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Business Analyst, Configuration

4 months ago

Hanover, United States Johns Hopkins HealthCare 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 as a Business Analyst in Configuration:
  • Gather business requirements and work with external vendor to ensure accurate and timely benefit configuration
  • Collaborate with the Claims department and other departments as necessary to review/approve testing and validation of benefit adjudication rules and ad-hoc changes to for all system modifications and enhancements
  • Serve as subject matter expert and will work with other functional areas to respond to all configuration related requests, inquiries and escalations
  • Assist Management with the development and implementation of processes that improve current business flow and create efficiencies
What you'll bring:
  • Requires 3 to 5 years of progressively more responsible experience in a managed care environment.
  • Experience with Facets highly preferred
  • Bachelor's Degree in Business, HealthCare Management or related field preferred. Additional related work experience may substitute for some educational requirements.

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.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.