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Credentialing Manager Jobs in Ohio (NOW HIRING)

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Credentialing Manager information

See Ohio salary details

$41.4K

$80.8K

$125K

How much do credentialing manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for credentialing manager in Ohio is $80,838.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,800.00 and $89,800.00 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 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 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.
More about Credentialing Manager jobs
What are the most commonly searched types of Credentialing jobs in Ohio? The most popular types of Credentialing jobs in Ohio are:
What are popular job titles related to Credentialing Manager jobs in Ohio? For Credentialing Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Credentialing Manager jobs in Ohio look for? The top searched job categories for Credentialing Manager jobs in Ohio are:
What cities in Ohio are hiring for Credentialing Manager jobs? Cities in Ohio with the most Credentialing Manager job openings:
Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Ohio as of August 2026, with employment types broken down into 80% Full Time, 19% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $80,838 per year, or $38.9 per hour.

Credentialing Specialist

Integrated Services for Behavioral Health

Columbus, OH • On-site

$23.85 - $28.02/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

We are seeking a Credentialing Specialist!
Southeast, OH
Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. All our services are intended to be collaborative and personalized for the individual.
The Credentialing Specialist is responsible for processing supporting provider credentialing processes as well as conducting some client billing and other operations leading to reimbursement for behavioral health care and related services. The position is primarily focused on Medicaid, though it may work with Medicare and/or private payers.
The pay range for this position is $23.85 - $28.02 per hour based on experience, education, and/or licensure.
Essential Functions:
  • Maintain individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications.
  • Maintain contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid, PECOS, NPPES, and CAQH tracking log to ensure all necessary portals logins are active and available.
  • Work with individual providers to ensure each provider's CAQH database files are updated in a timely manner according to the schedule published by CMS, Medicare/ Medicaid, and Managed Care Organizations regulations.
  • Complete a new individual provider application for the National Provider Identifier (NPI).
  • Terminating enrollment with government and commercial payers upon resignation or termination of providers.
  • As directed, provide updated demographic information with supporting documents to outside participants, such as commercial managed care plans and contracted billing entities.
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
  • Responsible for ensuring provider-collected information is current and accurate to ensure all individual providers are credentialed and recredentialed in a timely.
  • Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process, re-credentialing, and contracting processes with insurance companies.
  • Contacting Managed Care Organizations, Commercial plans, CMS Medicare, Medicaid and/or other insurance agencies to follow up on several stages in credentialing.
  • Identifies potential onboarding issues or concerns; research provides clarification, and facilitates problem resolution.
  • Attend internal and external trainings as needed.
  • Other tasks as needed to support the Integrated Services Billing Department.

Education/Licensure:
  • A high school Diploma or GED equivalent is required
  • A bachelor's degree in accounting, credentialing, or a related field is preferred.

Experience:
  • 1 year of experience in credentialing in Ohio Behavioral Health Medicaid is required
  • 3 years of experience using an electronic health record system to process claims is preferred

Knowledge, Skills, and Abilities:
  • A broad knowledge of community service systems is required
  • Knowledge of electronic health record systems is required
  • Excellent communication skills, both oral and written is required
  • Excellent organizational skills are required
  • A valid driver's license and the ability to operate a motor vehicle is required
  • An appropriate level of auto insurance coverage is required
  • Ability to manage deadlines within a fast-paced, high-volume environment is required
  • The ability to operate in an Internet-based, automated office environment is required
  • The ability to maintain a high-speed internet connection is required

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!
Benefits include:
  • Medical
  • Dental
  • Vision
  • Short-term Disability
  • Long-term Disability
  • 401K w/ Employer Match
  • Employee Assistance Program (EAP)

To learn more about our organization: https://integratedservices.org/
OUR VISION
Healthy people. Strong communities.
OUR MISSION
Delivering exceptional care through connection.
OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope.
Collaboration - We listen to understand and ask how we can best support the people and communities we serve.
Wellbeing - We celebrate one another's strengths, and we support one another in being well.
Excellence - We demand high-quality care for those we serve and are a leader in how we care for one another as a team.
Innovation - We deeply value diversity of thought and experience, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible.
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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