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Credentialing Manager Jobs in Kansas (NOW HIRING)

ProviDRs Care

Credentialing Lead - Onsite

Wichita, KS · On-site

Escalation Management * Serveas the primary escalation point for credentialing-related issues. * Investigateand resolve complex credentialing and enrollment problems with payers,providers, and ...

ProviDRs Care

Credentialing Lead - Onsite

Wichita, KS

$40K - $70K/yr

Manage and maintain ownership of the credentialing and recredentialing work queue, ensuring timely processing and resolution of cases. * Handle complex credentialing scenarios, including multi-state ...

connectRN

Home Health Additional Credentialing

Coffeyville, KS · On-site

$26.75 - $34.50/hr

Note that we'll be here for any questions as you get credentialed! "connectRN is one of the first ... Provide patient episode management per protocol. * Complete documentation timely and accurately ...

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$38.8K

$75.8K

$117.3K

How much do credentialing manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for credentialing manager in Kansas is $75,834.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $84,300.00 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 Kansas as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $75,834 per year, or $36.5 per hour.

Credentialing Lead - Onsite

ProviDRs Care

Wichita, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description


Credentialing Lead
This position is ON-SITE only, NOT remote.
Position Summary
The Credentialing Lead is responsible for overseeing and executing complex provider credentialing activities across multiple states and payer networks. This role serves as the subject matter expert for escalated credentialing issues, ensures regulatory and accreditation compliance, manages provider credential expirations, and drives operational excellence within the credentialing function. The Credentialing Lead owns the credentialing work queue, prioritizes high-risk and time-sensitive cases, and partners closely with providers, payers, licensing boards, and internal stakeholders to ensure timely enrollment and ongoing compliance.
Key Responsibilities
Credentialing Operations
  • Manageand maintain ownership of the credentialing and recredentialing workqueue, ensuring timely processing and resolution of cases.
  • Handlecomplex credentialing scenarios, including multi-state licensure, payerenrollment challenges, provider relocations, and high-priority onboardingcases.
  • Coordinateand submit credentialing applications to commercial, government, andmanaged care payers.
  • Monitorcredentialing status and proactively address delays, deficiencies, orbarriers to enrollment.

Escalation Management
  • Serveas the primary escalation point for credentialing-related issues.
  • Investigateand resolve complex credentialing and enrollment problems with payers,providers, and regulatory agencies.
  • Developcorrective action plans and drive issues through resolution whilemaintaining stakeholder communication.

Expiration & Compliance Management
  • Overseetracking and management of provider licenses, certifications,registrations, malpractice insurance, and other credentialingrequirements.
  • Ensuretimely renewals and prevent lapses that could impact provider eligibilityor reimbursement.
  • Maintainaccurate credentialing records and documentation in credentialing systemsand databases.

Accreditation & Quality Oversight
  • Maintaincredentialing processes in accordance with accreditation standards.
  • Supportaudits, accreditation reviews, and internal quality assurance initiatives.
  • Ensurecredentialing policies, procedures, and documentation remain compliantwith regulatory and accreditation requirements.
  • Identifyprocess improvement opportunities and implement best practices tostrengthen compliance and operational efficiency.

Leadership & Collaboration
  • Provideguidance and mentorship to credentialing specialists and team members.
  • Establishand monitor credentialing performance metrics, service levels, and qualitystandards.
  • Collaboratewith Provider Operations, Compliance, Revenue Cycle, Clinical Leadership,and external partners to support organizational goals.
  • Assistin developing workflows, training materials, and standard operatingprocedures.

Qualifications
Required
  • 3+years of provider credentialing experience, including payer enrollment andrecredentialing.
  • Demonstratedexperience managing complex credentialing cases and multi-state providercredentials.
  • Strongunderstanding of credentialing regulations, payer requirements, andprovider enrollment processes.
  • Experienceworking with credentialing software, CAQH, NPPES, PECOS, and statelicensing boards.
  • Knowledgeof accreditation standards such as NCQA, URAC, or Joint Commission.
  • Excellentorganizational, problem-solving, and communication skills.
  • Abilityto manage multiple priorities in a fast-paced environment.

Preferred
  • CertifiedProvider Credentialing Specialist (CPCS) certification.
  • Experienceleading credentialing operations or serving as a team lead.
  • Experiencesupporting multi-state healthcare organizations.
  • Advancedreporting and process improvement experience.

Success Measures
  • Credentialingand enrollment turnaround times meet or exceed organizational goals.
  • Providercredential expirations are proactively managed with minimal to no lapses.
  • Escalatedcredentialing issues are resolved efficiently and effectively.
  • Accreditationand audit requirements are consistently met.
  • Credentialingqueue remains current and within established service level agreements.
  • Highlevels of provider and internal stakeholder satisfaction.

Reports To: Director of Provider Relations and Credentialing
Classification: Full-Time
Department: Provider Network Operations / Credentialing & Enrollment
Requirements
Education
  • High school diploma or GED required
  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
Experience
  • 3+ years of provider credentialing or medical staff services experience preferred
  • Experience with payer enrollment and provider credentialing processes
  • Knowledge of commercial, Medicare, and Medicaid enrollment requirements
  • Experience working in a healthcare organization, provider network, or health plan preferred
Required Knowledge
  • Provider credentialing and re-credentialing processes
  • Primary Source Verification (PSV)
  • CAQH ProView maintenance
  • NPI and PECOS enrollment
  • Medicare, Medicaid, and commercial payer enrollment
  • NCQA, CMS, Joint Commission, and state regulatory requirements
  • Provider file maintenance and document management
  • Medical terminology and healthcare operations
Technical Skills
  • Microsoft Office (Excel, Word, Outlook)
  • Credentialing software
  • Electronic document management systems
  • Database management and accurate data entry
  • Internet research and state licensing board websites
Core Competencies
  • Exceptional attention to detail
  • Strong organizational skills
  • Time management and prioritization
  • Excellent written and verbal communication
  • Customer service orientation
  • Problem-solving and critical thinking
  • Ability to manage multiple deadlines
  • Ability to work independently and collaboratively
  • Confidentiality and professionalism

Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off (PTO)
Employee Assistance Program (EAP)
401(k) with Employer Contribution
Health Savings Account (HSA)
Flexible Savings Account (FSA)
Referral Program
Life Insurance
Discounted Gym Membership

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