Senior Program Manager-Medicare Star Rating

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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- applicants working from MD, DC, VA, PA and DE will be given first consideration.
• 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 a Star Ratings Sr. Program Manager , you'll be:

• Responsible for managing and improving a major cross-functional program with substantial financial implications.
• Developing and managing a comprehensive program action plan that involves stakeholders across and outside of the organization.
• Leads, facilitates, or supports meetings and committees as appropriate.
• Involved in various HHA/JHHC committees or related community organization where appropriate.

What you'll bring:

• Work requires a minimum of five years of demonstrated performance experience within a health care and/or managed care environment. Experience with Medicare and healthcare compliance as it relates to CMS. Medicare Advantage experience preferred.
• Ability to lead all aspects of a cross-functional program. Highly organized. Strong interpersonal communication skills. Ability to create and present high-quality, compelling, and persuasive presentations to JHHC senior management, various committees, and physician leadership. Must work independently with direction from the Director. Manages multiple projects simultaneously within aggressive time frames in collaboration with multi-disciplinary teams.
• Robust knowledge and strong experience with Medicare Star Ratings, along with experience in compliance, health plan operations, and quality improvement activities. Detailed knowledge of HEDIS, CAHPS, HOS, Pharmacy, and Administrative measures. Work requires the ability to work in a rapidly changing managed care environment while maintaining CMS requirements. Must be familiar with managed care products, operations, delivery systems, process improvement, organizational development and assessing customer expectations. Knowledge of CMS, Health Plan Management System (HPMS) desired.

• Bachelor's degree required. Master's degree (MPH, MSPH) preferred, with a concentration in Business or Health Policy and/or Management 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.

Salary Range: Minimum 43.50 per hour - Maximum 69.60 per 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.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. 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.