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Credentialing Manager Jobs in Lexington, SC (NOW HIRING)

BLAKE & PENDLETON INC

Area Manager

Columbia, SC

B&P is searching for an Area Manager in the Columbia, SC area to join our growing team! The primary ... and credentials * Grow new and existing accounts to their full potential, as well as generate ...

BLAKE & PENDLETON INC

Area Manager

Columbia, SC · On-site

B&P is searching for an Area Manager in the Columbia, SC area to join our growing team! The primary ... and credentials * Grow new and existing accounts to their full potential, as well as generate ...

Blake and Pendleton

Area Manager

Columbia, SC · On-site

B&P is searching for an Area Manager in the Columbia, SC area to join our growing team! The primary ... and credentials * Grow new and existing accounts to their full potential, as well as generate ...

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Showing results 21-40

All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Lexington, SC

Credentialing Manager information

See Lexington, SC salary details

$37.2K

$72.8K

$112.6K

How much do credentialing manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for credentialing manager in Lexington, SC is $72,783.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,800.00 and $80,900.00 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

Medical Staff Manager

Lexington Medical Center

West Columbia, SC • On-site

Full-time

Medical, Dental, Life, Retirement

Re-posted 3 days ago

Lexington Medical Center rating

7.0

Company rating: 7.0 out of 10

Based on 105 frontline employees who took The Breakroom Quiz

507th of 1,065 rated hospitals

Job description

Medical Staff
Full Time
Day Shift
8-4:30pm
Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Provides leadership, management and operational oversight of medical staff office and services. In collaboration with the Director, CMO, medical staff officers and other medical staff leaders, plans, organizes, directs and coordinates programs and activities of the medical staff to assure strategies of the MSO are supported and goals and plans are realized. Provides oversight and co-leadership in the development and initiation of a LMC Graduate Medical Education Program. Responsible for Provider Peer Review oversight; ensures Peer Review functions are carried out in timely and confidentially.
Minimum Qualifications
Minimum Education: Bachelor's Degree from an accredited institution/program or other equivalent education in business, medical staff office procedures or related field.
Minimum Years of Experience: 5 Years of experience in the management and coordination of Medical Staff Office Operations
Substitutable Education & Experience: None.
Required Certifications/Licensure: CPMSM Certification (Certified Professional Medical Staff Management) or must become certified within one year of hire into role and maintain with required CEs thereafter
Required Training: Hospital MSO experience or demonstration of deep understanding of medical terminology and processes;
Demonstrated successful experience at leadership and team building;
Effective professional business written and verbal communication skills;
Demonstrated excellent organization and time management skills and ability to manage multiple priorities effectively.
Technical knowledge of automated support system and office software.
Essential Functions
  • Reports directly to the Director of CQO/MSS for MSO management and operations and indirectly to the VP/CMO for medical staff/provider issues.
  • Directs daily operations of the Medical Staff Services Department, maintaining effective and efficient systems.
  • Responsible for the fiscal and personnel management of the Medical Staff Services Department
  • Direct reports include Administrative Assistant and Medical Staff Coordinators responsible for credentialing.
  • Ensures that the medical staff by-laws, rules & regulations and fair hearing documents are current, reflect current practice and are consistent and in compliance with all standards and regulations. and assures medical staff awareness and compliance to each.
  • Manages the medical staff and allied health credentialing program to include initial appointment, annual review, reappointment, proctoring, and privileging in accordance with regulatory, accrediting agency and bylaws requirements.
  • Plans, organizes and directs a centralized, comprehensive credentialing program for the medical staff and allied health PR actioners.
  • Coordinates medical staff activities and acts as a liaison between the medical staff, nursing and other clinical staff, and administration to ensure the administrative responsibilities of the Medical Staff are met.
  • Responsible for all Medical Staff meetings: agendas, organization, and prep of the Medical Staff Chair.
  • Provides technical and administrative support to the Medical Staff Officers, Medical Staff Department and Committee leaders and other medical staff members.
  • Develops and publishes the Medical Staff Calendar no less than monthly.
  • Oversees timely preparation, distribution and current maintenance of Medical Staff Call Schedules for Emergency Department unassigned call.
  • Maintains knowledge and compliance of current CMS/DNV medical staff standards as well as state and federal requirements.
  • Ensures that the medical staff by-laws, rules & regulations and fair hearing documents are current, reflect current practice and are consistent and in compliance with all standards and regulations. and assures medical staff awareness and compliance to each.
  • Maintains the master copy and working knowledge of the Medical Staff Bylaws, Rules and Regulations, Policies and Procedures. Assists in Medical Staff compliance and regular review to maintain current and complete documents.
  • Assists in orientation of new Medical Staff members, Medical Staff Department Chiefs and Committee Chairs and members in carrying out their assigned responsibilities.
  • Maintains financial records of Medical Staff application and reapplication funds.
  • Ensures supporting documentation (agenda, minutes, credentials reports, etc.) for medical staff meetings.
  • Processes follow-up requirements as necessary to facilitate effective Medical Staff activity documentation and communication per established policy.
  • Facilitates Medical Staff Governance of disruptive behavior and monitoring of active medical issues of medical staff members.
  • Facilitates Department review of FPPE, OPPE, and quality metrics of department/members.

Duties & Responsibilities
  • Develops, in conjunction with department chiefs, credentials committee chair, and administrative leadership, physician privileges of new or evolving clinical practices
  • Ensures administrative support of all Medical Staff Department and Committee meetings which includes: preparation of the agenda, recording minutes, initiating and/or providing follow-up actions as appropriate and all other support functions for meetings, i.e., meeting room schedules, AV equipment, dietary, follow-up activities.
  • Works with The Center for Quality Outcomes to provide the department chiefs and committee chairman with performance improvement reports and data for presentations and other activities.
  • Coordinates and provides administrative support to the Medical Staff/Affiliated Professional Staff in initial credentialing and privilege delineation activities in accordance with the Medical Staff policies, Bylaws, Rules and Regulations.
  • Closely monitors information collection, evaluates adequacy and quality, and pursues additional information if necessary for effective and comprehensive peer review decision-making.
  • Coordinates and facilitates both the informal and formal credentialing/peer review recommendations.
  • Works closely with the CMO, Chief of Staff, appropriate department chief and the credentials committee in the review/recommendation process, including recommendations adverse to the applicant.
  • Ensures integrity of all files, electronic and/or hard copy, for members of the Medical Staff and Affiliated Professional Staff.
  • Coordinates maintenance of the Medical Staff credentials software.
  • Ensures maintenance of all expirables, i.e., licenses, certifications, insurance.
  • Ensures maintenance of demographic information for all practitioners.
  • Ensures accuracy of clinical privileging information for all practitioners for use by hospital staff.
  • Ensures posting of complete and accurate Medical Staff and Affiliated Professional Staff rosters.
  • Maintains personal adherence to professional confidentiality standards, established within the department and in accordance with legal, ethical, and hospital policies.
  • Ensures data security and confidentiality.
  • Supports the Informatics needs of Medical Staff Members.
  • Coordinates security access and training for Epic system.
  • Supports LMConnect eblast.
  • Supports Stethoscoop Publications.
  • Work closely with the Director, CMO, Chief of Staff and Administration to coordinate the annual Medical Staff Retreat. Provides all support functions for meetings, i.e., reservations, meeting and function needs, recreation, etc.
  • Supports functions of the Health Management Committee.
  • Other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:
  • Day ONE medical, dental and life insurance benefits
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance - equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

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