Johns Hopkins Health Plans in United States
18 jobs at Johns Hopkins Health Plans in United States
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Executive Director of Compliance
3 weeks ago
Johns Hopkins Health Plans Hanover, United StatesSummary · 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 ...
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Cmo
2 days ago
Johns Hopkins Health Plans Hanover, United StatesJohns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3.2B business serving nearly 500,000 members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investmen ...
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Johns Hopkins Health Plans Hanover, United States**Job Summary** · Reporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. · The Director will oversee key CG&A functions includin ...
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Director of Managed Care Contracting
1 week ago
Johns Hopkins Health Plans Hanover, United StatesSummary · Reports to the AVP of 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, deve ...
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Enrollment and Billing Specialist Iii
2 weeks ago
Johns Hopkins Health Plans Hanover, United StatesJohns 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- ...
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Director of Appeals, Complaints, and Grievances
3 weeks ago
Johns Hopkins Health Plans Hanover, United StatesJob Summary · Reporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. · The Director will oversee key CG&A functions including th ...
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Manager of Systems Configuration
1 week ago
Johns Hopkins Health Plans Hanover, United StatesJohns 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- ...
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Johns Hopkins Health Plans Hanover, United StatesJob Summary · Under the direction of the Associate Chief Medical Officer, Quality & Transformation, this execution-focused position of the Quality Performance Director, for Medicaid, USFHP & EHP will support quality performance management for the Medicaid line of business, Priori ...
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Hedis Manager
1 week ago
Johns Hopkins Health Plans Hanover, United StatesJohns 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- ...
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Director of Managed Care Contracting
1 week ago
Johns Hopkins Health Plans Hanover, United StatesSummary · Reports to the AVP of 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, devel ...
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Quality Improvement Business Analyst
3 weeks ago
Johns Hopkins Health Plans Hanover, United States**_Who you are:_** · As a Business Analyst in Quality Improvement for Johns Hopkins Health Plans, you will work with a team to improve HEDIS measure performance across three lines of business including one Medicaid and two commercial plans. You are detail-oriented and able to mai ...
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Medicare Advantage Field Sales Rep
2 weeks ago
Johns Hopkins Health Plans Arlington, United States**_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 enro ...
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Johns Hopkins Health Plans Hanover, United StatesJob Summary · Reporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. · The Director will oversee key CG&A functions including th ...
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Director of Appeals, Complaints, and Grievances
3 weeks ago
Johns Hopkins Health Plans Hanover, United StatesJob Summary · Reporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. · The Director will oversee key CG&A functions including ...
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Executive Director of Sales and Marketing
2 weeks ago
Johns Hopkins Health Plans Hanover, United StatesJob Summary · Reporting to the VP & COO, the Exec Dir Sales & Marketing leads the organization's marketing, communications, sales, and market development functions. The leader is responsible for sales and marketing functions, such as member recruitment, member retention marketing ...
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Director of Analytics Software Portfolio
22 hours ago
Johns Hopkins Health Plans Hanover, United States**Job Summary** · Reporting to the Vice President, Health Innovation and Management Solutions, the Director of Analytics Software has strategic responsibility for global growth and success of the analytics software portfolio, including the Johns Hopkins ACG System. Responsibiliti ...
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Application Systems Analyst Ii
3 weeks ago
Johns Hopkins Health Plans Hanover, United States**_Who you are:_** · **_What you'll do:_** · - Within assigned areas of responsibility and mínimal supervision, collaborates independently with business and technical resources to identify, analyze, prioritize, and resolve system issues · - You'll also advise business and technic ...
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Application Systems Analyst Iii
3 weeks ago
Johns Hopkins Health Plans Hanover, United StatesJohns 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- ...