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Credentialing Director Jobs (NOW HIRING)

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

San Diego, CA · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Dallas, TX · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

San Jose, CA · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Jacksonville, FL · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Los Angeles, CA · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Seattle, WA · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Philadelphia, PA · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

San Antonio, TX · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Indianapolis, IN · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Credentialing Manager

Fort Worth, TX · Remote

$95K - $120K/yr

Manager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time ... Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity ...

Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides support Credentialing Account Manager. • Compiles and maintains current and accurate data for all ...

Overview Under the direct supervision of the Credentialing Supervisor, this position is responsible to assist the lead of our credentialing department in all aspects of the credentialing, re ...

... direct credentialing operations experience physician and/or advanced practice provider (APP) credentialing strongly preferred Demonstrated ability to manage concurrent credentialing files across ...

Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides support Credentialing Account Manager. • Compiles and maintains current and accurate data for all ...

This individual will have a direct impact on our firm's mission of serving as a catalyst for those striving to achieve their highest potential. The Credentialing Specialist will be accountable for ...

Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides support Credentialing Account Manager. • Compiles and maintains current and accurate data for all ...

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Credentialing Director information

See salary details

$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
What cities are hiring for Credentialing Director jobs? Cities with the most Credentialing Director job openings:
What are the most commonly searched types of Credentialing jobs? The most popular types of Credentialing jobs are:
What states have the most Credentialing Director jobs? States with the most job openings for Credentialing Director jobs include:

Credentialing Manager

Beacon Talent

San Francisco, CA • Remote

$95K - $120K/yr

Full-time

Posted 23 days ago


Job description

Manager of Credentialing (Healthcare)

Location: Remote (US) or Hybrid (City, State)
Type: Full-time
Reports to: Head of Operations / Director of Provider Operations (or similar)
Comp: Competitive base + equity + benefits

About the Company

Our client is a venture-backed healthcare startup building a modern platform that makes it easier for patients to access high-quality care and for clinicians to practice at the top of their license. The team is scaling quickly, operating in multiple states, and credentialing is core to the ability to grow safely and compliantly.

The Role

Our client is hiring a Manager of Credentialing to own and scale the credentialing function. You’ll lead day-to-day credentialing operations, build repeatable systems, and partner cross-functionally with Operations, Clinical, Legal/Compliance, and Product to reduce time-to-credential while maintaining rigorous quality standards.

This is a high-ownership role for someone who can execute in the details and improve the system.

What You’ll Do
  • Own end-to-end credentialing for clinicians/providers across multiple states and payers (as applicable), including new credentialing, recredentialing, and ongoing maintenance.

  • Manage a small team and/or vendors (CVOs) and drive clear KPIs (time-to-credential, first-pass yield, aging, rework rate).

  • Create and maintain SOPs, checklists, and QA processes to ensure accuracy, completeness, and audit readiness.

  • Partner with Provider Operations to forecast pipeline needs and proactively manage throughput/capacity.

  • Serve as escalation point for complex cases (sanctions queries, gaps in work history, adverse actions, board issues, expiring coverage, etc.).

  • Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third-party credentialing partners.

  • Maintain credentialing files and documentation standards (primary source verification, attestations, NPDB queries where applicable, licensure, DEA, malpractice, education, references).

  • Collaborate with Compliance/Legal to ensure adherence to NCQA/URAC standards where required and internal policies.

  • Work with Product/Engineering to improve tooling: workflow automation, document collection, status transparency, integrations (CAQH, NPPES, PECOS, etc.), and reporting.

  • Lead continuous improvement initiatives that reduce cycle time and increase reliability as we scale.

What We’re Looking For
  • 5+ years in provider credentialing and/or provider enrollment operations, including 1–3+ years in a lead/manager capacity.

  • Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards).

  • Experience working with CAQH and common verification sources (state boards, OIG/SAM exclusions, NPDB where applicable, malpractice carriers, education verification).

  • Track record building processes in a fast-moving environment (startup, high-growth healthcare org, or building a new function).

  • Strong operational rigor: you can manage multiple queues, deadlines, and stakeholders without dropping details.

  • Comfort with ambiguity and ownership—able to diagnose problems, propose fixes, and implement improvements.

  • Excellent written and verbal communication; able to work cross-functionally and manage escalations calmly.

  • Proficiency with tools like Google Workspace/Excel; experience with credentialing platforms (e.g., Modio, symplr, VeraSuite, Medallion, or similar) is a plus.

Nice to Have
  • Experience credentialing across multiple specialties and state footprints.

  • Familiarity with NCQA/URAC standards and audits.

  • Experience with payer enrollment (commercial, Medicare/Medicaid) or delegated credentialing.

  • Prior experience managing a CVO relationship and negotiating SLAs.

  • Product-minded operator who’s helped implement or improve credentialing software/workflows.

Why Join
  • Meaningful mission with direct impact on patient access and provider experience.

  • Opportunity to build and own a critical function at a high-growth, venture-backed company.

  • Competitive compensation, equity upside, and benefits.

  • High-trust environment with autonomy and room to grow.