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Credentialing Manager Jobs in Rio Rancho, NM (NOW HIRING)

VTP Holdings

Credentialing Specialist

Albuquerque, NM · On-site

The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with ...

VTP Holdings

Credentialing Specialist

Albuquerque, NM · On-site

$20 - $24/hr

The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with ...

VTP Holdings

Credentialing Specialist

Albuquerque, NM · On-site

$20 - $24/hr

The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with ...

KPMG

Tax Manager, Asset Management

Albuquerque, NM · On-site

$107K - $141K/yr

KPMG is currently seeking a Tax Manager to join our Business Tax Services practice ... Licensed CPA, EA or JD/LLM, in addition to others on KPMG's approved credential listing; any ...

Loyal Source

Nurse Case Manager

Albuquerque, NM · On-site

Commission for Case Management Certification or American Nurse Credentialing Center. * The contractor shall possess the ability to seek feedback from peers, professional colleagues, clients, and ...

Butler Recruitment Group

Center Manager

Albuquerque, NM · On-site

Manager of Clinical Operations or Clinical Operations Director Job Summary Manage therapy center ... Credentials: Current state licensure and CPR certification. * Skills: Strong leadership, clinical ...

University of New Mexico

Program Manager

Albuquerque, NM · On-site

$4.2K - $6.0K/mo

Program Manager Requisition ID req37071 Working Title Program Manager Position Grade 13 Position ... Experience coordinating credentialing, licensing, or onboarding processes within a healthcare or ...

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Credentialing Manager information

See Rio Rancho, NM salary details

$40.9K

$80K

$123.7K

How much do credentialing manager jobs pay per year?

As of Jul 15, 2026, the average yearly pay for credentialing manager in Rio Rancho, NM is $79,980.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $88,900.00 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 are Credentialing Managers?

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, and why are they important?

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 Rio Rancho, NM? The most popular types of Credentialing jobs in Rio Rancho, NM are:
What are popular job titles related to Credentialing Manager jobs in Rio Rancho, NM? For Credentialing Manager jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Credentialing Manager jobs in Rio Rancho, NM look for? The top searched job categories for Credentialing Manager jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Credentialing Manager jobs? Cities near Rio Rancho, NM with the most Credentialing Manager job openings:
Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Rio Rancho, NM as of July 2026, with employment types broken down into 7% Locum Tenens, 2% As Needed, 61% Full Time, 16% Part Time, and 14% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $79,980 per year, or $38.5 per hour.

Credentialing Specialist

VTP Holdings

Albuquerque, NM • On-site

Other

Posted 12 days ago

Job description

Job Summary:

The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with Company and customer requirements. This role oversees credentialing activities across multiple healthcare facilities, including maintaining licenses, certifications, background checks, and other required documentation.

This is a fully remote position; however, candidates must reside within the posted hiring location(s). The ideal candidate is highly organized, detail-oriented, customer-focused, and comfortable managing credentialing processes independently while collaborating with internal teams, clinical leadership, healthcare facilities, and external customers.

Key Responsibilities:

  • Oversee and manage the credentialing process for clinical team members across multiple healthcare facilities.
  • Collaborate with Company's clinical leadership to establish and enforce appropriate credentialing documentation for all clinical team members.
  • Ensure that all required documentation is complete, accurate and up to date including licenses, certifications and background checks.
  • Maintain detailed records of credentialling activities and ensure compliance with healthcare regulations and standards.
  • Serve as a point of contact between healthcare facilities, the credentialing team, and vascular access nurse specialists to address inquiries and provide updates on credentialing statuses. Which may include billing clients after the credentialing service.
  • Collaborate with internal teams to streamline processes and ensure timely completion of credentialing tasks.
  • Coordinate with Company's customers to understand specific credentialing requirements and ensure all criteria are met.
  • Perform routine audits of credentialing files and take necessary actions to address any issues or discrepancies.
  • Provide exceptional customer service to both internal and external customers during the credentialing process.
  • Utilize Microsoft Office tools as needed (Word, Excel, Outlook) for documentation, reporting and communication.
  • Work with the clinical management team to schedule in-person orientations.
  • Place authorization orders for updates to clinical team member credentials.

Skills and Qualifications:

  • Strong organizational skills with the ability to manage multiple tasks and deadlines.
  • Excellent customer service and communication skills, both verbal and written.
  • Ability to work collaboratively with a team and external contacts.
  • Proficiency in Microsoft Office tools (Word, Excel, Outlook).
  • Understanding of healthcare processes and credentialing requirements.
  • Strong attention to detail and commitment to accuracy.
  • Ability to handle sensitive and confidential information with professionalism and discretion.

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