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Found 13 jobs in Hanover, MD at Johns Hopkins Health Plans

Appeals Nurse (RN) Analyst
Requisition #:
666321
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 …

Application Coordinator III - Epic
Requisition #:
666937
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
The Epic Application Coordinator III participates in the development and design of various applications within Epic Demonstrates comprehensive knowledge of computer systems, applications and interfaces Demonstrates proficiency in all skills required to facilitate complex application and systems enhancements or replacements. Analyzes and resolves complex system integration problems. Creates pre--‐ and …

Bilingual Customer Service Rep
Requisition #:
666291
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
Schedule:
Day Shift
Employment Type:
Full Time
The Customer Service Representative supports health plan members by providing timely, accurate information regarding benefits, eligibility, claims, and plan services. This role ensures member satisfaction through professional handling of inquiries, thorough documentation, and coordination with internal departments to resolve issues efficiently. Qualifications 1–2 years of customer service experience required Experience …

Clinical Informatics Program Director
Requisition #:
664216
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
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 …

Credentialing Specialists for Legal Appeals & Committee Liaison
Requisition #:
662901
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
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 …

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 …

Data Warehouse Specialist - Epic
Requisition #:
662144
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
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 …

Program Director - Medicare Compliance
Requisition #:
662906
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Leadership
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 …

Program Manager
Requisition #:
666977
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
Schedule:
Day Shift
Employment Type:
Full Time
The Program Manager supports daily oversight and management of Cost of Care operations. Maintaining oversight of project activities that impact Cost of Care and partnering with business owners and analytics on the identification of emerging cost improvement opportunities Administer and configure initiative tracking systems to provide portfolio and initiative level …

Senior Analytic Advisor
Requisition #:
663331
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
Schedule:
Day Shift
Employment Type:
Full Time
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! 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 …

Sr Appian Developer (Software Engineer)
Requisition #:
661493
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Information Technology
Schedule:
Day Shift
Employment Type:
Full Time
About Us At JHHP, innovation drives our mission to improve lives through technology. We’re a passionate team of developers, strategists, and collaborators—and now we're looking for a talented IT professional ready to take the next step into a leadership role. This is a unique opportunity for someone eager to transition …

Sr Healthcare Data Analyst - Medical Claims
Requisition #:
661787
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Non-Clinical Professional
Schedule:
Day Shift
Employment Type:
Full Time
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- remote role. Applicants …

Supervisor, Provider Maintenance
Requisition #:
666885
Location:
Johns Hopkins Health Plans, Hanover, MD 21076
Category:
Manager/Supervisor
Schedule:
Day Shift
Employment Type:
Full Time
The Supervisor, Provider Maintenance is responsible for the direct day to day supervision and coordination of activities of their program/department with a focus on the administrative and operational duties which may include training new staff members. Performs Credentialing and Appeals and coordinates the full spectrum of the credentialing process for …
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