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Credentialing Director Jobs in California (NOW HIRING)

Synergy Direct LLC

Be Seen First

Credentialing Coordinator

West Hollywood, CA · On-site

$30 - $35/hr

Credentialing Coordinator We are seeking an experienced Credentialing Coordinator to join a busy healthcare organization. The Credentialing Coordinator is responsible for supporting the credentialing ...

UC Davis Health

Credentialing Specialist

Sacramento, CA · On-site

$65K - $115K/yr

Under the general supervision of the Medical Staff Governance and Credentialing Manager and the Director of Regulatory, Licensure & Accreditation and Medical Staff Governance & Credentialing, the ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA · On-site

$58K - $80K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

Los Angeles, CA · On-site

$64K - $88K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

Los Angeles, CA · On-site

Credentialing Specialists shall take photo, capture digital signatures, and assemble Pocket Commission inserts, and other ID Media duties as directed by ICAM * Credentialing Specialists shall perform ...

Armada Ltd

Credentialing Specialists

San Jose, CA · On-site

Credentialing Specialists shall take photo, capture digital signatures, and assemble Pocket Commission inserts, and other ID Media duties as directed by ICAM * Credentialing Specialists shall perform ...

Armada Ltd

Credentialing Specialists

Oakland, CA · On-site

$60K - $80K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

Oakland, CA · On-site

Credentialing Specialists shall take photo, capture digital signatures, and assemble Pocket Commission inserts, and other ID Media duties as directed by ICAM * Credentialing Specialists shall perform ...

Armada Ltd

Credentialing Specialists

Fresno, CA · On-site

$52K - $73K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

Fresno, CA · On-site

$52K - $73K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

San Jose, CA · On-site

$70K - $100K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

Fresno, CA · On-site

Credentialing Specialists shall take photo, capture digital signatures, and assemble Pocket Commission inserts, and other ID Media duties as directed by ICAM * Credentialing Specialists shall perform ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA · On-site

Credentialing Specialists shall take photo, capture digital signatures, and assemble Pocket Commission inserts, and other ID Media duties as directed by ICAM * Credentialing Specialists shall perform ...

Armada Ltd

Credentialing Specialists

Fresno, CA · On-site

$52K - $73K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

Armada Ltd

Credentialing Specialists

North Highlands, CA · On-site

$65K - $85K/yr

... directed by ICAM Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and activation ...

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Credentialing Director information

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$83.9K

$129.8K

How much do credentialing director jobs pay per year?

As of Sep 6, 2026, the average yearly pay for credentialing director in California is $83,917.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,200.00 and $93,300.00 per year, depending on experience, location, and employer.

What is a credentialing director?

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.

Is credentialing a hard job?

Credentialing as a Credentialing Director involves managing complex processes to verify healthcare providers' qualifications, which can be challenging due to regulatory requirements and detailed documentation. It requires strong organizational skills, attention to detail, and knowledge of industry standards, making it a demanding but manageable role for experienced professionals. The job often involves coordinating with multiple departments and maintaining compliance with accreditation bodies.

What are the most commonly searched types of Credentialing jobs in California?

The most popular types of Credentialing jobs in California are:

What are popular job titles related to Credentialing Director jobs in California?

For Credentialing Director jobs in California, the most frequently searched job titles are:

What job categories do people searching Credentialing Director jobs in California look for?

The top searched job categories for Credentialing Director jobs in California are:

What cities in California are hiring for Credentialing Director jobs?

Cities in California with the most Credentialing Director job openings:

Credentialing Director jobs near you
Infographic showing various Credentialing Director job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $83,917 per year, or $40.3 per hour.

Director of Credentialing

Los Angeles Cancer Network

Glendale, CA • On-site

Full-time

Re-posted 14 days ago

Job description

The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer care, curated with deliberation and compassion. LACN is committed to educating and supporting our patients and their families through every step of the way. We deliver a unique approach for every patient to ensure they receive treatment best suited to their condition, age, and other important factors. We do this by participating in important clinical research, encouraging screenings for early detection, and providing innovative treatment. We are proud to be at the forefront of cancer research through our partnership with OneOncology.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
We are seeking a strategic and detail-oriented Director of Credentialing to lead and manage provider credentialing and recredentialing processes across our growing network. This individual will ensure compliance with NCQA, CMS, and state-specific regulatory requirements while supporting rapid provider onboarding in a managed care environment.
Essential Functions:
The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time with reasonable accommodations.
  • Oversee end-to-end credentialing and recredentialing for all contracted providers and facilities.
  • Maintain compliance with regulatory and accreditation standards (e.g., NCQA, CMS, state DMHC/DOH).
  • Partner cross-functionally with Provider Relations, Compliance, Payer Contracting, and Clinical Ops to streamline processes and support network growth.
  • Lead and manage credentialing team operations, including performance management and process improvement initiatives.
  • Manage credentialing software and data integrity across systems.
  • Prepare for and lead credentialing audits, both internal and external.
  • Serve as the subject matter expert on credentialing best practices, ensuring timely, accurate, and efficient operations.
  • Compile, submit and track credentialing/re-credentialing applications for all providers. Ensuring all new providers as well as existing providers are properly credentialed.
  • Responsible for tracking and renewing each provider's license, certifications, malpractice insurance and DEA to ensure timely renewals.
  • Review applications for completion, accuracy and timely submission. Follow-up appropriately per internal documented guidelines.
  • Track and maintain participation with all health plans including but not limited to managed care plans along with hospitals ensuring providers have appropriate hospital privileges.
  • Track continuing education credits notifying providers of deficiencies.
  • Maintain up-to-date and accurate credentialing status and documentation for each provider in electronic (credentialing database) and hard copy format.
  • Communicate with providers all documents required for credentialing, re-credentialing, license/certification renewals, etc. always following provider notification documented timelines.
  • Communicate provider credentialing status internally including new providers as they become participating with each payer.
  • Ensure all office location additions and/or changes are appropriately handled by notifying health care plans for a seamless transition.
  • Credential new modalities/lines of business to prevent disruption to reimbursement. Provide status updates to management team.
  • Notify health plans, hospitals, etc. of provider terminations and name changes.
  • Assist internal departments to resolve payer issues regarding system errors, non-par status and other issues.
  • Maintain knowledge of current health plan requirements for credentialing providers recognizing the latest standards and procedures in credentialing and accreditation
  • Inform Director and/or Medical Director of potential credentialing, hospital privilege and non-compliance issues.
  • Work with leadership to develop/implement resolutions.
  • Assist with developing and maintaining team Policy and Procedures, staff communication and ongoing team training and education.

Key Competencies:
  • Excellent communication skills.
  • Strong analytical, strategic planning, and problem-solving skills.
  • Ability to function as an effective team leader.
  • Demonstrated success in leading high-performing teams and implementing process improvements in credentialing operations.
  • Strong interpersonal and communication skills, with the ability to work collaboratively across clinical, legal, and operational teams.
  • Experience presenting senior leadership and supporting audit readiness.

Education and Experience:
  • Bachelor's degree in a medical, business, or related field, or an equivalent combination of relevant education and experience. Master's Degree Preferred.
  • At least ten (10) years of experience as a medical staff manager or director or a similar position in the medical field preferred and at least five (5) years' experience in payer credentialing
  • CPCS, CRCM, CCEP or CPMSM certified, highly preferred.
  • Deep understanding of federal and state regulatory requirements including NCQA, CMS, and state-specific guidelines.
  • Proven experience with delegated credentialing agreements and payer enrollment processes.
  • Familiarity with managed care operations, value-based care models, and MSO structures.
  • Proficiency in credentialing software platforms (e.g., CAQH, Echo, Modio, or similar).
  • Previous Oncology/Hematology experience preferred.

Additional Requirements:
  • Great Customer Service Skills.
  • Knowledge of medical terminology, specifically in Oncology/Hematology.
  • Able to travel to satellite clinics when necessary.
  • Must be willing and able to lift up to 25 pounds.

Salary Transparency:
Exact compensation may vary based on skills, education, certifications, experience, and location. Base Salary Range from $120,000.00 to $130,000.00

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