ZipRecruiter

Log In

1

Credentialing Manager Jobs in Delaware (NOW HIRING)

US Department of the Treasury

Program Manager

Dover, DE · On-site

$125K/yr

Applying management techniques, methods, theories, principles, and labor relations concepts ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

US Department of the Treasury

Program Manager

Newark, DE · On-site

$125K/yr

Applying management techniques, methods, theories, principles, and labor relations concepts ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

Bayhealth

Coding Manager

Dover, DE · On-site

The Professional Coding Manager is responsible for overseeing the professional claims coding team ... Credential(s): Certified Coding Specialist Or Registered Health Information Technician (RHIT ...

Bayhealth

Lab Quality Program Manager

Dover, DE · On-site

The Laboratory Quality Program Manager is expected to ensure compliance with applicable regulatory ... Credential(s): Certified Medical Technologist/Technician Or: MT, MLS, CLS, or MLT * Experience:

next page

Showing results 1-20

All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Delaware

Credentialing Manager information

See Delaware salary details

$43.5K

$85.1K

$131.6K

How much do credentialing manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for credentialing manager in Delaware is $85,104.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,100.00 and $94,600.00 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.

More about Credentialing Manager jobs

What are the most commonly searched types of Credentialing jobs in Delaware?

The most popular types of Credentialing jobs in Delaware are:

What are popular job titles related to Credentialing Manager jobs in Delaware?

For Credentialing Manager jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Credentialing Manager jobs in Delaware look for?

The top searched job categories for Credentialing Manager jobs in Delaware are:

What cities in Delaware are hiring for Credentialing Manager jobs?

Cities in Delaware with the most Credentialing Manager job openings:

Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Delaware as of August 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, and 18% Remote job distribution, with an average salary of $85,104 per year, or $40.9 per hour.

Credentialing Specialist

New Castle, DE • On-site

Westside Family Healthcare, Inc.
Health Care and Social Assistance • 51 - 200 employees
Learn more about Westside Family Healthcare, Inc.external

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Job Type
Full-time
Description
WESTSIDE FAMILY HEALTHCARE IS LOOKING FOR A HEALTHCARE CREDENTIALING AND BILLING SPECIALIST TO JOIN THE REVENUE TEAM.
JOIN THE TEAM THAT CARES!
Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care. The Healthcare Credentialing and Billing Specialist is primarily responsible for credentialing Licensed Independent
Providers (LIPs) with contracted insurance plans. The position supports the HRSA and Joint Commission compliant
initial and ongoing credentialing and privileging of all LIPs within the organization. This role provides broad
support to the Revenue Cycle department with a focus on credentialing, regulatory compliance, and patient billing related
tasks.
Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare. With 240 team members, five health centers, one mobile health unity and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.
Our Mission: To improve the health of our communities by providing equal access to quality healthcare
Our Vision: Achieve health equity for all
Our Values:
  • Compassion: Lead with compassion
  • Service: Serve with humility
  • Excellence: Be exceptional
  • Empowerment: Empower all people

OUR BENEFITS: Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase more paid, short term disability paid for by Westside, long term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.
CORE RESPONSIBILITIES
  1. Compile and maintain current credentialing and privileging data and records for all LIPs in accordance with established policies and procedures.
  2. Ensure that the LIP credentialing and privileging processes and policies comply with Joint Commission standards, HRSA and FTCA requirements.
  3. Ensure that all credentialing and privileging processes occur in a timely manner, including both initial and renewed privileges and monthly preparation of credentialing files for the Board of Directors.
  4. Generate, track, monitor and update all credentialing in established task tracking systems.
  5. Create custom reports for internal staff and vendors containing necessary provider data.
  6. As a member of the Provider Relations Team, work to support LIP and Family Medicine Residency onboarding, orientation, demographic updates, workflow updates and departures. Serve as a liaison between providers and Westside Family Healthcare leadership.
  7. Initiate, track and monitor all insurance credentialing for LIPs with all contracted insurance carriers. This includes creation and ongoing maintenance of CAQH profiles.
  8. Generate, track, monitor and update all provider insurance participation using established systems ensuring key staff and vendors can access required data appropriately.
  9. Notify appropriate personnel when providers are fully credentialed and contracted with each insurance company.
  10. Work closely with provider representatives from each insurance company to ensure that correct provider and practice information is on file, including demographic updates and verifications.
  11. Compile billing pool messaging according to established procedures, auditing billing pool messages to determine accuracy of requests and ensuring that third-party billing company takes appropriate actions.
  12. Process mail from all sites, which includes sorting documents and appropriately distributing them within the organization when necessary. This leads to the preparation of daily deposits including batching credit card payments received through the mail and uploading them securely to a third-party vendor for processing.
  13. Retrieve patient returned statement reports and update spreadsheets to send to appropriate staff on a weekly basis.
  14. Retrieve all medical and dental record requests from third-party billing company.
  15. Retrieve attorney billing requests received from Health Information Management Supervisor. Continuously update Attorney Billing Information Tracker and forward files to third-party billing company.
  16. Complete LabCorp and Quest demographic and diagnosis updates, as required.
  17. Provide updated eBrighthealth - ACO Monthly Provider Rosters while documenting each active provider's OIG verification.
  18. Provide updated monthly provider rosters to liability insurance agency/carriers.
  19. Reconcile patient roster reports from insurance carriers to ensure accuracy.
  20. Track and monitor insurance carrier participation by keeping up to date contracts on file, understanding all plans under carrier umbrellas and ensure Practice Management System is up to date with correct carrier information.
  21. Assist with data mining and data entry tasks within Value Based Data Entry Projects.
  22. Participates in process development and improvement initiatives within the Revenue Cycle Team.
  23. Other duties as assigned.

Requirements
  1. High school diploma or GED
  2. One year of experience in data entry or data entry training
  3. One year of experience using Microsoft Office software suite (Word, Excel, PowerPoint)
  4. Proven knowledge of, or experience using, medical billing principles.
  5. Experience with insurance contracting and credentialing
  6. One year of experience in healthcare provider credentialing and privileging

Apply