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Credentialing Manager Jobs in Addison, TX (NOW HIRING)

Managed Staffing

Credentialing Coordinator

Dallas, TX · Remote

$18 - $19/hr

Credentialing Coordinator Location: Farmers Branch, TX (Local candidates preferred) Work Model: Hybrid -- Must work CST hours Pay Rate: $18.45/hr (W2) About the Role The Credentialing Coordinator ...

Armada Ltd

Credentialing Specialists

Dallas, TX · On-site

View, manage, and check daily appointments in time trade scheduling tool Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access Cards ...

Armada Ltd

Credentialing Specialists

Dallas, TX

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Armada Ltd

Credentialing Specialists

Dallas, TX · On-site

View, manage, and check daily appointments in time trade scheduling tool Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access Cards ...

Src

Managed Care Credentialing Coordinator

Dallas, TX · On-site

Managed Care Credentialing Coordinator Location: Dallas - Hospital Additional Posting Details: Monday - Friday Regular business hours: 40-hour work week Remote - Must live in DFW Metroplex Duties ...

CVS Health

Credentialing Specialist

Dallas, TX · On-site +1

$17 - $28.46/hr

The Credentialing Specialist is responsible for overseeing and managing the administrative and compliance processes related to the collaboration agreements between Nurse Practitioners (NPs ...

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All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Addison, TX

Credentialing Manager information

See Addison, TX salary details

$42.1K

$82.3K

$127.3K

How much do credentialing manager jobs pay per year?

As of Aug 15, 2026, the average yearly pay for credentialing manager in Addison, TX is $82,314.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,000.00 and $91,500.00 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 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.
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Credentialing Manager jobs near you

Credentials Liaison Specialist

Bracane Co

Plano, TX

Full-time

Re-posted 20 days ago

Job description

We are hiring candidates for Madea Home Care Services, LLC 

Administration / Human Resources / Compliance

Position Summary

Will oversee and manage all credentialing, compliance, verification, and onboarding activities for clinical and non-clinical personnel at Madea Home Care Services. This position ensures that nurses, home health aides, caregivers, contractors, and organizational vendors meet all regulatory, payer, licensing, and contractual requirements prior to providing services.

The Credentials Specialist serves as the central point of coordination for employment background checks, drug screening, license and certification verification, payer enrollment, EVV compliance, HIPAA compliance, and vendor registrations with healthcare facilities, hospitals, and government agencies.

This role is critical to maintaining organizational compliance with Texas HHSC, CMS, Medicare, Medicaid, VA/Tricare, HIPAA, and other federal, state, and local regulatory standards.

Essential Duties & Responsibilities Credentialing & Compliance Oversight

  • Manage and oversee all credentialing activities for:
  • Registered Nurses (RNs)
  • Licensed Vocational Nurses (LVNs)
  • Home Health Aides (HHAs)
  • Certified Nursing Assistants (CNAs)
  • Personal Caregivers
  • Contractors and agency representatives

Verify and maintain:

  • Professional licenses
  • Certifications
  • CPR credentials
  • Insurance documentation
  • Continuing education requirements

Drug Screening Coordination

Payer & Insurance Credentialing

Commercial insurance plans

Private pay programs

EVV & HIPAA Compliance

Monitor EVV exceptions and reporting requirements

Vendor Registration & Contract Compliance

Client Intake & Referral Coordination

Assist with client intake and referral coordination processes

Assist with verification of payer eligibility and authorization status for services

Maintain communication with referral sources and families regarding onboarding status and service coordination

Support continuity of care by ensuring referrals are transitioned efficiently into active service cases

Maintain accurate intake and referral tracking logs for compliance, reporting, and audit purposes

Documentation & Record Management

Maintain accurate and organized credentialing files

Monitor expiration dates and renewal requirements

Prepare documentation for:

Surveys

Audits

Accreditation reviews

Regulatory inspections

Maintain credentialing dashboards and compliance tracking systems

Qualifications Education

Associate?s or Bachelor?s degree in:

Healthcare Administration

Business Administration

Human Resources

Nursing

Related field preferred

Experience

Minimum 3?5 years of experience in:

Healthcare credentialing

Home health administration

Compliance management

Payer enrollment

Regulatory coordination

Experience with:

Medicare/Medicaid enrollment

EVV systems

HIPAA compliance

Vendor registration platforms

Knowledge, Skills & Abilities

Strong knowledge of:

Texas HHSC regulations

CMS requirements

HIPAA compliance

Credentialing standards

Excellent organizational and documentation skills

Ability to manage multiple deadlines and compliance requirements

Strong communication and problem-solving abilities

Proficiency with:

Credentialing databases

Microsoft Office

EVV systems

Electronic health records (EHR)

Compliance Expectations

The Credentials Manager is expected to:

Maintain confidentiality at all times

Adhere to Madea Home Care Services policies and procedures

Support survey readiness and audit preparedness

Promote ethical and compliant operational practices

Physical Requirements

Prolonged sitting and computer use

Ability to communicate effectively with staff and external agencies

Occasional travel for meetings or credentialing support, if required

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