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How much do caqh jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for caqh in Texas is $22.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $25.77 per hour, depending on experience, location, and employer.

What is a CAQH?

A CAQH job typically involves managing provider data, credentialing, and enrollment processes within healthcare organizations. CAQH (Council for Affordable Quality Healthcare) streamlines administrative tasks by maintaining a centralized database of provider information. Professionals in this role may work with healthcare providers, insurance companies, and other stakeholders to ensure compliance and accuracy in credentialing and data management. These positions require attention to detail, knowledge of healthcare regulations, and experience with CAQH platforms.

What are the typical responsibilities of someone working with CAQH in a healthcare organization?

If you work with CAQH in a healthcare setting, your primary responsibilities will include maintaining provider profiles within CAQH ProView, submitting and verifying credentialing documents, and ensuring all information is accurate and up to date for insurance payers. You will also coordinate with providers to collect needed documentation and work closely with insurance companies, credentialing teams, and compliance departments. A typical day may involve troubleshooting data discrepancies, managing deadlines, and communicating frequently via email or phone to resolve credentialing issues. This role is both detail-oriented and collaborative, playing a critical part in keeping healthcare operations running smoothly.

What are the key skills and qualifications needed to thrive in the CAQH position, and why are they important?

To succeed in a CAQH Administrator or Specialist role, you need a deep understanding of healthcare provider credentialing, strong data management skills, and familiarity with CAQH ProView. Experience working with credentialing software platforms and maintaining compliance with healthcare regulations is highly valued, and some roles may prefer certification in medical staff credentialing (e.g., CPCS). Attention to detail, organization, and effective communication are key soft skills for efficiently verifying provider data and collaborating with providers and payers. These capabilities ensure accuracy, regulatory compliance, and timely credentialing results in a fast-paced healthcare environment.

What are the most commonly searched types of Caqh jobs in Texas?

The most popular types of Caqh jobs in Texas are:

What are popular job titles related to Caqh jobs in Texas?

For Caqh jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Caqh jobs in Texas look for?

The top searched job categories for Caqh jobs in Texas are:

What cities in Texas are hiring for Caqh jobs?

Cities in Texas with the most Caqh job openings:

Caqh jobs near you
Infographic showing various Caqh job openings in Texas as of August 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 79% Full Time, 14% Part Time, and 5% Contract. Highlights an 77% Physical, 5% Hybrid, and 18% Remote job distribution, with an average salary of $47,202 per year, or $22.7 per hour.

Subject Matter Expert - Credentialing (State of Indiana)

Addison, TX • Remote

Plutus Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Plutus Healthexternal

Full-time

Re-posted 3 days ago

Job description

Role Summary

The Subject Matter Expert (SME) - Provider Credentialing (Indiana) serves as the authoritative resource for all credentialing, re-credentialing, and enrollment activities within the state of Indiana. This role provides strategic guidance, issue resolution, and subject expertise across Medicare, Indiana Medicaid, and commercial payers, ensuring regulatory compliance, payer alignment, and timely provider onboarding. The SME works closely with clients, internal teams, and offshore credentialing partners to address complex credentialing scenarios and optimize operational outcomes specific to Indiana.


Core Responsibilities

  • Act as the primary Subject Matter Expert for Indiana provider credentialing, including state-specific rules, timelines, and payer nuances
  • Provide expert guidance on initial credentialing, re-credentialing, and enrollment for Medicare, Indiana Medicaid (IHCP / Hoosier Healthwise, HIP, MCOs), and commercial payers
  • Serve as the escalation point for complex Indiana credentialing cases, denials, and payer delays
  • Interpret and apply Indiana-specific regulatory and payer requirements to ensure compliance and accuracy
  • Guide offshore and internal teams on Indiana Medicaid enrollment processes, including MCO credentialing workflows
  • Review provider applications and documentation for state-specific completeness and accuracy
  • Engage directly with Indiana payer enrollment departments to resolve issues and accelerate approvals
  • Ensure provider data accuracy across CAQH, PECOS, NPPES, and payer portals relevant to Indiana
  • Maintain oversight of credentialing trackers and dashboards with a focus on Indiana-based providers
  • Support internal and external audits, ensuring adherence to HIPAA and Indiana payer guidelines
  • Collaborate with sales and client success teams to provide Indiana credentialing expertise during onboarding and expansion
  • Contribute to process improvements, SOP development, and training materials related to Indiana credentialing


Indiana-Specific Expertise

  • In-depth knowledge of Indiana Health Coverage Programs (IHCP)
  • Experience with Hoosier Healthwise, Healthy Indiana Plan (HIP), CareSource, Anthem Indiana, Managed Health Services (MHS), UnitedHealthcare Community Plan Indiana
  • Familiarity with Indiana Family and Social Services Administration (FSSA) credentialing requirements
  • Understanding of Indiana Medicaid revalidation and enrollment timelines
  • Expertise in Indiana-specific payer escalation paths and common enrollment bottlenecks


Required Qualifications

  • 10+ years of U.S. provider credentialing experience, with deep hands-on expertise in Indiana credentialing
  • Strong working knowledge of Indiana Medicaid, Medicare, and commercial payer enrollment
  • Extensive experience using CAQH, PECOS, NPPES, and Indiana-relevant payer portals
  • Proven ability to resolve complex credentialing issues and guide teams through escalations
  • Excellent communication, documentation, and stakeholder management skills


Tools & Systems

  • CAQH, PECOS, NPPES
  • OIG, SAM, Indiana Medicaid Exclusion Lists
  • Medicare Opt-Out List
  • Social Security Death Master File (SSDMF)
  • Payer portals: Anthem Indiana, UHC Indiana, Cigna, Humana, Indiana Medicaid MCO portals
  • Credentialing dashboards and Excel-based trackers

Apply