Managed Care Analytics Program Director

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: https://jhhs.mybenefitsjhhs.com/

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.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. 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.