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Credentialing Director Jobs in Delaware (NOW HIRING)

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Trauma Medical Director

Newark, DE · On-site

$445.03 - $615.47/hr

... Medical Director to lead Delaware's sole Level 1 Trauma Center. We are seeking a visionary ... Must have the ability to be licensed in the State of Delaware and meet credentialing requirements

VCA Animal Hospitals

Medical Director

Dover, DE · On-site

The Medical Director(MD) under the direction of the field management team, is responsible for ... credentials. Salary range listed is based on a 40 hour work week. * This position may also be ...

ChristianaCare

Trauma Medical Director

Newark, DE · On-site

$445K - $615K/yr

... Medical Director to lead Delaware's sole Level 1 Trauma Center. We are seeking a visionary ... Must have the ability to be licensed in the State of Delaware and meet credentialing requirements

Christiana Care

Trauma Medical Director

Newark, DE · On-site

$445K - $615K/yr

... Medical Director to lead Delaware's sole Level 1 Trauma Center. We are seeking a visionary ... Must have the ability to be licensed in the State of Delaware and meet credentialing requirements

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All JobsCredentialing JobsCredentialing Director JobsCredentialing Director Jobs in Delaware

Credentialing Director information

See Delaware salary details

$43.5K

$85.1K

$131.6K

How much do credentialing director jobs pay per year?

As of Aug 10, 2026, the average yearly pay for credentialing director in Delaware is $85,104.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,100.00 and $94,600.00 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.

What are the most commonly searched types of Credentialing jobs in Delaware? The most popular types of Credentialing jobs in Delaware are:
What are popular job titles related to Credentialing Director jobs in Delaware? For Credentialing Director jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Credentialing Director jobs in Delaware look for? The top searched job categories for Credentialing Director jobs in Delaware are:
What cities in Delaware are hiring for Credentialing Director jobs? Cities in Delaware with the most Credentialing Director job openings:
Credentialing Director jobs near you
Infographic showing various Credentialing Director job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $85,104 per year, or $40.9 per hour.

Lead Director, Credentialing Operations

Hispanic Alliance for Career Enhancement

Dover, DE • On-site

$139 - $232/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

We\'re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you\'ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Lead Director, Credentialing Operations oversees the Credentialing Verification Organization (CVO) and is accountable for the overall delivery of credentialing services including production, quality audit, reporting, ongoing monitoring and process improvement for the business operation. Maintain and validate the credentialing data for all network providers for multiple lines of business. Ensure all provider information is accurately recorded and maintained to provide a compliant and quality network of providers who are treating Aetna members. Aligns policies and procedures for the Credentialing Operations department with organizational goals. Delivers on financial, operational, and service requirements while providing leadership and direction through multiple managers and vendors, by developing priorities and setting direction.

Key Responsibilities
  • Oversee operational management of Commercial, Medicare, Medicaid credentialing operations, as well as ongoing monitoring of all providers.
  • Manage a team of ~100 employees through multiple managers.
  • Oversee on-shore and off-shore vendor support tied to business operations to align resources to support inventory management and provide oversight of partner performance through quality and timeliness initiatives.
  • Contribute to planning and administration of company programs and initiatives that promote the Credentialing Operations agenda.
  • Accountable for department initiatives and objectives in partnership with stakeholders and leadership.
  • Implement organizational policies, goals, and objectives based on best practices in the field.
  • Build and develop strong functional operations management team through formal training, diverse assignments, coaching, communication, mentoring and performance management, and mentor team members to foster talent strategy and succession planning.
  • Cultivate and manage relationships with various internal business partners.
  • Ensure all Credentialing policies and procedures are executed consistently across the business operation and support alignment with accreditation agencies and regulatory bodies.
  • Administer audit procedures for maintaining accurate and compliant provider credentialing data for contractual compliance, and network directory listing purposes.

Experience with exploring solutions with automation, bots, AI, and other tools to drive exceptional performance in a highly visible operational environment.

Create and deliver process improvement strategies to address internal trends and meet organizational vision and commitments on an ongoing basis.

Drive change management through the organization to support competitive and changing environment.

  • Lead integration and administration of credentialing databases, software, and other data sources and create strategies for continuous improvement.
  • Control resources to deliver financial results and objectives within established budget parameters.
Required Qualifications
  • 7+ years directly related experience in Healthcare Operations with a production focus
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Advance working knowledge of business systems, applications, and tools supporting credentialing, provider data and inventory management.
  • Proven ability to work collaboratively at all levels.
  • Ability to effect change.
  • Exercises sound judgment and demonstrates analytical/data-driven decision-making skills.
Preferred Qualifications
  • Experience in a matrixed environment which includes outsourcing to external vendors.
  • Project management experience.
Education
  • Bachelor\'s degree or equivalent work experience
Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company\'s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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