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Credentialing Director Jobs in Boca Raton, FL (NOW HIRING)

Armada Ltd

Credentialing Specialists

Plantation, FL

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 ...

CCP Cares

Credentialing Coordinator

Sunrise, FL · On-site

Re-credentials existing providers in all applicable lines of business from inception through ... Self-directed * Exhibit independent judgment * Results-oriented * Self-motivated * Communicate ...

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All JobsCredentialing JobsCredentialing Director JobsCredentialing Director Jobs in Boca Raton, FL

Credentialing Director information

See Boca Raton, FL salary details

$41.3K

$80.7K

$124.8K

How much do credentialing director jobs pay per year?

As of Aug 22, 2026, the average yearly pay for credentialing director in Boca Raton, FL is $80,691.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,700.00 and $89,700.00 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 Boca Raton, FL?

The most popular types of Credentialing jobs in Boca Raton, FL are:

What are popular job titles related to Credentialing Director jobs in Boca Raton, FL?

For Credentialing Director jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Credentialing Director jobs in Boca Raton, FL look for?

The top searched job categories for Credentialing Director jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Credentialing Director jobs?

Cities near Boca Raton, FL with the most Credentialing Director job openings:

Credentialing Director jobs near you
Infographic showing various Credentialing Director job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $80,448 per year, or $38.7 per hour.

Credentialing Specialist

Cancer Center of South Florida PLLC

West Palm Beach, FL • On-site

Full-time

Posted 16 days ago

Job description

Description:

POSITION SUMMARY:

The Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing, recredentialing, and privileging for all medical providers delivering care across Cancer Center of South Florida locations. This role ensures providers are accurately enrolled, credentialed, and privileged with health plans, hospitals, and other patient care facilities in a timely manner. The Credentialing Specialist maintains accurate, up-to-date provider data across credentialing systems and trackers, and proactively manages renewals, expirations, and CAQH updates to ensure continuous compliance and uninterrupted billing.


CORE ESSENTIAL RESPONSIBILITIES:

  • Prepare and submit credentialing and payer enrollment applications for new and existing providers, including initial enrollment, recredentialing, and mid-cycle updates.
  • Manage hospital privileging applications and reappointments across applicable facilities.
  • Maintain and update provider CAQH profiles, ensuring attestations are current and complete.
  • Process provider demographic updates with payers, including address changes, tax ID updates, and panel status changes.
  • Monitor application status across all active submissions and follow up with payers, hospital medical staff offices, and licensing bodies to keep things moving.
  • Track expiration dates for licenses, certifications, DEA registrations, and payer enrollments, initiating renewals well ahead of deadlines.
  • Maintain accurate and audit-ready provider records in the credentialing database and all applicable tracking systems.
  • Serve as the primary point of contact for assigned providers, communicating proactively on status, outstanding requirements, and timelines without waiting to be asked.
  • Collect required credentialing documentation from providers in a way that is organized, clear, and minimally burdensome.
  • Escalate stalled or at-risk enrollments to the Director of Credentialing promptly with a clear status summary.
  • Collaborate with Revenue Cycle, Recruiting, and Operations to coordinate enrollment timelines and resolve billing-related credentialing issues.
Requirements:

REQUIRED EDUCATION & EXPERIENCE

  • High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred.
  • 2+ years of experience in provider credentialing, payer enrollment, or a related healthcare administrative role.

REQUIRED CERTIFICATES, LICENSE OR REGISTRATION

  • CPCS certification preferred

REQUIRED KNOWLEDGE, SKILLS OR ABILITIES

  • Knowledge of payer enrollment processes, CAQH, and hospital privileging requirements.
  • Knowledge of credentialing software and payer enrollment portals.
  • Skill in managing multiple deadlines simultaneously without sacrificing accuracy.
  • Ability to communicate proactively and professionally with providers and internal stakeholders.
  • Ability to identify problems early and escalate appropriately.
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.