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Credentialing Director Jobs (NOW HIRING)

HealthONE

Credentialing Representative

Dalton, GA · On-site

Prepares Credentialing Committee recommendations for Board of Directors review * Notifies providers of credentialing decisions within compliance timeframes * Assists providers with all questions ...

Mercyhealth

Credentialing Coordinator

Janesville, WI · On-site

Advises MercyCare Medical Director of questionable information received and any issues identified ... Manages all credentials files to ensure that all correspondence is accurately filed; is ...

Mercyhealth

Credentialing Coordinator

Janesville, WI · On-site

Advises MercyCare Medical Director of questionable information received and any issues identified ... Manages all credentials files to ensure that all correspondence is accurately filed; is ...

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Credentialing Director information

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$131.5K

How much do credentialing director jobs pay per year?

As of Sep 4, 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 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.
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What are the most commonly searched types of Credentialing jobs?

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What states have the most Credentialing Director jobs?

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Credentialing Director jobs near you
Infographic showing various Credentialing Director job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Credentialing Specialist

University Orthopedics

East Providence, RI • On-site

Full-time

Re-posted 10 days ago

Job description


Job Description:                  Credentialing Specialist

Responsible to:                   Director of Credentialing Services

Location:                               Rhode Island

Under the direction of the Director of Credentialing Services, the Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing, and privileging process for all medical providers. This is a full-time position with benefits. 

Essential Duties and Responsibilities:

  • Complete provider payer enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed.
  • Process applications for initial appointment and reappointment of privileges.
  • Maintains strict confidentiality of provider information.
  • Provides cross-coverage of duties assigned to credentialing administrative assistant.
  • Perform other duties as assigned by Director to meet department needs. 

Requirements: 

 

  • Bachelor’s Degree preferred or relevant experience. 
  • Two years of relevant credentialing experience preferred.
  • Excellent data entry skills.
  • Excellent organizational skills.
  • Excellent verbal and written communication skills.
  • Must be able to work independently with minimal supervision.
  • Must be able to work in fast paced, deadline driven environment.
  • Flexibility to travel between all Rhode Island and Massachusetts office sites if/when necessary.
  • Ability to work in Microsoft Office and proprietary credentialing software.
  • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.