Quality Improvement Business Analyst

1 month ago


Wilmington, North Carolina, United States Johns Hopkins Medicine Full time

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 maintain focus while working with large sets of data. You have the ability resolve issues quickly, make decisions and institute change when appropriate. You are passionate about your results and are able to share them with different stakeholders across the organization.

What you'll do:

  • Analyze NCQA HEDIS measure performance data to provide insight to decision-makers.
  • Identify and interpret trends and patterns in datasets to locate influences.
  • Identify areas of opportunites related to HEDIS measure performance improvements.
  • Construct forecasts, recommendations and strategic/tactical plans based on business data and market knowledge.
  • Create 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.
  • Present and interpret analysis results, summarize conclusions, and recommend 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 Quality and data for health plans preferred.
  • Experience with HEDIS
  • 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
  • Have clear communication skills, both written and verbal
  • High school diploma required


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. 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.

This is a hybrid role. The office is located in Hanover, Maryland.

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



  • 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 roleMedical, Dental, and Vision Insurance.403B Savings Plan...

  • Business Analyst

    3 weeks 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 hybrid role requiring you to work 1 day per week in the Hanover, MD...


  • 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: This is a remote roleWork-life balanceMedical, Dental, and Vision Insurance.403B Savings Plan...


  • Wilmington, North Carolina, United States NR Consulting Full time

    Position Title: Senior Quality Assurance IT Analyst Location: Remote Employment Type: Contract Contract Duration: 12 Months Role Overview:The primary responsibility of the Quality Assurance Analyst is to formulate and implement quality assurance benchmarks and metrics for the IT services within the organization.This role involves collecting and evaluating...

  • CM/UM Business Analyst

    3 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 roleMedical, Dental, and Vision Insurance.403B Savings Plan...


  • Wilmington, North Carolina, United States NR Consulting Full time

    Position Title: Senior Quality Assurance IT Analyst Location: Remote Employment Type: Contract Duration: 12 Months Job Overview:The role of the Quality Assurance Analyst is to formulate and implement quality assurance standards and metrics for the IT services within the organization. This professional will also collect and assess data to support various...


  • Wilmington, North Carolina, United States NR Consulting Full time

    Position: Senior Quality Assurance IT Analyst Location: Remote Type: Contract Duration: 12 Months Overview:The role of the Senior Quality Assurance Analyst is crucial in establishing and maintaining quality assurance protocols for the IT services within NR Consulting. This professional will engage in the collection and examination of data to support...


  • 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 hybrid role requiring you to work 1 day per week in the Hanover, MD...


  • Wilmington, North Carolina, United States Quality Chemical Laboratories Full time

    **About Quality Chemical Laboratories**We are a leading Pharmaceutical testing and manufacturing laboratory in the industry, dedicated to delivering high-quality products and services to our clients. Our team is comprised of experienced professionals who are passionate about their work and committed to excellence.**Job Summary**We are seeking a qualified...


  • Wilmington, North Carolina, United States Quality Chemical Laboratories Full time

    **About Quality Chemical Laboratories**We are a leading Pharmaceutical testing and manufacturing laboratory in the industry, dedicated to delivering high-quality products and services to our clients.**Job Summary**We are seeking a qualified candidate for the position of Manufacturing Quality Assurance Associate in our Manufacturing Quality Assurance...


  • Wilmington, North Carolina, United States Cherokee Nation Businesses Full time

    Job OverviewLead Intelligence Analyst ***This role necessitates an active TS/SCI clearance.*** Cherokee Nation Businesses is on the lookout for a seasoned Lead Intelligence Analyst to enhance our team. The Lead Intelligence Analyst will support the Defense Counterintelligence Security Agency (DCSA) Vetting Risk Operations (VRO) in the evaluation and...


  • Wilmington, North Carolina, United States ShiftCode Analytics Full time

    Position: Salesforce Solutions Analyst Location: Remote (Hybrid Options Available) Duration: Contract to Hire Interview Process: Phone and Video Visa Requirements: USC, GC, GC-EAD Compensation: $70/hr C2C (Flexible for the right candidate) Company: ShiftCode Analytics Profile Requirements : LinkedIn profile with a professional picture is...

  • Data Analyst

    10 hours ago


    Wilmington, North Carolina, United States Cadence Counsel Full time

    Job OverviewWe are seeking a highly skilled Data Analyst to join our team at Cadence Counsel. As a Data Analyst, you will play a critical role in designing, modeling, and testing transaction monitoring processes for a major investment bank.Key ResponsibilitiesDesign and develop transaction monitoring processes to identify potential financial crimesModel and...


  • Wilmington, North Carolina, United States Malibu Events Promotions Full time

    Job Summary:We are seeking a highly motivated and organized Business Operations Trainee to join our team at Malibu Events Promotions. As a recent graduate, you will have the opportunity to gain hands-on experience in various aspects of business operations, including process improvement, project management, and operational support.Key Responsibilities:Assist...

  • Finance Analyst

    3 weeks ago


    Wilmington, North Carolina, United States NewAgeSys Full time

    The Trade Operations Gene Therapies Analyst role is responsible for but not limited to financial control oversight and management of GTx processes from order delivery to product invoicing and returns. This position supports the business at a tactical and operational level.Your Key Responsibilities:Within QAD follow all documented processes for managing...

  • Data Analyst

    1 day ago


    Wilmington, North Carolina, United States Cadence Counsel Full time

    Job OverviewWe are seeking a highly skilled Data Analyst to join our team at Cadence Counsel. As a Data Analyst, you will play a critical role in designing, modeling, and testing transaction monitoring processes for a major investment bank.Key ResponsibilitiesDesign and implement data-driven solutions to identify and mitigate financial crime risksDevelop and...


  • Wilmington, North Carolina, United States Allegis Group Full time

    Allegis Group, Inc. Vendor Performance Analyst OverviewThe Vendor Performance Analyst plays a crucial role in overseeing vendor efficiency, scrutinizing data, and enhancing operational processes to optimize value for Allegis Group, Inc. The successful candidate will possess robust analytical capabilities and problem-solving acumen to effectively address...


  • Wilmington, North Carolina, United States Lockheed Martin Full time

    About the Role:Lockheed Martin, a leading provider of advanced technology and security solutions, is seeking a highly skilled Cyber Intelligence Analyst Staff to join our team. As a member of our cybersecurity team, you will play a critical role in safeguarding the networks that are vital to our citizens and the global community.You will collaborate with...


  • Wilmington, North Carolina, United States Saxon Global Full time

    Position Overview:We are seeking a dedicated Quality Assurance Engineer to join our dynamic team at Saxon Global. This role is ideal for an individual who is passionate about ensuring software quality and has a robust engineering background.Key Responsibilities:As a Quality Assurance Engineer, you will be responsible for:Designing and implementing scalable...


  • Wilmington, North Carolina, United States Johns Hopkins Medicine Full time

    Job SummaryUnder 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, Priority Partners Managed Care organization (PPMCO), TRICARE Prime (USFHP), and...