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Provider Database Analyst

2 months ago

Wilmington, North Carolina, 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

What you'll do:

  • Collaborate independently with business and technical resources to prepare reports and present findings on a scheduled and ad-hoc basis.
    • Work with Quest Analytic Suite software for network management and adequacy reporting.
    • Utilize SQL to pull provider information for various projects.
  • Advise on potential application modifications, enhancements, smoke testing, patching, or business process changes as appropriate
    • You'll also advise business and technical counterparts regarding current system functionality as well as potential roadmap considerations.
  • Provide feedback on new rules/ policies created by CMS and the state and their impact on provider data, directory, and network adequacy.
  • Work closely with team members to ensure knowledge sharing of best technical and analytic practices.
  • Serves as a go-to for leaders and stakeholders throughout the organization to craft creative analytic approaches to practical business issues.
  • Manage the needs of various stakeholders in projects. This would include designing communication processes, project timelines and formal presentations.

What you bring:

  • 3+ years' experience working in healthcare with mainframe, client server, cloud, or enterprise applications in the areas of requirements gathering, requirements definition and analysis, and business analysis, or other general system support tasks.
  • Bachelor's degree in business and management, human resources, information systems, computer science, or another related field, or equivalent experience.
  • Intermediate to advanced knowledge of Quest Analytics Suite.
  • Expert knowledge of SQL, JavaScripts, Visual Basic, XML, SSIS, LINQ, HTML, CSS, Excel, MS Access, Crystal Reports, and SSRS.
  • Ability to work independently while meeting strict deadlines.
  • Strong communication skills, both written and oral (in person and virtually) and comfortability communicating with upper level management and executive leadership.

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.

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