Supervisor, Provider Maintenance, Health Administration-Insurance

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Johns Hopkins Health Plan (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, Johns Hopkins Health Plan is actually doing it. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for the members and communities we serve. If you are interested in improving how healthcare is delivered, join the JHHP team.

The incumbent is responsible for the direct day to day supervision and coordination of activities of their program/department. The focus will be on the administrative and operational duties which may include training new staff members. The Supervisor will be responsible for working in collaboration with various departments throughout JHHC. They will participate and lead various department projects, meetings and force operations as needed.

Assists in the performance of Provider Maintenance administrative and operational duties which include Coordinator education, Database Development, and Maintenance (maintaining provider demographic information in all required databases for but not limited to claims payment, member and provider directories) , participates and leads various department projects, meetings and task force operations. This position will supervise the Provider Maintenance Coordinators.

Requirements:

• Requires a professional level of business administration and/or management generally obtained in the first two years of college or equivalent work-related experience. Bachelor's degree preferred.
• A comprehensive and expert understanding of medical/dental claims administration as acquired during 4 years of related experience. A minimum of 1 year of supervisory experience is required. Requires knowledge of ICD-9 and CPT coding
• Expert understanding of Health Insurance, Medicaid, Medicare, Enrollment processes and State regulations, COB, newborn enrollment, as acquired during three to five (5) years of experience in managed care or insurance industry

Salary Range: Minimum 25.29/hour - Maximum 44.28/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

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