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Credentialing Director Jobs (NOW HIRING)

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$30 - $32/hr

... 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 ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$32/hr

... 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 ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$30 - $32/hr

... 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 ...

Driscoll

CME - Credentialing Spec

Corpus Christi, TX · On-site

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 ...

American Family Care

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 ...

Advocate Aurora Health

Credentialing Assistant

Macon, GA · On-site

$21.85 - $32.80/hr

Works under the direct supervision of the Medical Staff Services Director and Credentialing Coordinators. Assists with the administrative and clerical duties of the Medical Staff Services Department ...

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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 Jun 13, 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
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What are the most commonly searched types of Credentialing jobs? The most popular types of Credentialing jobs are:
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What job categories do people searching Credentialing Director jobs look for? The top searched job categories for Credentialing Director jobs are:
Credentialing Director jobs near you

Credentialing Specialist

Network Temp Inc

Manhattan, NY • On-site

$30 - $32/hr

Other

Posted 27 days ago

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).

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