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Johns Hopkins Health Plansis 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:
Who you are:
The Manager Credentialing is responsible for accurate and timely credentialing and recredentialing activities for all providers and practitioners within the Johns Hopkins Health Plans network. This position ensures strict adherence to organizational credentialing policies and procedures as well as compliance with the credentialing requirements set forth by our health plan partners and relevant regulatory and accrediting agencies
What youll do:
Responsible for all credentialing and oversight activities for Medicaid Medicare Commercial and Tricare lines of business. The Manager assures that all credentialing activities are performed within the credentialing specifications of National Committee for Quality Assurance (NCQA) guidelines Code of Maryland Regulation (COMAR) QLARANT and US Family Health Plan (USFHP) Tricare regulations. This position ensures credentialing practices are also consistent with industry practice standards.
What youll bring:
Education: Minimum of Associates degree is required
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 400000 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.
Salary Range: Minimum$29.40/hour - Maximum$51.46/ 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.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. 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 HopkinsHealth Systemand its affiliatesare an Equal Opportunity / Affirmative Action 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.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Required Experience:
Manager
Full-Time