UM Data

1 month 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 office
  • 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

As the Utilization Management Data & Report Coordinator, you'll:

  • Be responsible for coordinating data collection for reporting, including all aspects of documentation and delivery.
  • Perform database QA and assist in cleaning data. Draft, edit, and deliver reports.
  • Provide support for and coordinate projects and studies for the Utilization Management Department.
  • Gather and interpret information to develop complex documents, prepare and distribute presentation materials, and prepare and closely monitor the status of ongoing projects.
  • Be responsible for maintaining the production of reports and data transfers, graphics, and processes for acquiring reports in support the Utilization Management Department.

What you'll bring:

  • 3+ years related experience in a healthcare setting with a focus on managed care.
  • Knowledge of managed care operations, medical coding systems (i.e. ICD-9, CPT, HCPCS, etc.), data extraction and manipulation, information systems, relational databases, and standard office production tools (i.e. Word, Excel, PowerPoint, Access, etc.)
  • AA degree or equivalent in related field. Work experience may be substituted where appropriate.

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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