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$131.5K

How much do credentialing manager jobs pay per year?

As of Jul 3, 2026, the average yearly pay for credentialing manager 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 Does a Credentialing Manager Do?

A credentialing manager monitors the credential status of employees and ensuring they are recertified when necessary. As a credentialing manager, your job duties involve maintaining a database of employee certifications and renewal dates, confirming that employee credentials match the requirements of their job, and helping employees renew their credentials on time by finding test dates and locations. Credentialing managers are most commonly found in the health care industry. Qualifications to become a medical credentialing manager include a bachelor’s degree in human resources, business, or a related field, and industry experience.

What is the difference between Credentialing Manager vs Credentialing Specialist?

AspectCredentialing ManagerCredentialing Specialist
ResponsibilitiesOversees entire credentialing process, manages teams, develops policiesPerforms credentialing tasks, verifies credentials, maintains records
Required CredentialsTypically requires experience in healthcare administration, certifications like Certified Provider Credentialing Specialist (CPCS)Often requires similar certifications, entry to mid-level experience
Work EnvironmentManagement level, strategic planning, team supervisionOperational, detail-oriented, administrative tasks
Industry UsageUsed across healthcare organizations, hospitals, clinicsCommonly found in healthcare facilities, physician practices

The Credentialing Manager focuses on overseeing the entire credentialing process, managing teams, and developing policies, while the Credentialing Specialist handles day-to-day credential verification and record maintenance. Both roles require relevant certifications and healthcare industry experience, but the manager role involves more strategic oversight.

What are some common challenges a Credentialing Manager faces when maintaining compliance with changing regulations?

Credentialing Managers often encounter the challenge of staying updated with frequently changing industry regulations and payer requirements, which can vary by state and organization. Ensuring that all provider files are consistently accurate and compliant requires diligent monitoring, regular audits, and ongoing staff training. Additionally, coordinating with multiple departments and external agencies to gather necessary documentation while meeting tight deadlines can be demanding. Proactively implementing process improvements and leveraging credentialing software can help manage these complexities effectively.

What are Credentialing Managers?

Credentialing Managers are professionals responsible for overseeing the process of verifying the qualifications, licenses, and background of healthcare providers before they are allowed to work with patients or participate in insurance networks. They ensure that all providers meet regulatory and organizational standards, and maintain up-to-date records for compliance purposes. Credentialing Managers often work in hospitals, healthcare organizations, or insurance companies, collaborating with medical staff, administrators, and external agencies to manage and streamline the credentialing process.

What are the key skills and qualifications needed to thrive as a Credentialing Manager, and why are they important?

To thrive as a Credentialing Manager, you need thorough knowledge of healthcare credentialing processes, compliance standards, and experience with provider enrollment, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software systems like CACTUS or Verity, and understanding of regulatory requirements such as NCQA or The Joint Commission, are typically expected. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this position. These competencies ensure accurate and efficient management of provider credentials, minimize compliance risks, and maintain quality standards within healthcare organizations.
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Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in the United States as of June 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.
Credentialing Manager

Credentialing Manager

Serenity Mental Health Centers

Lehi, UT • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Credentialing Manager
Onsite only - Lehi, Utah
Job Overview:
The Credentialing Manager is responsible for overseeing and managing the credentialing and re-credentialing processes for all behavioral health providers within the organization. This role ensures that all providers meet the necessary licensing, accreditation, and regulatory requirements, ensuring the highest standards of care are delivered to our patients. The Credentialing Manager will work closely with healthcare professionals, insurance companies, and regulatory bodies to ensure compliance and maintain accurate provider records.


Key Responsibilities:

  • Oversee the complete credentialing process for behavioral health providers, including physicians, therapists, counselors, and other clinical staff.
  • Ensure all new providers are credentialed accurately and efficiently, ensuring compliance with local, state, and federal regulations.
  • Manage and track re-credentialing for all providers, ensuring timely submission of documents and approvals to maintain active status with insurance networks.
  • Review and verify provider licensure, certifications, and other relevant credentials to ensure compliance with the company's policies and applicable regulations.
  • Develop and maintain strong relationships with external agencies, regulatory bodies, and insurance payers to facilitate the credentialing process.
  • Assist with any audits and compliance checks related to credentialing and licensing.
  • Maintain accurate and up-to-date provider records and databases, ensuring that documentation is complete and easily accessible for regulatory or operational needs.
  • Collaborate with HR, billing, and operations teams to ensure smooth integration of credentialed providers into the organization.
  • Stay current with changes in federal and state regulations related to credentialing and provider accreditation.
  • Provide guidance and support to internal teams and providers regarding credentialing requirements and timelines.
  • Prepare and submit reports on credentialing status to senior leadership as requested.
  • Manage the ongoing monitoring of provider status, including expiring certifications, licenses, and insurance agreements.

Qualifications:

  • Bachelor's degree in healthcare administration, business, or a related field; or equivalent work experience in credentialing, compliance, or healthcare operations.
  • Experience with behavioral health providers and understanding of behavioral health-specific credentialing needs.
  • Minimum of 3-5 years of experience in credentialing within the healthcare or behavioral health field, with a focus on provider enrollment and insurance network management.
  • Knowledge of regulatory requirements for healthcare providers and experience with industry standards for credentialing and re-credentialing.
  • Strong understanding of the credentialing software and databases.
  • Ability to maintain confidentiality and handle sensitive information.
  • Excellent organizational skills and attention to detail.
  • Strong written and verbal communication skills.
  • Ability to manage multiple tasks and priorities in a fast-paced environment.

Benefits

  • Competitive pay (DOE)
  • Medical, Dental and Vision Insurance
  • Life Insurance
  • 401k
  • Paid Time off
  • 10 Major Holidays Off

About

At Serenity, we give our patients long-term success even when other treatments have failed. We are committed to creating the finest patient experience and ensure this by investing in our employees through cultivating a culture that is people-centric, collaborative, positive, proactive, and open to opportunity for personal and professional development.