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CM/UM Business Analyst

3 months ago

Hanover, United States Johns Hopkins Medicine 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 a remote role
  • Medical, Dental, and Vision Insurance.
  • 403B Savings Plan w/employer contribution.
  • Paid Time off & Paid holidays.
  • Employee and Dependent Tuition assistance benefits.
  • Health and wellness programs and MORE

Who you are:

As a Business Analyst in Health Services for Johns Hopkins Health Plans, you will perform data analysis, and review of processes and workflows within our clinical teams, in addition to implementing new processes and creating efficiencies within the end product delivery. You possess a strong analytical mindset and excellent problem-solving skills. You have a deep understanding of the healthcare industry, particularly in managed care and health insurance. You have a solid background in data analysis and proficient in using relevant tools and software. You possess strong communication skills to effectively collaborate with various stakeholders and present complex findings in a clear and concise manner. Additionally, you are detail-oriented and able to maintain focus while working with large datasets. You have the ability to resolve issues quickly, make decisions, and institute change when appropriate.

What you’ll do:

  • Analyze complex business problems and issue using data from internal and external sources to provide insight to decision-makers.
  • Identify and interpret trends and patterns in datasets to locate influences.
  • Construct forecasts, recommendations and strategic/tactical plans based on business data and market knowledge.
  • Create specifications for reports and analysis based on business needs and required or available data elements.
  • Collaborate with clients to modify or tailor existing analysis or reports to meet their specific needs.
  • Participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action.
  • Work directly with internal service providers within IT and the Analytics Center of Excellence regarding complex data reporting and analytics needs.

What you’ll bring:

  • 3+ years’ experience in a managed care environment
  • Experience with healthcare reporting specifically in medical management-UM and CM reporting and data for health plans preferred.
  • Experience with clinical health care data
  • Business and/or Data analyst experience in healthcare, specifically Managed Care
  • Ability to run and/or write reports and give a thorough analysis of the data

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 provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.