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Credentialing Compliance Analyst Jobs (NOW HIRING)

Cupertino Electric, Inc.

Compliance Analyst

San Jose, CA · On-site

$91K - $99K/yr

Compliance Analyst Reports To: Senior Corporate Counsel Location: San Jose, CA Salary Range: $91 ... We provide a competitive compensation package that recognizes your experience, credentials, and ...

UCLA Health

Compliance Analyst

Los Angeles, CA · On-site

$88K - $190K/yr

The Compliance Analyst plays a key role in investigations, compliance reviews, auditing, monitoring ... Bachelor's degree in a related field from an accredited institution or equivalent credentials.

UCLA Health

Compliance Analyst

Los Angeles, CA · On-site

$88K - $190K/yr

The Compliance Analyst plays a key role in investigations, compliance reviews, auditing, monitoring ... Bachelor's degree in a related field from an accredited institution or equivalent credentials.

Socket.dev

Senior Compliance Analyst

San Bernardino, CA · On-site

$85 - $95/hr

Certified in Healthcare Compliance (CHC) or similar credential. Skills, Knowledge & Abilities * Advanced knowledge of healthcare regulations (e.g., HIPAA, DMHC, CMS requirements) * Strong analytical ...

New

Provest LLC

Risk & Compliance Analyst

Tampa, FL · On-site

$65K/yr

... complete End-User Credentialing for Data Service Clients. * Assist with the completion of ... Review, analyze, and ensure that the company is compliant with all local, state and federal laws ...

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW ... This position serves as subject matter expert to coordinate review and root cause analysis of ...

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Credentialing Compliance Analyst information

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$15

$25

$43

How much do credentialing compliance analyst jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for credentialing compliance 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 compliance analyst?

Credentialing Compliance Analysts are professionals who ensure that healthcare providers and organizations adhere to industry regulations and standards regarding credentials. They review, verify, and monitor the qualifications, licenses, and certifications of healthcare staff to ensure compliance with legal and accreditation requirements. These analysts play a crucial role in minimizing risks, maintaining quality standards, and supporting the integrity of healthcare services. Their responsibilities often include conducting audits, managing documentation, and staying updated on regulatory changes.

What are the key skills and qualifications needed to thrive as a credentialing compliance analyst?

To thrive as a Credentialing Compliance Analyst, you need a solid understanding of credentialing processes, regulatory standards, and healthcare compliance, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with credentialing management software, databases, and knowledge of standards such as NCQA or JCAHO is typically required. Strong attention to detail, analytical thinking, and effective communication skills help ensure accuracy and collaboration across teams. These competencies are vital for maintaining organizational compliance, reducing risk, and ensuring qualified healthcare provider participation.

What are the most common challenges faced by credentialing compliance analysts during the provider onboarding process?

Credentialing Compliance Analysts often encounter challenges such as incomplete or inconsistent documentation from providers, tight deadlines to meet regulatory requirements, and frequent updates to compliance standards. Navigating these issues requires strong attention to detail, clear communication with providers and internal teams, and the ability to stay organized under pressure. Collaboration with medical staff, human resources, and legal departments is essential to ensure accurate and timely credentialing, which directly impacts provider readiness and organizational compliance.

What is the difference between Credentialing Compliance Analyst vs Credentialing Specialist?

AspectCredentialing Compliance AnalystCredentialing Specialist
Required CredentialsTypically requires a certification in compliance or healthcare administrationOften requires certification in medical billing or credentialing
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHospitals, clinics, or healthcare provider offices
Employer & Industry UsageUsed across healthcare compliance and credentialing departmentsCommonly employed in provider credentialing and onboarding
Search & Comparison IntentOften compared for compliance roles involving regulationsCompared for operational credentialing tasks

The Credentialing Compliance Analyst focuses on ensuring credentialing processes meet regulatory standards and compliance requirements, often involving audits and policy adherence. In contrast, the Credentialing Specialist handles the day-to-day credentialing of healthcare providers, verifying licenses and certifications. Both roles are essential in healthcare credentialing but differ mainly in their focus on compliance versus operational credentialing tasks.

What cities are hiring for Credentialing Compliance Analyst jobs?

Cities with the most Credentialing Compliance Analyst job openings:

What states have the most Credentialing Compliance Analyst jobs?

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

Credentialing Compliance Analyst jobs near you
Infographic showing various Credentialing Compliance Analyst job openings in the United States as of July 2026, with employment types broken down into 89% 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.

Credentialing Compliance Analyst

AtlantiCare

Atlantic City, NJ • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

AtlantiCare rating

7.2

Company rating: 7.2 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

345th of 891 rated healthcare providers

Job description

Compliance Analyst

In this role, you will provide key support and analysis to the provider enrollment credentialing process which directly impact the ability of AtlantiCare to bill for services rendered by billable providers, thereby directly impacting AtlantiCare revenue generation for providers. The framework for provider enrollment credentialing includes compliance in an increasingly complex regulatory environment defined by The Joint Commission, Department of Health, and National Committee for Quality Assurance and Centers for Medicare and Medicaid standards.

The Compliance Analyst will audit 100% of credentialing and reappointment (re-credentialing) files submitted by Credentialing Specialists to ensure compliance with National Committee for Quality Assurance (NCQA), The Joint Commission (TJC) accreditation and other regulatory standards, internal policies and procedures and managed care plan requirements. The Analyst will also audit data entered in the Credentialing database for completeness, accuracy, consistency, gaps, etc. This position will perform all necessary follow-up activities related to audit errors to ensure that corrections have been made appropriately and will serve as subject matter expert and coach for the Credentialing Specialists.

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation

Education: Bachelor's degree preferred.

License/Certification:

Experience: 5 years in healthcare or managed care environment and/or related experience. Experience with computer spreadsheet, database, and audit software literacy. Analytical skills, ability to define problems, collect data, establish facts, and draw valid conclusions. Strong written and verbal communication. Proficiency in application of audit theory, standards, procedures and techniques. Ability to interpret and apply department policies and procedures

Performance Expectations:

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

Work Environment:

This position requires desk/computer work. This position requires some standing and walking and occasional lifting up to 20 pounds required. The essential functions for this position are listed on the Assessment and Evaluation Tool.

Reporting Relationship:

This position reports to Department Leadership.

The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Total Rewards at AtlantiCare:

At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:

Generous Paid Time Off (PTO)

Medical, Prescription Drug, Dental & Vision Insurance

Retirement Plans with employer contributions

Short-Term & Long-Term Disability Coverage

Life & Accidental Death & Dismemberment Insurance

Tuition Reimbursement to support your educational goals

Flexible Spending Accounts (FSAs) for healthcare and dependent care

Wellness Programs to help you thrive

Voluntary Benefits, including Pet Insurance and more

Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well-being and invests in your future.

What AtlantiCare employees say

Pay

Benefits

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About AtlantiCare

Sourced by ZipRecruiter

AtlantiCare aims to deliver the highest quality of care combined with the best experience for our patients and their families. We believe you'll find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our team members.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Egg Harbor Township, NJ, US

Year founded

1993

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