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Credentialing Manager Jobs (NOW HIRING)

Beacon Talent

Credentialing Manager

Jacksonville, FL · Remote

$95K - $120K/yr

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 ...

Beacon Talent

Credentialing Manager

Los Angeles, CA · Remote

$95K - $120K/yr

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 ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing ...

The Remedy

Credentialing Manager

Saint Paul, MN · On-site

Salary: $80,000-$90,000 annually Position Summary The Credentialing Manager is responsible for leading and executing all aspects of provider credentialing, payer enrollment, and payer contracting.

Beacon Talent

Credentialing Manager

Dallas, TX · Remote

$95K - $120K/yr

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 ...

Beacon Talent

Credentialing Manager

San Jose, CA · Remote

$95K - $120K/yr

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 ...

Beacon Talent

Credentialing Manager

Seattle, WA · Remote

$95K - $120K/yr

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 ...

Beacon Talent

Credentialing Manager

Brooklyn, NY · Remote

$95K - $120K/yr

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 ...

Beacon Talent

Credentialing Manager

Denver, CO · Remote

$95K - $120K/yr

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 ...

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How much do credentialing manager jobs pay per year?

As of Jun 10, 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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $85,031 per year, or $40.9 per hour.
Credentialing Manager

Credentialing Manager

Behavior Frontiers

El Segundo, CA

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Behavior Frontiers rating

7.0

Company rating: 7.0 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

405th of 870 rated healthcare providers

Job description

Description

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our Credentialing Manager position plays a critical role in our company, and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.
Hours: Full Time (Monday – Friday/40hrs a week)
Office Location: El Segundo, CA Headquarters (In-Office) 
Compensation: $75,000 - $85,000 DOE
 
Responsibilities:
 
  • Supervise/manage the day-to-day operational functions of credentialing and recredentialing process and personnel to include workflow management, troubleshooting, log management, process updates, reporting and training.
  • Create and maintain individual provider files including credentialing status and supporting documentation.
  • Track and ensure accuracy of new/promoted provider credentialing and/or application status in database, and make updates for existing providers.
  • Act as a resource for other managers and coworkers and respond to internal and external requests for credentialing information and documentation.
  • Work closely and transparently with internal departments and external partners.
  • Regularly report updated provider and location rosters to funding sources and internal departments.
  • Support contract develop goals to include researching new funding sources, unique contracting process requirements, data gathering, forms completion, submissions, tracking, follow up and reporting.
  • Keep abreast of relevant legal, regulatory, and legislative changes related to credentialing, contracting and licensing.
  • Maintain comprehensive working knowledge of contractual relationships including credentialing and contracting requirements by funding source.
  • Develop and maintain positive and cooperative relationships with funding source representatives and coworkers.
  • Contribute to the on-going development of new funding sources.
  • Complete special projects as assigned.
  • Maintain confidentiality in matters of company operations, personnel, and clients.
  • Perform other duties, as assigned.
 Qualifications:
  • 3-5 years credentialing experience in the Behavior Health or related industry 
  • Knowledge of NCQA credentialing guidelines
  • Experience developing and maintaining relationships with a variety of funding sources
  • Must be self-directed, exercise initiative, discretion and seek guidance as appropriate
  • Superior organizational and multi-tasking abilities with high attention to detail
  • Ability to make sound decisions, prioritize effectively and problem solve
  • Ability to effectively and professionally represent BF to funding sources and external partners
  • Ability to work independently in a fast-paced environment, flexible and adaptable
  • Excellent verbal and written communication skills
  • Bachelor’s degree required
  • Provide negative TB test results
  • Ability to clear FBI & DOJ fingerprinting
Why Behavior Frontiers is perfect for you: 
  • Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule! 
  • 401K Plan with company match after 6 months of employment 
  • Paid Personal Time Off 
  • Paid Holidays 
  • Paid Sick Leave 
  • Medical, Dental and Vision insurance 
  • Opportunities for career advancement 
  • Performance and promotion raise 
  • Paid Maternity Leave - Up to 9 Weeks
  • Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays 
  • Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays 
  • Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.) 
  • Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos 
  • Deals: Exclusive discounts and savings to 500+ companies and more! 
  • Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more! 
  • Lab Testing Discounts: 10-80% off costs of routine lab work 
  • New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide 

Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!
Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

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About Behavior Frontiers

Sourced by ZipRecruiter

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare.

Industry

Individual, family and community social assistance

Company size

201 - 500 Employees

Headquarters location

Los Angeles, CA, US

Year founded

2004

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