted line reporting to the Director of Medicaid & Commercial Quality Performance. This position will lead initiatives focused on driving HEDIS performance improvement across all JHHP lines of business. The HEDIS Initiatives Program Manager will be …

CT Tech - PRN

Bethesda, MD

At Suburban you will experience the resources and reputation of Johns Hopkins world-class care - with our own unique culture. We offer an academic approach to care delivery within our local community. Ours is a collaborative, family-focused work culture, where we practice complex medicine and are committed to ongoing learning …

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