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Credentialing Manager Jobs (NOW HIRING)

UCLA Health

Credentialing Manager

Los Angeles, CA · On-site

$80K - $168K/yr

Lead, develop, and manage the Credentialing team, including hiring, training, performance management, and goal setting. * Oversee end-to-end credentialing and recredentialing operations, including ...

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 ...

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

$75 - $95/hr

The Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization.

Medix

Credentialing Manager

Scottsdale, AZ · On-site

$48/hr

Job Summary Our client is seeking a Credentialing Manager responsible for leading the design, implementation, governance, and ongoing management of provider credentialing, enrollment, payor, and ...

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Credentialing Manager information

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$43.5K

$85K

$131.5K

How much do credentialing manager jobs pay per year?

As of Sep 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 is a credentialing manager?

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 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 are the key skills and qualifications needed to thrive as a credentialing manager?

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.

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 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.

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Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Credentialing Manager

USA Clinics Group

Northbrook, IL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we've grown into the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

We're building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we're even more excited about what's ahead, and the team we're building to get there. We look forward to meeting you!

Why You'll Love Working with us:

Rapid career advancement  Competitive compensation package

Positive, team-oriented environment  Work with cutting-ed technology

Make a real impact on patients' lives Join a fast-growing, mission-driven company

Position Summary:

The Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization. This role focuses on improving efficiency, implementing automation, and ensuring timely provider onboarding and compliance.

Position Details:

  • Location: Northbrook, IL
  • Schedule: Full-time, Monday through Friday on-site.
  • Compensation: $75,000 - $95,000
Key Responsibilities
  • Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of provider applications and renewals.
  • Monitor department productivity, application status, enrollment aging, and onboarding timelines.
  • Develop and maintain operational reports, dashboards, and KPI tracking tools.
  • Standardize credentialing processes, maintain SOPs, and identify opportunities to reduce delays and improve efficiency.
  • Train, mentor, and support credentialing staff while ensuring adherence to payer and regulatory requirements.
  • Coordinate escalations with payers, providers, and internal stakeholders to resolve enrollment issues.
  • Serve as the operational partner to the Director by leading process improvements and executing department initiatives.
AI & Automation Responsibilities
  • Automate provider status updates, enrollment tracking, and stakeholder communications.
  • Implement automated alerts for expiring licenses, certifications, malpractice coverage, and payer renewals.
  • Develop AI-assisted dashboards that monitor application progress, aging, and team productivity.
  • Utilize automation tools to reduce manual document collection, tracking, and reporting activities.

Requirements

Minimum Requirements
  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred.
  • Minimum 5 years of provider credentialing and payer enrollment experience.
  • Strong knowledge of CAQH, Medicare, Medicaid, commercial payer enrollment, and provider licensing requirements.
  • Experience managing credentialing workflows, productivity metrics, and provider onboarding timelines.
  • Proficiency with credentialing software, reporting tools, and document management systems.

Benefits

  • Health
  • Dental
  • Vision
  • 401k & Match
  • Paid time off

Apply