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Credentialing Consultant Jobs (NOW HIRING)

Parexel

Credentialing Coordinator (Hybrid)

Raleigh, NC · On-site

... and consulting solutions to the life sciences industry. With 22,000+ employees worldwide, we ... About the Role We are seeking a Credentialing Coordinator to join our team in Raleigh, North ...

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Credentialing Consultant information

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$13

$24

$38

How much do credentialing consultant jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for credentialing consultant in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is the difference between Credentialing Consultant vs Credentialing Specialist?

AspectCredentialing ConsultantCredentialing Specialist
Required CredentialsCertifications in healthcare compliance, healthcare administration, or related fields; experience in credentialing processesCertifications in healthcare administration or credentialing; familiarity with credentialing software
Work EnvironmentConsulting firms, healthcare organizations, or as independent consultantsHospitals, clinics, insurance companies, or healthcare provider offices
Employer & Industry UsageUsed by organizations seeking external expertise or project-based supportUsed internally within healthcare facilities for ongoing credentialing tasks

While both roles focus on credentialing processes, Credentialing Consultants typically provide expert advice and project-based support externally, whereas Credentialing Specialists handle daily credentialing tasks within healthcare organizations. The roles overlap in required credentials and work environment but differ mainly in scope and employment setting.

Is credentialing a hard job?

Credentialing as a Credentialing Consultant involves detailed review of healthcare providers' qualifications, requiring strong attention to detail, organization, and knowledge of industry standards. The job can be challenging due to the need for accuracy, compliance with regulations, and managing multiple cases simultaneously. It often requires familiarity with credentialing software and certifications, but the difficulty varies based on experience and workload.

What are some common challenges a credentialing consultant faces when onboarding new healthcare providers?

Credentialing Consultants often encounter challenges such as managing tight deadlines, gathering complex or incomplete documentation from providers, and keeping up with the evolving requirements of various insurance payers and regulatory bodies. Clear communication and organization are essential, as consultants must frequently coordinate among providers, healthcare organizations, and credentialing entities. Staying updated on changing industry standards and maintaining meticulous attention to detail help ensure a smooth onboarding process and compliance with all necessary regulations.

What is a credentialing consultant?

Credentialing Consultants are professionals who assist healthcare organizations and providers in verifying and maintaining the necessary credentials, licenses, and certifications required to provide medical services. They ensure compliance with regulatory standards and help navigate the complex credentialing process with insurance companies, hospitals, and other medical entities. Their role is crucial in preventing administrative delays, reducing risk, and supporting providers in maintaining up-to-date qualifications.

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

To thrive as a Credentialing Consultant, you need a strong understanding of healthcare credentialing processes, regulatory requirements, and attention to detail, typically supported by a background in healthcare administration or related certification (such as CPCS or CPMSM). Familiarity with credentialing software, databases, and compliance management systems is essential. Excellent organizational skills, effective communication, and problem-solving abilities are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These competencies ensure accurate provider onboarding, regulatory compliance, and the smooth operation of healthcare organizations.
More about Credentialing Consultant jobs
What job categories do people searching Credentialing Consultant jobs look for? The top searched job categories for Credentialing Consultant jobs are:
Credentialing Consultant jobs near you
Infographic showing various Credentialing Consultant job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 7% Part Time, and 6% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist - Contract

FOCUSPOINT

New York, NY • On-site

Full-time

Re-posted 6 days ago

Job description

Position: Medical Credentialing Specialist
Location: Multiple sites across the New York City area
Employment Type: Full-Time
Recruiting Firm: FocusPoint (representing a healthcare client)

About the Opportunity

FocusPoint is partnering with a well‑established healthcare organization to identify an experienced Medical Credentialing Specialist. This role is ideal for someone who thrives in a structured, compliance‑driven environment and enjoys ensuring that provider records meet all regulatory, accreditation, and organizational standards. The position supports a high‑volume credentialing operation and plays a key role in maintaining provider eligibility and organizational readiness.

Position Summary

The Medical Credentialing Specialist oversees the full lifecycle of provider credentialing and re‑credentialing. This includes primary source verification, documentation management, database accuracy, and adherence to regulatory requirements. The specialist ensures that all provider information is current, complete, and compliant with internal and external standards.

Key Responsibilities

  • Manage end‑to‑end credentialing and re‑credentialing processes for healthcare providers.
  • Conduct primary source verification to confirm provider qualifications, licensure, training, and certifications.
  • Track and manage license renewals, ensuring all credentials remain active and compliant.
  • Maintain accurate, organized, and up‑to‑date provider files and documentation.
  • Utilize credentialing databases, reporting tools, and document management systems to track status and maintain data integrity.
  • Ensure consistency and accuracy in data entry and credentialing workflows.
  • Provide backup support to credentialing team members as needed.
  • Collaborate with internal teams and external partners to resolve discrepancies and maintain compliance.

Required Qualifications

  • Bachelor’s degree (required).
  • Prior experience as a Credentialing Specialist within the healthcare industry (required).
  • Demonstrated experience credentialing healthcare providers in a regulated environment.
  • Strong understanding of credentialing standards, regulatory requirements, and accreditation expectations.

Skills & Competencies

  • Exceptional attention to detail and organizational discipline.
  • Ability to manage multiple priorities and meet time‑sensitive deadlines.
  • Proficiency with credentialing databases and healthcare software systems.
  • Strong communication skills and the ability to collaborate across teams.
  • Solid understanding of healthcare compliance, regulations, and credentialing best practices.

Why Work with FocusPoint
As a trusted staffing partner to industry-leading companies, FocusPoint provide access to roles that align with your professional goals, and we advocate for your success throughout the recruitment process. Our team understands appropriate skillsets and takes a consultative approach—ensuring that each match is grounded in both experience and fit.

How to Apply
To ensure confidentiality and alignment with our client’s hiring process, all applications must be submitted through FocusPoint. Please do not attempt to contact the client directly. Interested candidates should reach out to FocusPoint’s recruitment team with any questions.

About FocusPoint:
FocusPoint specializes in connecting top-tier professionals with exceptional opportunities in accounting, technology, healthcare, and leadership. We prioritize building meaningful connections, ensuring candidates find roles that align with their skills, goals, and passions.