Director of Credentialing

The Director of Credentialing oversees all credentialing management activities for Medicaid, Medicare, Commercial, and Tricare lines of business at Johns Hopkins Health Plans. This role ensures compliance with NCQA, COMAR, CMS, and USFHP regulations while managing key vendor relationships and leading the Credentialing Department. The position involves collaborating with IT and other departments to optimize provider onboarding processes and maintain industry best practices.