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Johns Hopkins Medicine

Director of Credentialing & Compliance

hanover, MD

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Job description

Johns Hopkins Health Plans seeks a Director of Credentialing to oversee all credentialing activities across Medicaid, Medicare, Commercial and Tricare lines, ensuring adherence to NCQA, COMAR, CMS, and USFHP regulations.

The role owns key vendor relationships, collaborates with IT and provider data teams, and leads quality assurance from application through re-credentialing to support compliant enrollment processes.

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Worksite address

hanover, MD, 21098, US

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