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Business Analyst - Medicare Advantage Product Development (Remote)

Johns Hopkins Medicine





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Job Details


Requisition #: 671953
Location: Johns Hopkins Health Plans,
Hanover,
MD 21076

Category: Healthcare Operations
Schedule: Day Shift
Employment Type: Full Time

Position Summary:

This position reports to the Director, Medicare Advantage Product Development & Strategy.

The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the development, implementation, and optimization of Medicare Advantage products. This role analyzes business needs, documents requirements, supports regulatory compliance, and drives initiatives that improve member experience, operational efficiency, and product performance.

The ideal candidate possesses strong analytical, communication, and problem-solving skills with experience in Medicare Advantage, CMS regulations, healthcare operations, and health plan product lifecycle management.

Requirements:

Education:

Bachelor's degree in business, healthcare administration, information systems, or related field.

Work Experience:

  • 3+ years of experience in statistical analysis or data analysis.
  • 2+ years of Medicare Advantage or Government Programs experience.

Preferred Qualifications:

  • Experience supporting Medicare Advantage product development.
  • Knowledge of Medicare Part D and Star Ratings.
  • Experience with benefit configuration and product implementation.
  • Familiarity with claims, enrollment, provider, and member systems.
  • SQL proficiency for data analysis.
  • Experience using Jira, Azure DevOps, or similar project management tools.
  • Lean Six Sigma certification is a plus.

Johns Hopkins Health System and its affiliates are an Equal Opportunity 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.

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Vacancy posted 4 days ago
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