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Contractual Credentialing Manager Jobs (NOW HIRING)

UCLA Health

Credentialing Manager

Los Angeles, CA · On-site

$80K - $168K/yr

Ensure compliance with NCQA, regulatory, contractual, and organizational standards, including turnaround times and reporting requirements. * Maintain audit readiness and manage credentialing audits ...

Behavior Frontiers

Credentialing Manager

El Segundo, CA · On-site

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

Essen Healthcare

Be Seen First

Credentialing Lead - (Healthcare)

Bronx, NY · On-site

$75K - $90K/yr

... contractual standards. * * Supervise the management of credentialing expirables, ensuring all licenses, certifications, and required documents are monitored, updated, and addressed in a timely and ...

GDIT

Provider Credentialing Supervisor

WV · On-site +1

$25.63 - $34.28/hr

No Provider Credentialing Supervisor The Provider Credentialing Specialist serves as the ... Rather, salary will be set based on experience, geographic location and possibly contractual ...

GlobalHealth Inc

Credentialing Coordinator (52341)

... contractual obligations and organizational policies. This role verified provider qualifications ... Manages, requests and follows up expirable as needed (license, COI, Board Certifications, etc.

Bracane Co

Credentials Liaison Specialist

Plano, TX

... 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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How much do contractual credentialing manager jobs pay per year?

As of Aug 30, 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.

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The most popular types of Credentialing Manager jobs are:

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Contractual Credentialing Manager jobs near you

Credentialing Manager

UCLA Health

Los Angeles, CA • On-site

$80K - $168K/yr

Full-time

Posted 8 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

6th of 895 rated healthcare providers

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8:00am - 5:00pm PST
Posted Date
08/20/2026
Salary Range: $80700 - 168500 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
32459
Primary Duties and Responsibilities
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The Credentialing Manager provides leadership and oversight for provider credentialing and recredentialing operations, ensuring processes and programs remain compliant with applicable regulatory, accreditation, contractual, and organizational requirements. This role is responsible for the ongoing development, implementation, monitoring, and continuous improvement of credentialing programs across all lines of business.
Key Responsibilities
  • Lead, develop, and manage the Credentialing team, including hiring, training, performance management, and goal setting.
  • Oversee end-to-end credentialing and recredentialing operations, including application review, primary source verification, and ongoing monitoring.
  • Ensure compliance with NCQA, regulatory, contractual, and organizational standards, including turnaround times and reporting requirements.
  • Maintain audit readiness and manage credentialing audits, corrective action plans, and remediation efforts.
  • Develop, implement, and maintain credentialing policies, procedures, workflows, and delegation agreements.
  • Lead Credentialing Committee activities, including file review, meeting facilitation, documentation, and follow-up actions.
  • Serve as a subject matter expert and liaison for health plans, regulatory agencies, accreditation bodies, and internal stakeholders.
  • Oversee credentialing systems, vendor performance, and provider data integrity; identify and implement system and process improvements.
  • Monitor and report on operational metrics, productivity, and quality standards to identify trends and improvement opportunities.
  • Lead process improvement and operational efficiency initiatives, including project planning and implementation.
  • Support budget oversight and ensure effective use of resources.

Salary Range: $80,700 - $168,500/annually
Job Qualifications
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  • Bachelor's degree in healthcare administration or other related field or a combination of equivalent education, training & experience. Candidates without a degree must have four (4) years of relevant professional experience in addition to the required five (5) years of credentialing experience. - REQUIRED
  • Five years or more of previous experience in Credentialing working for a complex and diversified health plan, IPA, or other managed care organization - REQUIRED
  • Three years or more experience managing personnel with at least two years supervising personnel in Provider Relations and/or Member Services - REQUIRED
  • In depth knowledge of healthcare industry regulatory agencies, credentialing and provider directory standards including but not limited to CMS, NCQA, DMHC, DHCS, and HICE.
  • Extensive understanding and experience using credentialing systems including the flow of credentialing and provider demographic information.
  • Demonstrated computer skills; proficient with Microsoft Windows applications including but not limited to Excel, Word, Teams and Outlook.
  • Demonstrated software skills in MD Staff - PREFERRED
  • Familiarity with EPIC Tapestry
  • Ability to travel/attend off-site meetings and conferences, when necessary
  • CPMSM or CPCS - PREFERRED

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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