Please contact your Administrator to change your authorization settings.
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
- Share via Email
- Requisition #:
- 636379
- Location:
- Johns Hopkins Health Plans, Hanover, MD 21076
- Category:
- Non-Clinical Professional
- Schedule:
- Day Shift
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!
As a Regulatory Program Manager, you'll:
- Manage NCQA and EQRO (External Quality Review Organizations) program requirements across all lines of business.
- Be responsible for managing and improving major cross-functional programs with substantial regulatory implications.
- Develop and manage a comprehensive program action plan, including facilitation and management of performance reporting, that involves stakeholders across the organization and includes external business partners.
- Develop the education, reporting, tools, and transformation related work plans designed to support JHHPs accreditation and regulatory requirements.
- Create best practice workflows and process mapping for optimal delivery regulatory and accreditation requirement.
- Engage in continual assessment of program effectiveness, identifying opportunities to drive process improvement across stakeholders and lines of business.
What you'll bring:
- 5+ years of demonstrated performance experience within a health care and/or managed care environment.
- Bachelor's degree required, with a concentration in Business Management preferred.
- Experience with Medicare, Medicaid and commercial health plans as it relates to accreditation and regulatory requirements preferred.
- Requires extensive knowledge of NCQA Health Plan Accreditation Retirements, NCQA Health Plan Ratings, CAHPS, and State Medicaid EQRO audits.
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.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.