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Contractual Credentialing Manager Jobs (NOW HIRING)

Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...

Director of Credentialing

Denver, CO · On-site +1

$115K - $130K/yr

Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...

People Management & Team Leadership: * Lead and manage a team of Credentialing Specialists and ... Monitor the contractual Service Level Agreement, turnaround times, and quality metrics; drive ...

... contractual requirements prior to providing services. The Credentials Specialist serves as the ... Manage and oversee all credentialing activities for: * Registered Nurses (RNs) * Licensed ...

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Contractual Credentialing Manager information

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$43.5K

$85K

$131.5K

How much do contractual credentialing manager jobs pay per year?

As of Jun 28, 2026, the average yearly pay for contractual credentialing manager in the United States is $85,031.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What is the difference between Contractual Credentialing Manager vs Credentialing Specialist?

AspectContractual Credentialing ManagerCredentialing Specialist
CertificationsHealthcare credentials, industry-specific certificationsSimilar healthcare credentials, certification often preferred
Work EnvironmentHealthcare organizations, insurance companies, staffing agenciesHospitals, clinics, healthcare provider offices
Employer & Industry UsageUsed in healthcare management, staffing, and credentialing firmsCommon in healthcare facilities managing provider credentials

The Contractual Credentialing Manager oversees credentialing processes, often managing contracts and compliance, while the Credentialing Specialist handles day-to-day credential verification and data entry. Both roles require healthcare credentials but differ in scope and responsibilities within healthcare organizations.

What cities are hiring for Contractual Credentialing Manager jobs? Cities with the most Contractual Credentialing Manager job openings:
What are the most commonly searched types of Credentialing Manager jobs? The most popular types of Credentialing Manager jobs are:
What states have the most Contractual Credentialing Manager jobs? States with the most job openings for Contractual Credentialing Manager jobs include:
Credentialing Manager

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 hours ago


Behavior Frontiers rating

7.0

Company rating: 7.0 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

404th of 877 rated healthcare providers


Job description

Description

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our Credentialing Manager position plays a critical role in our company, and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.
Hours: Full Time (Monday – Friday/40hrs a week)
Office Location: El Segundo, CA Headquarters (In-Office) 
Compensation: $75,000 - $85,000 DOE
 
Responsibilities:
 
  • Supervise/manage the day-to-day operational functions of credentialing and recredentialing process and personnel to include workflow management, troubleshooting, log management, process updates, reporting and training.
  • Create and maintain individual provider files including credentialing status and supporting documentation.
  • Track and ensure accuracy of new/promoted provider credentialing and/or application status in database, and make updates for existing providers.
  • Act as a resource for other managers and coworkers and respond to internal and external requests for credentialing information and documentation.
  • Work closely and transparently with internal departments and external partners.
  • Regularly report updated provider and location rosters to funding sources and internal departments.
  • Support contract develop goals to include researching new funding sources, unique contracting process requirements, data gathering, forms completion, submissions, tracking, follow up and reporting.
  • Keep abreast of relevant legal, regulatory, and legislative changes related to credentialing, contracting and licensing.
  • Maintain comprehensive working knowledge of contractual relationships including credentialing and contracting requirements by funding source.
  • Develop and maintain positive and cooperative relationships with funding source representatives and coworkers.
  • Contribute to the on-going development of new funding sources.
  • Complete special projects as assigned.
  • Maintain confidentiality in matters of company operations, personnel, and clients.
  • Perform other duties, as assigned.
 Qualifications:
  • 3-5 years credentialing experience in the Behavior Health or related industry 
  • Knowledge of NCQA credentialing guidelines
  • Experience developing and maintaining relationships with a variety of funding sources
  • Must be self-directed, exercise initiative, discretion and seek guidance as appropriate
  • Superior organizational and multi-tasking abilities with high attention to detail
  • Ability to make sound decisions, prioritize effectively and problem solve
  • Ability to effectively and professionally represent BF to funding sources and external partners
  • Ability to work independently in a fast-paced environment, flexible and adaptable
  • Excellent verbal and written communication skills
  • Bachelor’s degree required
  • Provide negative TB test results
  • Ability to clear FBI & DOJ fingerprinting
Why Behavior Frontiers is perfect for you: 
  • Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule! 
  • 401K Plan with company match after 6 months of employment 
  • Paid Personal Time Off 
  • Paid Holidays 
  • Paid Sick Leave 
  • Medical, Dental and Vision insurance 
  • Opportunities for career advancement 
  • Performance and promotion raise 
  • Paid Maternity Leave - Up to 9 Weeks
  • Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays 
  • Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays 
  • Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.) 
  • Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos 
  • Deals: Exclusive discounts and savings to 500+ companies and more! 
  • Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more! 
  • Lab Testing Discounts: 10-80% off costs of routine lab work 
  • New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide 

Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!
Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.


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About Behavior Frontiers

Sourced by ZipRecruiter

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare.

Industry

Individual, family and community social assistance

Company size

201 - 500 Employees

Headquarters location

Los Angeles, CA, US

Year founded

2004