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Credentialing Manager Jobs in Rancho Cucamonga, CA

As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ... Exceptional organization skills, with sharp attention to detail and ability to manage multiple ...

As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ... Exceptional organization skills, with sharp attention to detail and ability to manage multiple ...

Credentialing Specialist

Chino, CA · On-site

$24 - $33/hr

As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ... Exceptional organization skills, with sharp attention to detail and ability to manage multiple ...

Evaluation & Credentialing: * Knowledge Develop and maintain thorough and comprehensive knowledge ... Support credential services and departmental accreditation efforts Database Management Admissions

Credential Analyst II

Pomona, CA · On-site

$5.0K - $5.2K/mo

Evaluation & Credentialing: * Knowledge Develop and maintain thorough and comprehensive knowledge ... Support credential services and departmental accreditation efforts Database Management Admissions

Credentialed Recovery Counselor

Orange, CA · On-site

$23.75 - $32/hr

... manage clients in various therapeutic settings. • Enforce the rules and regulations of Newport Academy including executing behavioral/recovery contracts as needed • With written consent ...

Credentialed Recovery Counselor

Orange, CA · On-site

$23.75 - $32/hr

Ability to maintain healthy boundaries, set limits and manage clients in various therapeutic ... Must have credential or license or be credential-eligible or license-eligible as a CADC or LADAC in ...

Open to both Credentialed School Nurses and RNs with a bachelor's degree who are interested in ... Manage chronic conditions such as asthma, diabetes, and severe allergies * Administer medications ...

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Credentialing Manager information

See Rancho Cucamonga, CA salary details

$44.5K

$86.9K

$134.4K

How much do credentialing manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for credentialing manager in Rancho Cucamonga, CA is $86,894.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,400.00 and $96,600.00 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.

What are the most commonly searched types of Credentialing jobs in Rancho Cucamonga, CA?

The most popular types of Credentialing jobs in Rancho Cucamonga, CA are:

What are popular job titles related to Credentialing Manager jobs in Rancho Cucamonga, CA?

For Credentialing Manager jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:

What job categories do people searching Credentialing Manager jobs in Rancho Cucamonga, CA look for?

The top searched job categories for Credentialing Manager jobs in Rancho Cucamonga, CA are:

What cities near Rancho Cucamonga, CA are hiring for Credentialing Manager jobs?

Cities near Rancho Cucamonga, CA with the most Credentialing Manager job openings:

Infographic showing various Credentialing Manager job openings in Rancho Cucamonga, CA as of June 2026, with employment types broken down into 82% Full Time, 16% Part Time, 1% Temporary, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $86,894 per year, or $41.8 per hour.

Credentialing Specialist

Akido

Chino, CA • On-site

Full-time

Medical, Dental, Vision, Life

Re-posted 9 days ago


Job description

The Opportunity

Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing Specialist, you'll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals - so patients always have uninterrupted access to care.

Credentialing/enrollment activities on this team include:

  • Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals.
  • Following up with health plans and hospitals on submitted applications.
  • Solve complicated credentialing-related issues directly with IPAs and health plans. 
  • Maintaining a clean database of provider data and enrollment-related activities in MD Staff. 
  • Applying for license renewals.
  • Communicating with providers on credentialing-related updates. 

This is a hands-on role where you will work with the Credentialing Supervisor and fellow Credentialing Coordinators to ensure all work is completed in a timely and accurate fashion. If you're energized by improving processes and building a credentialing function that supports high-quality care, we'd love to meet you!

What You'll Do

  • Work amongst a team of credentialing/enrollment specialists to deliver accurate, timely, and compliant work - including completing credentialing/enrollment tasks. 
  • Process credentialing, re-credentialing, and privileging applications to keep providers active and patient care uninterrupted.
  • Solve enrollment-related issues as they arise, working directly with health plans to get them resolved. 
  • Monitor application timelines to prevent delays and resolve escalated issues from staff, clinics, and providers.
  • Maintain high data quality, including both provider data as well as credentialing data, like expiration dates, contact information, etc. 
  • Follow SOPs and policies that are designed to streamline workflows and strengthen compliance.
  • Maintain compliance with the state, federal, and payer-specific credentialing requirements.
  • Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations.

Who You Are

  • Bachelor's degree in healthcare administration, business, or related field (preferred).
  • 3+ years of experience in provider credentialing.
  • Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
  • Excellent problem-solving and critical thinking skills, with the ability to resolve escalated issues.
  • Exceptional organization skills, with sharp attention to detail and ability to manage multiple priorities.
  • Strong written and verbal communication and interpersonal skills to collaborate cross-functionally and with external stakeholders.
  • Experience with credentialing software and databases (preferred).

Benefits

  • Health benefits include medical, dental and vision
  • Life insurance
  • Paid Leaves

Location

  • This full-time role is in-person in Chino.