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Credentialing Analyst Jobs (NOW HIRING)

NewYork-Presbyterian

Credentialing Analyst I

Cornell, WI · On-site

$27.25 - $40.50/hr

CREDENTIALING ANALYST I Under the direction of the Director and Credentialing Manager, responsible for the credentialing process, in accordance with established procedures and regulatory requirements.

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9Dot

Credential Analyst

Pasadena, CA · On-site

$26 - $30/hr

Are you an experienced education credentialing professional who thrives in a fast-paced environment ... We are seeking a highly organized and detail-oriented Credentialing Analyst with expertise in ...

HealthPartners

Data Credentialing Analyst

Bloomington, MN · On-site

$28.70 - $43.06/hr

The Credentialing Data Analyst overall responsibility is to ensure delegate practitioner data for over 70,000 practitioners is loaded accurately into the credentialing database and other provider ...

9Dot

Credential Analyst

Pasadena, CA

$30/hr

Are you an experienced education credentialing professional who thrives in a fast-paced environment ... We are seeking a highly organized and detail-oriented Credentialing Analyst with expertise in ...

Simpson University

Credential Analyst

Redding, CA · On-site

Experience in California Teacher Credentialing/Accreditation processes and systems a plus ... These evaluations and analysis may include: a. Evaluation and recommendation of Simpson candidate ...

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Credentialing Analyst information

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How much do credentialing analyst jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for credentialing analyst in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $27.40 per hour, depending on experience, location, and employer.

What Is the Job of a Credentialing Analyst?

As a credentialing analyst, your primary responsibilities are to monitor physicians and healthcare facilities to evaluate their compliance with industry regulations. Your duties include keeping records on insurance contracts and staff credentials. You are in charge of informing them of any changes to policies. You coordinate all information and remind medical staff when they need to update credentials and practitioners' applications. You verify and validate that all information is correct and up to date, aiming to maintain the highest standards of record keeping. You also assist auditors, prepare reports, and check eligibility for providers and insurances. You can work in a hospital, clinic, or private practice.

How much does a credentialing specialist make in the US?

A credentialing specialist in the US typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as Certified Provider Credentialing Specialist (CPCS), and the complexity of the credentialing process they handle.

What are some common challenges faced by Credentialing Analysts during the provider onboarding process?

Credentialing Analysts often encounter challenges such as incomplete or inconsistent provider documentation, tight deadlines for credentialing verifications, and navigating varying requirements from different healthcare organizations or insurance networks. These challenges require strong attention to detail, excellent communication skills to follow up with providers, and the ability to efficiently manage multiple cases simultaneously. Building relationships with both internal teams and external contacts can help streamline the process and ensure compliance with regulatory standards.

What degree do you need to be a credentialing specialist?

A credentialing analyst typically needs at least a high school diploma or equivalent, but many employers prefer candidates with a bachelor's degree in healthcare administration, business, or a related field. Relevant skills include attention to detail, knowledge of healthcare regulations, and experience with credentialing software or databases.

What does a credentialing analyst do?

A credentialing analyst reviews and verifies the credentials, licenses, and certifications of healthcare providers or other professionals to ensure compliance with industry standards and regulations. They manage documentation, update databases, and coordinate with licensing boards, often using credentialing software, to facilitate provider onboarding and maintain accurate records.

What is the difference between Credentialing Analyst vs Credentialing Coordinator?

AspectCredentialing AnalystCredentialing Coordinator
Required CredentialsTypically a bachelor's degree; certifications like Certified Provider Credentialing Specialist (CPCS) are commonSimilar educational background; often holds certifications such as CPCS or Certified Medical Staff Coordinator (CMSC)
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHospitals, clinics, or healthcare networks
Employer & Industry UsageUsed across healthcare and insurance sectors for credentialing rolesPrimarily in healthcare settings managing provider credentialing processes

The Credentialing Analyst and Credentialing Coordinator roles share similar educational backgrounds and certifications. While both work in healthcare environments, Credentialing Analysts often focus on analyzing credentialing data and compliance, whereas Credentialing Coordinators handle the day-to-day coordination of provider documentation and credentialing processes. Both roles are essential for ensuring healthcare providers meet licensing and credentialing standards.

What are the key skills and qualifications needed to thrive as a Credentialing Analyst, and why are they important?

To thrive as a Credentialing Analyst, you need strong attention to detail, analytical skills, and knowledge of healthcare regulations, typically supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software systems, databases, and compliance platforms such as CAQH, NPPES, and state licensure portals is essential. Effective communication, organizational skills, and the ability to manage confidential information make someone stand out in this role. These skills ensure accurate verification of provider credentials, regulatory compliance, and smooth onboarding processes for healthcare organizations.

What healthcare jobs pay over $100k per year?

In healthcare, roles such as Credentialing Analysts, healthcare administrators, physicians, and specialized nurses often earn over $100,000 annually. These positions typically require advanced certifications, experience, and strong knowledge of healthcare regulations and systems.
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Credentialing Analyst jobs near you
Infographic showing various Credentialing Analyst job openings in the United States as of July 2026, with employment types broken down into 5% Locum Tenens, 84% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $52,870 per year, or $25.4 per hour.

Revenue Cycle Credentialing Analyst

MOUNTAIN PARK HEALTH CENTER

Phoenix, AZ • On-site

Other

This job post has expired today. Applications are no longer accepted.

Mountain Park Health Center rating

6.8

Company rating: 6.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

The Credentialing Analyst is responsible for analysis, evaluation, and validating provider information against business/credentialing requirements and maintains information in Credentialing databases and other data sources. The Credentialing Analyst's goal is to see all providers credentialed for all plans and work closely with the Revenue Cycle Director to meet Revenue Cycle metrics.

ESSENTIAL FUNCTIONS

  • Assists with developing metrics that will eliminate and/or reduce timely filling issues due to late credentialing of Mountain Park Health Center providers.
  • Maintains an accurate database containing credentialing status by Provider and Plan.
  • Coordinates with Plans maintaining accurate provider rosters by Plan.
  • Completes provider credentialing and re-credentialing applications and submit credentialing packets to plans before providers start work.
  • Obtains Arizona Health Care Cost Containment System (AHCCCS) and Medicare numbers for providers before providers start providing patient care.
  • Holds plans accountable to credentialing new providers within rules and timeframes established for Federally Qualified Health Centers (FQHC's).
  • Partners with billing to resolve credentialing and billing issues.
  • Maintains knowledge of Medicaid, Medicare, private health plans, and agency requirements for credentialing Providers.
  • Sets up and maintains provider information for Council for Affordable Quality Healthcare (CAQH) databases and system.
  • Ensures practice addresses and other key information are current with health plans, agencies, and other entities.
  • Maintains Plan information by provider in credentialing database and uses system of alerts to proactively monitor credentialing deadlines.
  • Creates system to track and respond to communication from Plans and credentialing requests in a timely fashion.
  • Coordinates with Privileging and Human Resources (HR) to ensure initial credentialing forms are returned timely and accurately by new Providers.
  • Performs other duties as required.

Minimum Qualifications:

  • Bachelor's degree and two years of credentialing experience or four years of credentialing experience if applicant does not possess a bachelor's degree.

Preferred Qualifications:

  • Certified Provider Credentialing Specialist (CPCS).

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