Senior Program Manager

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

What you'll do:

  • Provide oversight of individual programs or projects within a larger portfolio.
  • Assist with health equity and initiatives surrounding social determinants of health.
  • Analyze member and provider performance data on an ad-hoc, monthly and quarterly basis.
  • Serve as the key interface between vendors, providers, JHHP Shared Services, Quality Improvement dept., and the Priority Partners Managed Care Organization (PPMCO).
  • Work effectively to identify and meet the needs of the clients while continually addressing the requirements needs and protections for PPMCO.
  • Develop/ assist with development of comprehensive program/project action plan for identified opportunity to assist with growth and program development within an existing project or program.
  • Lead, facilitate, or support meetings and committees as appropriate.

What you'll bring:

  • 5+ years' experience in a managed care or health plan environment
  • Experience analyzing claims data
  • Bachelor's degree required.
  • Ability to compile, write and present high-quality oral and/or written presentations and reports to JHHP/JHM senior management, physician leadership, clients and oversight boards
  • Knowledge of current health care payment policies, practices, and environments preferred

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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