Claims and Vendor Auditor
Johns Hopkins Medicine | |
remote work | |
United States, Maryland, Hanover | |
Oct 17, 2024 | |
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Job Details
Who you are: As the Vendor Auditor for Johns Hopkins Health Plans ("JHHP"), your in-depth knowledge of auditing, claims, and medical policy helps ensure that our vendors are performing to policy and regulations. Not only will you lead audits, you will also report out to the oversight committees and lead in audits performed by regulatory and accreditation agencies. What you'll do:
What you'll bring:
Who we are: Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, based out of Hanover, MD. JHHP is a $3B business serving nearly 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. 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. Please note: US citizenship is required for this position as it falls under the terms of a government contract (to ensure compliance with DODPSP). This position is eligible for remote work. 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. Apply |