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Credentialing Analyst Jobs in Tennessee (NOW HIRING)

Kyo

Credentialing Specialist

Nashville, TN · On-site

$27.88 - $31.25/hr

Kyo is a leading provider of Applied Behavior Analysis (ABA) therapy, dedicated to empowering ... Managing credentialing, recredentialing, and licensure process for clinical staff with health ...

SpecialtyCare

Credentialing Representative

Brentwood, TN · On-site

$48K/yr

Credentialing Representative SpecialtyCare is a leading provider of clinical services to hospitals ... Problem Solving and Analysis - Able to gather appropriate data and diagnose the cause of a problem ...

USPI, INC.

Credentialing Coordinator PRN

Nashville, TN · On-site

Credentialing Coordinator PRN Nashville, Tennessee Consolidated Pathology - Nashville Category ... Strong analytical and problem-solving skills * Ability to work independently and collaboratively ...

New

US Department of the Treasury

Tax Analyst

Jackson, TN · On-site

$89K/yr

Experience applying analytical and evaluative methods to assess program operations, identify gaps ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

New

US Department of the Treasury

Tax Analyst

Franklin, TN · On-site

$89K/yr

Experience applying analytical and evaluative methods to assess program operations, identify gaps ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

New

US Department of the Treasury

Tax Analyst

Nashville, TN · On-site

$89K/yr

Experience applying analytical and evaluative methods to assess program operations, identify gaps ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

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Credentialing Analyst information

See Tennessee salary details

$14

$23

$39

How much do credentialing analyst jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for credentialing analyst in Tennessee is $23.07, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $24.86 per hour, depending on experience, location, and employer.

What is 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.

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 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?

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.
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For Credentialing Analyst jobs in Tennessee, the most frequently searched job titles are:

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Credentialing Analyst jobs near you
Infographic showing various Credentialing Analyst job openings in Tennessee as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 8% Part Time, and 7% Contract. Highlights an 80% Physical, 10% Hybrid, and 10% Remote job distribution, with an average salary of $47,986 per year, or $23.1 per hour.

Credentialing Specialist

Kyo

Nashville, TN • On-site

$27.88 - $31.25/hr

Full-time

Posted 21 days ago

Job description

Kyo is a leading provider of Applied Behavior Analysis (ABA) therapy, dedicated to empowering children with autism and their families to achieve meaningful outcomes. Since 2005, we have partnered with thousands of families across 11 states, delivering effective, convenient, and child-centric ABA therapy designed around each child's unique strengths, needs and goals. At Kyo, our mission is rooted in a commitment to making every moment count for the children and families we support.

Pay Range: $27.88 - $31.25

Candidates must reside in one of the following states: AZ, CA, CO, FL, GA, OR, TX, UT, TN, TX, WA

Primary job responsibilities may include, but are not limited to:

  • Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies
  • Ensuring compliance with various state, federal and payer requirements
  • Responsible for pre-application intake, monitoring, application submission and follow up
  • Maintaining an efficient and compliant on-boarding process
  • Inputing/Updating provider credential databases CAQH and NPPES
  • Ongoing monitoring of clinical staff's credentials to ensure licenses and certifications are current and active
  • Working closely with internal departments to exchange provider information and follow up on inconsistencies
  • Assisting with other miscellaneous duties in the Revenue and Contracting department

Qualifications:

  • Bachelor's Degree required
  • Demonstrated proficiency with productivity software and project management software (Microsoft Office, G Suite, Asana)
  • Database management skills including querying, reporting, and document generation
  • Ability to work independently and as part of a team
  • Ability to work in a fast paced, expanding organization
  • Strong knowledge of the credentialing process and accreditation and regulatory standards. Ability to lead and facilitate processes through influence and collaboration
  • Working knowledge of Medical Terminology
  • Strong organization and verbal communication skills, attention to details required
  • Ability to use independent judgment to manage and impart confidential information
  • Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments
  • Ability to make priority determinations without direct supervision
  • Preferred: Experience with provider credential databases CAQH, NPPES
  • Preferred Experience with JIRA
  • Preferred: Experience with HIPAA and compliance-sensitive environments
  • Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo interviewer immediately so that your situation can be evaluated by Human Resources

Physical Requirements:

  • Must be able to sit and use a computer for extended periods of time
  • Exhibit manual dexterity to regularly use and enter data into a computer/tablet/phone
  • Ability to read and interpret documents in the English language such as employee handbooks, training materials and procedure manuals
  • No or very limited exposure to physical risk
  • No or very limited physical effort required
  • Ability to perform data entry, operate standard office equipment e.g. copiers, fax
  • Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. (If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo recruiter immediately so that your request may be reviewed by HR.)

Apply today to meet with our Talent team and learn more!

Kyo logo

About Kyo

Sourced by ZipRecruiter

Kyo is a leading provider of Applied Behavior Analysis (ABA), an evidence-based therapy for individuals with autism. Kyo serves thousands of children and teens across ten states. Every day, we seek to achieve the unachievable for our clients.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Daly City, CA, US

Year founded

2005

Social media

Facebook

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