Managed Care Analytics Program Director

2 months ago


Columbia, South Carolina, United States Johns Hopkins Medicine Full time

YOU BELONG HERE

What Awaits You?

  • Career growth and development
  • Employee and Dependent Tuition Assistance
  • Diverse and collaborative working environment
  • Affordable and comprehensive benefits package

Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link:

Summary:

Supports departmental goal of providing Johns Hopkins Health System's executive decision-makers with change-based, project-oriented analyses performed on an as-needed basis to diagnose the reason for an unexpected trend or to evaluate the impact of a proposed alternative approach to business operations. Position would play a key role in developing and implementing the following departmental activities in support of functional business unit decision-making: 1) Meet with JHM management personnel to determine scope and purpose of projects; 2) Represent JHM in negotiations with outside entities; 3) Involvement in the development of JHM-wide financial systems and applications; 4) Assist project managers in developing strategies and formats for new projects; 5) Train financial analysis staff, administrative fellows, interns and residents in data extraction and analytical techniques; 6) Review business plans and other studies for accuracy and completeness before publication; 7) Develop new systems and methodologies for unit members to extract and analyze data; 8) Long- range/business planning process and guidelines; 9) Business unit financial model and forecast development; 10) Program/product development analysis; 11) New venture evaluation; 12) Pricing structure strategy and change assessment; and 13) Business entity evaluations.. Actively participates in strategic discussions re. physician, hospital, and ancillary company rate negotiations. Evaluates and provide key input into the determination of financial strategy for payer proposals in collaboration with Managed Care leadership to ensure Managed Care goals are supported. Develops reimbursement forecasts and monitors contract performance. Supports analytics for system-wide projects and workgroups.

Education:

Undergraduate degree in Healthcare Administration, Finance, Business Administration or related field required and Master's degree MBA, MHS or other graduate degree with a health care or information systems concentration preferred and Knowledge of healthcare delivery settings, clinical data management, and health care insurance required.

Work Experience:

Significant industry experience in hospital, physician group practice, managed care organization or consulting firm setting. Over 10 years Healthcare Finance experience, 5 in a management position and at least 5 of which were in an analytical role.

Important Notices:

***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Employees at Johns Hopkins All Children's Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. We encourage you to explore our current opportunities.

***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.

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

We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.



  • Columbia, South Carolina, United States TRC Total Renal Care Inc Full time

    About the RoleWe are seeking an experienced and ambitious leader to join our team as a Director of Operations for our Hospital Services Group. As a Regional Operations Director, you will be responsible for leading a portfolio of 14 hospital-based acute dialysis programs, managing a team of approximately 150 teammates, and overseeing a budget of ~$20M.Key...


  • Columbia, South Carolina, United States InsideHigherEd Full time

    About the OpportunityThe School of Earth, Ocean and Environment at the University of South Carolina is seeking a highly qualified professional to lead the Masters of Earth and Environmental Resources Management (MEERM) program. As the Director of MEERM, you will be responsible for driving the program's growth and development, ensuring it remains a leading...

  • Program Director

    3 days ago


    West Columbia, South Carolina, United States AlphaBEST Education, Inc. Full time

    Job SummaryWe are seeking a highly motivated and experienced Program Director to lead our after-school program at AlphaBEST Education, Inc.Key Responsibilities:Oversee daily program operations, ensuring a safe and engaging environment for studentsDevelop and implement program curriculum, activities, and events that promote academic and personal...

  • Technical Director

    5 days ago


    Columbia, South Carolina, United States Pacific Northwest National Laboratory Full time

    About the RoleThis is a senior leadership position at Pacific Northwest National Laboratory, responsible for managing a team of researchers and scientists in the field of analytical chemistry.Key ResponsibilitiesSupervise a team of approximately 45 staff members across technical disciplines and support.Develop and implement strategies for staff and career...


  • West Columbia, South Carolina, United States Boys & Girls Club Crescent Region Full time

    Job Title: Education Program DirectorJob Summary:The Boys & Girls Club Crescent Region is seeking a highly motivated and experienced Education Program Director to lead our after-school education programs. As a key member of our team, you will be responsible for designing and implementing engaging educational activities that promote academic success and...


  • Columbia, South Carolina, United States Cedarhurst of Columbia Full time

    About the RoleCedarhurst of Columbia is seeking a highly skilled and experienced Sales Director to join our team. As a Sales Director, you will be responsible for driving business growth and revenue through strategic sales planning and execution.Key ResponsibilitiesRevenue Generation: Develop and implement sales strategies to meet and exceed occupancy and...


  • Columbia, South Carolina, United States Wolters Kluwer Health, Inc. Full time

    JOB TITLE: Marketing Operations Project & Program CoordinatorCOMPANY: Wolters Kluwer Health, Inc.DESCRIPTION: Are you prepared to embrace the role of Marketing Operations Project & Program Coordinator? This is an opportunity to collaborate closely with the Director of Marketing Operations, assisting in the management of campaign programs for the Health...


  • West Columbia, South Carolina, United States Boys & Girls Club Crescent Region Full time

    Job SummaryWe are seeking a highly motivated and experienced Education Program Director to join our team at the Boys & Girls Club Crescent Region. The successful candidate will be responsible for planning, implementing, and supervising activities and programs focused on education and youth development.Key ResponsibilitiesDevelop and implement curriculum to...


  • Columbia, South Carolina, United States US Tech Solutions, Inc. Full time

    Job Overview:This position involves working Monday through Friday from 8:30 AM to 5:00 PM in a remote capacity. Candidates will participate in a virtual interview process with two members of the department, followed by a week of on-site training.Preferred Qualifications:Proficient computer and typing skills are essential, as multiple software applications...


  • Columbia, South Carolina, United States Chick-fil-A Garners Ferry Rd Full time

    Position OverviewThis opportunity is tailored for ambitious, results-oriented individuals eager to gain leadership experience and advance within our organization.Participants in our in-store Leadership Growth Initiative will commence their journey as team members, immersing themselves in all operational aspects of the team member role.At the heart of our...

  • Academic Physician

    23 hours ago


    Columbia, South Carolina, United States Physician Empire Full time

    Job Summary:Physician Empire is seeking a highly qualified Academic Physician to serve as the Program Director for our proposed Otolaryngology Surgery Residency program. This is a university-affiliated position that requires a strong leader with expertise in otolaryngology and residency program management.Key Responsibilities:Provide administrative...


  • Columbia, South Carolina, United States Firehouse Subs Full time

    Job Description: Director of Restaurant OperationsAt Firehouse Subs, we are passionate about our commitment to and passion for delivering exceptional customer experiences and maintaining high standards of quality and service. We are seeking an experienced Restaurant Operations Director to lead our team and drive business growth.Key Responsibilities:Oversee...


  • Columbia, South Carolina, United States SmaBio Labs Full time

    Location: Raleigh/Durham, North CarolinaCompany: SmaBio LabsAbout Us: SmaBio Labs is a premier pharmaceutical organization committed to enhancing health and wellness through pioneering research and development. Our team prioritizes excellence and scientific integrity, delivering top-notch services to facilitate drug development and manufacturing.Position...


  • Columbia, South Carolina, United States Core Technology Solutions Full time

    Position Overview: Core Technology Solutions is in search of a qualified IT Program Manager with a Scrum Master certification to oversee critical projects aimed at enhancing the organization's security posture, particularly in the realms of anti-phishing and cybersecurity initiatives.Work Arrangement: This role is classified as a HYBRID position,...


  • Columbia, South Carolina, United States SmaBio Labs Full time

    Location: Raleigh/Durham, North CarolinaCompany: SmaBio LabsAbout Us: SmaBio Labs is a premier pharmaceutical organization committed to enhancing health and wellness through cutting-edge research and development. Our team prioritizes excellence and scientific integrity, delivering high-quality services to facilitate drug development and...


  • Columbia, South Carolina, United States SmaBio Labs Full time

    Location: Raleigh/Durham, North CarolinaCompany: SmaBio LabsAbout Us: SmaBio Labs is a premier pharmaceutical organization focused on enhancing health and wellness through pioneering research and development. Our commitment to excellence and scientific integrity drives us to deliver high-quality services that support drug development and...


  • Columbia, South Carolina, United States SmaBio Labs Full time

    Location: Raleigh/Durham, North CarolinaCompany: SmaBio LabsAbout Us: SmaBio Labs is a premier pharmaceutical organization committed to enhancing health and wellness through cutting-edge research and development. Our team prides itself on scientific excellence and integrity, delivering high-quality services to facilitate drug development and...


  • Columbia, South Carolina, United States Blend360 Full time

    Job OverviewCompany Overview:Blend360 is a leading provider of AI-driven services, dedicated to creating significant value for our clients through the integration of data science, artificial intelligence, and skilled professionals. Our mission is to empower ambitious visions by addressing critical challenges through the synergy of human expertise and...


  • Columbia, South Carolina, United States University of Missouri Full time

    About the RoleAt the University of Missouri, we are seeking a highly skilled and analytical professional to join our team as a Business Intelligence Analyst. This is an exciting opportunity to work in a dynamic and fast-paced environment, where you will have the chance to transform complex data into actionable insights and drive improvement projects.Key...


  • Columbia, South Carolina, United States Wolters Kluwer Health, Inc. Full time

    JOB TITLE: Marketing Operations Project & Program CoordinatorCOMPANY: Wolters Kluwer Health, Inc.DESCRIPTION: Are you prepared to step into the role of Marketing Operations Project & Program Coordinator? This is an opportunity to collaborate closely with the Director of Marketing Operations, aiding in the management of campaign programs for Wolters Kluwer...