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Credentialing Analyst Jobs (NOW HIRING)

Analyze and update processes to improve timelines * Liaise with CVO to resolve any issues or delays in the credentialing process. * Develop and maintain dashboards, reports, and trackers related to ...

New

Credentialing Specialist

Boston, MA · On-site

$57K - $62K/yr

Analyze credentialing trends, identify compliance risks, and recommend process improvements to leadership. * Partner with Nurses, Case Managers, Revenue Cycle, and Program leadership to resolve ...

Credentialing Specialist

Boston, MA · On-site

$57K - $62K/yr

Analyze credentialing trends, identify compliance risks, and recommend process improvements to leadership. * Partner with Nurses, Case Managers, Revenue Cycle, and Program leadership to resolve ...

Credentialing Specialist

Boston, MA · On-site

$57K - $62K/yr

Analyze credentialing trends, identify compliance risks, and recommend process improvements to leadership. * Partner with Nurses, Case Managers, Revenue Cycle, and Program leadership to resolve ...

Our best-in-class analytics coupled with industry-leading expertise make MPOWERHealth the company ... Job Summary: We're seeking an experienced Hospital Staff Credentialing Specialist to join our team.

Proven experience as a Billing Analyst or similar role within a medical office setting * Strong knowledge of credentialing, medical terminology, and coding practice * Familiarity with managed care ...

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About VeloSource At VeloSource, we're proud to be recognized as one of Staffing Industry Analysts ... We're seeking a detail-oriented Credentialing Specialist who thrives in a fast-paced environment ...

Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ... and analyze data. • Ability to work independently with minimal supervision. • Ability to ...

Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ... and analyze data. • Ability to work independently with minimal supervision. • Ability to ...

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Credentialing Analyst information

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$15

$25

$43

How much do credentialing analyst jobs pay per hour?

As of Aug 21, 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 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 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.

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 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 cities are hiring for Credentialing Analyst jobs?

Cities with the most Credentialing Analyst job openings:

What are the most commonly searched types of Credentialing Analyst jobs?

The most popular types of Credentialing Analyst jobs are:

What states have the most Credentialing Analyst jobs?

States with the most job openings for Credentialing Analyst jobs include:

Infographic showing various Credentialing Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $52,870 per year, or $25.4 per hour.

Credentialing Team Lead

Jobtailor

California, MO • On-site

$65 - $100/hr

Other

Posted 3 days ago

New


Job description

Responsibilities
  • Provide day-to-day guidance, training, and support to credentialing associates
  • Design, document, and implement scalable credentialing workflows and standard operating procedures (SOPs).
  • Identify and troubleshoot inefficiencies in credentialing and recredentialing processes.
  • Collaborate cross-functionally to ensure credentialing processes integrate smoothly with clinical, compliance, and billing teams.
  • Manage relationship with CVO (Credentialing Verification Organization), Verifiable
  • Maintain accurate and up-to-date provider information in internal databases and Verifiable
  • Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion.
  • Analyze and update processes to improve timelines
  • Liaise with CVO to resolve any issues or delays in the credentialing process.
  • Develop and maintain dashboards, reports, and trackers related to provider credentialing and compliance.
  • Analyze data to identify trends, delays, or potential risks in credentialing timelines.
  • Provide regular updates to leadership on key metrics and process improvements.
Requirements
  • 3+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
  • 1+ years experience supervising credentialing associates
  • Operational leadership and accountability
  • Strong understanding of NCQA credentialing requirements and best practices.
  • Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).
  • Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines.
  • Experience in behavioral health or mental health provider credentialing.
  • Ability to work in the US, to travel to our San Jose, California offices up to three times per year and to an additional company offsite.
Certifications & Qualifications
  • NCQA credentialing requirements
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