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$43.5K

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$131.5K

How much do credentialing manager jobs pay per year?

As of Jul 25, 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 July 2026, with employment types broken down into 6% Locum Tenens, 2% As Needed, 56% Full Time, 12% Part Time, and 24% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Credentialing Manager

Summit Ambulatory Surgical Center - Towson (10503)

Baltimore, MD • On-site

$23.83 - $34.55/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

ASC Towson is seeking an experienced Credentialing Manager!
Job Summary:
The Credentialing Manager verifies the professional licensing, training, and certifications of professional medical staff. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. This position establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. The Credentialing Manager works with Senior Management in meeting goals according to the bylaws and The Joint Commission and CMS requirements. All functions related to the credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges.
Required Experience & Education:
  • Completion of college level degree (Bachelor's degree preferred)
  • 1 - 2 years experience in medical credentialing
  • Ability to maintain confidentiality
  • Ability to read and comprehend complex instructions, business correspondence and memos.
  • Ability to write complex correspondence.
  • Ability to effectively present information in group situations to patients, physicians and other employees of the organization.
  • Ability to apply common sense understanding to carry out detailed written or oral instructions.
  • Ability to deal with problems involving a few concrete variables in standardized situations.
  • Strong computer knowledge and technical skills; specifically, with Excel
  • Knowledge of Credentialing software is critical
  • Ability to prioritize and handle multiple projects.
  • Independent decision-making skills
  • Demonstrate a thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA

Benefits:
USPI offers the following benefits, subject to employment status:
  • Medical, dental, vision, disability, and life insurance
  • Paid time off (vacation & sick leave)
  • 401k retirement plan
  • Paid holidays
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance Program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

Pay Range: Min: $23.83 to Max: $34.55
(Wages are determined based upon a number of factors including, but not limited to, an individual's qualifications and experience.)

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