Provider Maintenance Specialist I

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 - Hybrid role- must work in the Hanover, MD office every Weds.
• 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!

Who you are:

As a Provider Maintenance Specialist for Johns Hopkins Health Plans, you are the first stop in maintaining the provider database. You are a person who thrives on details and has the organizational skills needed to prioritize tasks in order to meet deadlines with ability to self-manage a demanding workload. You are also a great team player who is able to communicate effectively with others. You enjoy getting things done, knowing you are supporting both the Provider Maintenance department and the bigger picture of Johns Hopkins Health Plans.

Please note: US citizenship is required for this position as it falls under the terms of a government contract (to ensure compliance with DODPSP).

What you'll do:

• Process all provider initial applications, re-credentialing applications, B&L forms, enrollment requests, pricing set- ups, claims, and other specialized provider information accurately and timely into Vistar, Healthsuite, and DHMH.
• Responsible for the administrative duties in the Provider Maintenance Department including processing return mail. Will handle department mail every Wednesday.
• Initiate outgoing calls to providers when necessary.
• Assist with various projects and database testing.
• Consistently meet monthly production goals and QA standards of the Company.

What you'll bring:

• 1+ years' of experience in a managed care environment or in a general health care office.
• Fast and accurate data entry skills
• High school diploma or equivalent. An AA Degree is preferred.
• Requires a professional level of knowledge of general office practices, managed care policies and procedures
• Must possess above average PC skills, including spreadsheets, databases, and scanners with exceptional accuracy and efficiency.

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. 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.