Senior Payment Integrity Program Manager
Baltimore, MD 
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Posted 28 days ago
Job Description
Remote Work from Home
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Job Details
Requisition #:
637292
Location:
Johns Hopkins Health System, Baltimore, MD 21201
Category:
Finance
Schedule:
Day Shift

Elevate your possibilites. Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.

What Awaits You?

* Career growth and development

* Diverse and collaborative working environment

* Affordable and comprehensive benefits package including Tuition Reimbursement

The Senior Program Manager The Senior Payment Integrity Program Manager is responsible for all loading, modeling, support, and maintenance of the contracts and fee schedules within the contract management system. This includes Federal and Managed Care contracts for all Health Systems entities; facility, professional, home care, infusion, pharmacy, etc. Provides key Revenue Cycle support and insight to Managed Care Office for contract negotiation considerations. This role supports implementation of new and upgraded systems/releases or new/revised operational procedures. The position includes the capability to model, support and operationalize contracting methodologies to understand and support payment variance analysis.

Take a tour of our campus:

Hours:

Full time (40 hours)

Day Shift, Weekdays

Location:

Johns Hopkins at Keswick

Baltimore, MD

Qualifications:

  • A Bachelor's Degree is required. Preferably in Business, Accounting, Finance, Health Care Management or associated field of study.
  • 8-10 years' experience working in a decision support or financial analysis position with responsibility in a healthcare provider environment
  • 3 years' experience maintaining, updating, and loading EPIC contracts
  • Required to have completed training and certification in these EPIC application modules - Resolute Hospital Billing Expected Reimbursement Contracts Administration, Resolute Professional Billing Reimbursement Contracts.

Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes:

  • Full medical, dental, and vision plans,
  • Retirement plans,
  • Paid time off (PTO),
  • Tuition reimbursement for you and your dependents,
  • Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins
  • Tell a friend and get paid! Ask about our Employee Referral Program Bonus!
  • And more! Visit

***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.Effective 6/1/23, 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.

Questions for the recruiter? I got you.

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.

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.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
8 to 10 years
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