Director of Medicare Advantage Revenue

• 
  Share on Facebook
  
• 
  Share on Twitter
  
• 
  Share on LinkedIn
  
• Share via Email

The Johns Hopkins Health Plan is seeking an experienced and strategic Director of Medicare Advantage Revenue to join our leadership team. Reporting to the Executive Director of Finance, this highly visible senior role is responsible for Johns Hopkins Health Plans Revenue Program for the Medicare Advantage line of business. The Director also supports creating and facilitating the development and implementation of JHHP programs and initiatives which are acutely designed to stabilize and increase the JHHP Medicare Advantage (Hopkins Health Advantage, or HHA) product that currently generates revenue of over $200M annually.

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3.2B business serving nearly 500,000 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-backed by the clinical expertise of Johns Hopkins Medicine-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.

What you Bring:

• Bachelor's degree in business, health administration, health policy, finance or a related field in required. Master's degree is strongly preferred.
• AHIMA or AAPC (CPC) coding certification Healthcare Coding Practices is preferred.
• 7-10 years of progressively responsible related experience in Managed Care including 3-5 years of management experience.
• 5+ years Medicare Risk Adjustment experience required.
• Solid knowledge of the industry and cross-functional work experience in the areas of health insurance finance, medical economics, actuarial, underwriting, and/or risk adjustment.
• Demonstrated success in improving Risk Adjustment measures.
• Project management experience in the healthcare field is strongly preferred. PMP certification is a plus.
• Strong knowledge and exposure to Federal and State regulations.

What We Offer:

Johns Hopkins Health Plans is an organization that recognizes and rewards excellence and encourages professional development. Employee rewards, recognition, camaraderie and support are just a few of our many benefits include tuition assistance, dependent college tuition program, 403(b) retirement savings, health, dental vision and prescription coverage, disability and life insurance, paid time off and holidays.

Salary Range: Minimum 165,078.00/annually - Maximum 213,412.00/annually. 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.

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.