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Credentialing Manager Jobs in Florida (NOW HIRING)

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 ...

Orlando Health

Mgr, Credentialing, MSS

Lakeland, FL · On-site

Position Summary The Medical Staff Services Credentialing Manager is responsible for overseeing the development, implementation, and integrity of the initial credentialing and reappointment ...

paradigm

Credentialing Operations Manager

Tampa, FL · Hybrid

The Credentialing Operations Manager is responsible for overseeing and managing all aspects of the credentialing and recredentialing processes for clinicians and facilities. This role ensures that ...

paradigm

Credentialing Operations Manager

Tampa, FL · Hybrid

The Credentialing Operations Manager is responsible for overseeing and managing all aspects of the credentialing and recredentialing processes for clinicians and facilities. This role ensures that ...

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Credentialing Manager information

See Florida salary details

$32.5K

$63.5K

$98.3K

How much do credentialing manager jobs pay per year?

As of Jul 28, 2026, the average yearly pay for credentialing manager in Florida is $63,543.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,800.00 and $70,600.00 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.
More about Credentialing Manager jobs
What are the most commonly searched types of Credentialing jobs in Florida? The most popular types of Credentialing jobs in Florida are:
What are popular job titles related to Credentialing Manager jobs in Florida? For Credentialing Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Credentialing Manager jobs in Florida look for? The top searched job categories for Credentialing Manager jobs in Florida are:
What cities in Florida are hiring for Credentialing Manager jobs? Cities in Florida with the most Credentialing Manager job openings:
Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Florida as of July 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 88% In-person, 8% Hybrid, and 4% Remote job distribution, with an average salary of $63,543 per year, or $30.5 per hour.

Credentialing Manager

Chen Medical

Miami Gardens, FL

Full-time

Posted 5 days ago

Job description

Company Description

ChenMed is transforming healthcare for seniors. We provide big answers to big problems in health care delivery.
ChenMed is a full-risk primary care market leader with an innovative philosophy, unique physician culture and end-to-end customized technology. These things allow us to provide world-class primary care and coordinated care to the most vulnerable population - moderate- to low-income seniors who have complex chronic diseases.
Through our innovative operating model, physician-led culture and empowering technology, we are able to drive key quality and cost outcomes that create value for patients, physicians and the overall health system.
Our model allows us to practice medicine the way it should be practiced. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients' "face time" during each monthly appointment and help foster stronger doctor-patient relationships. Our model also drives and enhances compliance with treatment plans.
As a result of our efforts, our patients realize lower hospital admissions. Their overwhelming response to our approach is reflected in our aggressive, organic growth and net promoter scores in the low to mid 90s, which is unheard of in any industry. Read more about our results and the value of the ChenMed model.
As a company, we are making a difference in the lives of seniors and the health care system overall.

Job Description

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 policies and procedures, and compliance with the credentialing requirements of our health plan partners, and related regulatory and accrediting agency requirements. This individual will oversee the initial and ongoing application process for all clinicians and is responsible for: maintaining the organization's credentialing databases and online systems, maintaining up-to-date credential files, and managing all health plan enrollments and reappointments, as well as, managing all initial and ongoing applications for medical staff privileges at ChenMed designated facilities.



Primary Duties and Responsibilities:


Ensure compliance with ChenMed's credentialing and recredentialing policies and procedures, and compliance with state, federal, accreditation and health plan credentialing requirements.
Collaborate with leadership on policy development and standardization of criteria / processes across the organization.
Maintain and ensure up-to-date credentialing files.
Responsible for the accuracy and integrity of credentialing files, credentialing database and reporting systems.
Monitors external credential databases, including CAQH, PECOS and other regulatory agencies, to ensure data is updated and ready for quick retrieval and use by interested parties.
Ensure credentialing files are complete before presentation to Credentialing Committee.
Provide consultation to Credentialing Committee / leadership on issues related to consideration of clinician credentials and reappointments.
Oversee compliance with health plan requirements related to delegated credentialing agreements and credentialing file audits.
Oversee processes and reviews (including ensuring resolution) all reports related to adverse actions such as sanctions, licensure actions or limitations, and credentialing-related complaints.
Interview, hire and train new staff on credentialing and recredentialing policies and procedures; also provides ongoing training as needed regarding new guidelines or updated processes / policies.
Daily monitoring of employee's workload and various credentialing work streams (e.g. onboarding, credentialing, pharmacy, medical staff privileging, Medicare/Medicaid enrollments, Credentialing Committee meetings, health plan enrollments, etc.).
Play an important role in making decisions regarding employee's performance issues such as the need for disciplinary counseling, performance documentation and/or termination.
Conducts periodic audits of credentialing files and staff work-product.
Oversees initial applications and reappointments for Medicare / Medicaid enrollment, hospitals, surgical centers and managed care entities for assigned divisions.
Develops and provides regular reports and presentations concerning the operation and progress of the credentialing functions, including activity related to approvals, denials and / or appeals.
Other responsibilities may include:

Monitor renewals of licensure and other documents subject to expiration, and ensures updates are forwarded to facilities and healthcare partners as renewals are received.
Oversee and coordinate health plan office site visits.
Work with leadership to identify and implement best practices related to credentialing.
Responds to facilities and health plan inquiries, interfaces with internal staff and external customers on day-to-day credentialing issues.
Collaborates with leadership on submitting and maintaining up-to-date health plan rosters.
Responsible for management and supervision of credentialing staff / team.
Upon request of supervisor, attends meetings with payer representatives to address outstanding issues.
Respond to internal / external request for credentialing and licensing status.
Develop reports to present to the leadership staff as requested.
Other activities as outlined in the credentialing and recredentialing policies and procedures.
Other duties as assigned and modified at manager's discretion.


Qualifications

Bachelor's degree in business administration or health care related field required.
Strong understanding and use of web-based credentialing applications. Experience with MDStaff preferred.
Working knowledge of NCQA, AAAHC, JCAHO, AOA, URAC and other applicable accreditation and regulatory standards
Database management skills including querying, reporting, and document generation.
Five to Seven (5-7) years of Credentialing experience required.
Two (2) year experience in a Lead/Management capacity required.
Certified Provider Medical Services Management (CPMSM) / Certified Provider Credentialing Specialist (CPCS) Certification preferred (Required to obtain certification within 6-12 months of hire).

Additional Information

Advanced knowledge of Microsoft Office Software (Excel, Access, and Word), database administration and scanning applications.
Strong organizational, verbal and written communication skills.
Ability to work effectively with staff, physicians and external customers.
Ability to work independently with limited supervision.
Multi-tasking and knowing how to set priorities.
Fluent in English.
EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS:

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