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Credentialing Director Jobs (NOW HIRING)

... directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead. Required Education, Training & Professional Experience • High school Degree ...

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... directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead. Required Education, Training & Professional Experience High school Degree ...

... directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead. Required Education, Training & Professional Experience • High school Degree ...

Interact with CBO Director and Coding Manager frequently or as needed to ensure compliance and accuracy in credentialing role. * Follow up with CBO Director and coding manager on problems and delays ...

Director of Credentialing

Denver, CO · On-site +1

$115K - $130K/yr

The Director of Credentialing is responsible for leading, managing, and enhancing the organization's credentialing, privileging, provider enrollment, and payer enrollment operations across all ...

The Director of Credentialing is responsible for leading, managing, and enhancing the organizations credentialing, privileging, provider enrollment, and payer enrollment operations across all clinics ...

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Credentialing Director information

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$43.5K

$85K

$131.5K

How much do credentialing director jobs pay per year?

As of Jul 5, 2026, the average yearly pay for credentialing director in the United States is $85,031.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What are Credentialing Directors?

Credentialing Directors are senior professionals responsible for overseeing the process of verifying and evaluating the qualifications of healthcare providers within an organization. They ensure that all physicians, nurses, and allied health professionals meet the necessary standards and regulatory requirements to provide care. This role involves managing credentialing staff, maintaining compliance with accreditation bodies, and implementing best practices to safeguard patient safety and organizational integrity. Credentialing Directors often act as liaisons between medical staff, administration, and regulatory agencies.

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

To thrive as a Credentialing Director, you need expertise in healthcare regulations, credentialing processes, and management, often backed by a bachelor’s degree and relevant experience in healthcare administration. Familiarity with credentialing software, compliance tracking systems, and knowledge of accreditation standards such as NCQA or The Joint Commission is typically required. Strong attention to detail, leadership, and effective communication skills help in managing teams and ensuring regulatory compliance. These skills are essential for maintaining provider standards, minimizing risk, and ensuring organizational accreditation.

What are some common challenges faced by a Credentialing Director, and how can they be addressed?

A Credentialing Director often faces challenges such as keeping up with changing regulatory requirements, managing tight deadlines for provider onboarding, and ensuring data accuracy across multiple systems. Effective directors address these by implementing robust process workflows, leveraging credentialing software, and fostering strong communication with both internal teams and external partners. Staying proactive with continuing education and regulatory updates also helps maintain compliance and smooth operations.

What is the difference between Credentialing Director vs Credentialing Manager?

AspectCredentialing DirectorCredentialing Manager
Required CredentialsCertifications like Certified Provider Credentialing Specialist (CPCS), Certified Professional Medical Services Management (CPMSM)Same certifications as Credentialing Director, often with less experience required
Work EnvironmentOversees multiple teams, strategic planning, higher-level decision makingManages daily credentialing operations, supervises credentialing staff
Employer & Industry UsageHospitals, healthcare organizations, large clinicsHealthcare facilities, physician practices, insurance companies

The Credentialing Director focuses on strategic oversight and policy development, while the Credentialing Manager handles daily operations and team management. Both roles require similar credentials, but the Director typically has more experience and a broader scope of responsibilities.

More about Credentialing Director jobs
What cities are hiring for Credentialing Director jobs? Cities with the most Credentialing Director job openings:
What are the most commonly searched types of Credentialing jobs? The most popular types of Credentialing jobs are:
What states have the most Credentialing Director jobs? States with the most job openings for Credentialing Director jobs include:
Infographic showing various Credentialing Director job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 59% Full Time, 13% Part Time, and 24% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Credentialing Specialist

Network Temp Inc

Manhattan, NY • On-site

$30 - $32/hr

Full-time

Posted 18 days ago

Be an early applicant


Job description

Description:

Scope of Role & Responsibilities

• Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt

of information required for credentialing, re-credentialing, and update of provider credentialing information

• Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing

Committee.

• Perform primary source verification on required elements and in accordance regulatory guidelines and

policies and procedures

• Data entry and upkeep of provider information in the credentialing and other pertinent databases

• Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current

sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers

in interim credentialing periods

• Verify New York State license registration and DEA registration status for all credentialed providers in the

interim credentialing periods

• Generate and disseminate monthly provider credentialing updates to appropriate departments and participating facilities and provider groups

• Review and respond to request for credentialing information/copies of credentialing files to appropriate

departments

• Generate and disseminate provider rosters to delegated facilities, contracted group practices etc.

• Perform provider roster reconciliation

• Create, copy, file, and maintain all relevant documentation into provider credentialing folder.

• Maintain confidentiality of provider credentials by filing the credentialing folder in respective cabinets in

the file rooms.

• Perform annual delegated file audits and participate in pre-delegation and delegation site reviews

• Respond to inquiries from other departments relative to a provider’s credentialing status

• Performs other related tasks as directed by the Deputy Chief Operating Officer or her designee, the

Credentialing Director or Credentialing Team Lead.

Required Education, Training & Professional Experience

• High school Degree required; Bachelor’s Degree preferred

• 2 years of previous experience with provider credentialing processes and procedures

• Knowledge of CACTUS or MD-Staff preferred

• Must be able to handle multiple projects simultaneously.

• Comprehensive knowledge of managed care with a specific emphasis on physician credentialing.

• Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment.

• Understanding of credentialing activities as they relate to initial credentialing, re-credentialing, and

credentials modification(s).

Requirements: