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Credentialing Manager Jobs in Fort Mill, SC (NOW HIRING)

Kintegra Health

Credentialing Specialist

Gastonia, NC · On-site

Credentialing Specialist Department: Credentialing Status: Full-Time Position Classification ... Ability to establish and maintain effective working relationships with providers, management staff ...

Innova Solutions, Inc

CyberArk Engineer

Charlotte, NC · On-site

$49 - $54/hr

Manage credential lifecycle processes, including onboarding, rotation, and advanced credential management. * Automate workflows using PowerShell, Python, and Shell scripting to improve efficiency.

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Credentialing Manager information

See Fort Mill, SC salary details

$38.2K

$74.7K

$115.6K

How much do credentialing manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for credentialing manager in Fort Mill, SC is $74,721.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,200.00 and $83,000.00 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 Fort Mill, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 84% In-person, 8% Hybrid, and 8% Remote job distribution, with an average salary of $74,721 per year, or $35.9 per hour.

Credentialing Specialist

Kintegra Health

Gastonia, NC • On-site

Full-time

Posted 4 days ago

Kintegra Health rating

6.4

Company rating: 6.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Job Information

Title: Credentialing Specialist

Department: Credentialing

Status: Full-Time

Position Classification/Category: Hourly/non-exempt

Location: Corporate Office

Reports To: Credentialing Supervisor


 

Summary of Position

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at Kintegra Health. This role is responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. He/She will maintain up-to-date data for each provider in a credentialing database to ensure timely renewal of licenses and certifications. 

Minimum Qualifications

Must be able to sit, stand and walk for long periods of time. Able to read and understand the English language. Able to effectively maintain confidentiality of records and communicate with all levels of personnel. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management staff, and contacts outside the organization. Must be able to work with multiple changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Must be able to function as part of a team. Excellent attention to detail.

Experience: Experience in knowledge and understanding of the credentialing process. Minimum of (3) three years of experience in a healthcare setting.

Additional skills required: Ability to research and analyze data. Proficient use of Microsoft Office applications (Word, Excel, Outlook) and internet. Excellent verbal and written communication skills including letters, memos and emails

Additional skills preferred: MS Access

Education: A combination of experience and/or education/certification. Minimum 3 years’ experience in Credentialing with an Associate-related degree. 

Certification(s)/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.

Key Responsibilities 

  1. Compiles and maintains current and accurate data for all providers.
  2. Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
  3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
  4. Maintains corporate provider contract files.
  5. Maintains knowledge of current health plans and agency requirements for credentialing providers.
  6. Sets up and maintains provider information in online credentialing databases and systems.
  7. Tracks license and certification expirations for all providers and practices to ensure timely renewals.
  8. Ensures practice addresses are current with health plans, agencies and other entities.
  9. Processes applications for appointment and reappointment of privileges.
  10. Tracks license, DEA and professional liability expirations for appointed providers and

What Kintegra Health employees say

Pay

Hours and flexibility

Workplace

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