ZipRecruiter

Log In

1

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

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 ...

Albuquerque Behavioral Care.

Be Seen First

Behavioral Technician/ Case Manager

Albuquerque, NM · On-site

$17 - $21/hr

Behavioral Health Technician / Case Manager -- Daytime & Overnight Shifts Albuquerque Behavioral ... Perform only services and duties appropriate to your training, credentials, and assigned ...

Sheakley Workforce Staffing

Safety Manager

Los Lunas, NM · On-site

$56 - $60/hr

Safety Manager | Meta Data Center Project???? Los Lunas, New Mexico???? $56-$60 per hour + $155 per ... built for a credentialed safety professional who thrives in the field, knows data-center ...

Sheakley Workforce Staffing

Safety Manager

Los Lunas, NM · On-site

$155/hr

Safety Manager | Meta Data Center Project Los Lunas, New Mexico $54-$56 per hour + $155 per diem 60 ... Initial duration of 2+ months This position is built for a credentialed safety professional who ...

next page

Showing results 1-20

All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Rio Rancho, NM

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 Sep 12, 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 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.

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 September 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $79,980 per year, or $38.5 per hour.

Medical Staff Credential Coordinator

Albuquerque, NM • On-site

Presbyterian Healthcare Services
Hospitals • 10K+ employees
Learn more about Presbyterian Healthcare Servicesexternal

$41K - $71K/yr

Full-time

Medical, Dental, Vision, Life

This job post has expired 1 day ago. Applications are no longer accepted.

Presbyterian Healthcare Services rating

7.0

Company rating: 7.0 out of 10

Based on 165 frontline employees who took The Breakroom Quiz

Job description

Location Address:
1100 Central Ave SEAlbuquerque, NM 87106-4930
Compensation Pay Range:
Minimum Offer $41,808.00Maximum Offer $71,156.80Now Hiring: Medical Staff Credential Coordinator
Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical Staff Credential Coordinator to support the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers. This position requires in-depth knowledge of medical and allied health staff credentialing processes and requirements. Investigates issues of concern and conducts follow-up as needed, generates reports and presents findings to the Manager of Medical Staff Affairs (MSA) or Manager of Credentials Verification Organization (CVO). Serves as a subject matter expert to other PHS departments and facilities as it relates to the processing of initial and/or reappointment applications and/or privileging.Type of Opportunity: Full timeJob Exempt: YesJob is based: Presbyterian HospitalWork Shift: Days (United States of America)
Responsibilities:
This person will be responsible for assigned duties and responsibilities to ensure compliance with the Medical Staff Bylaws, Rules/Regulations and/ or the daily work flow of the CVO. Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements. Manages special projects as assigned
  • Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals
  • Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered. * Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
  • Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department
  • Maintains statistical information relative to the department s quality indicators
  • Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work
  • Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes
  • Maintains knowledge base of appropriate national accrediting agencies

Qualifications:
  • Associate s Degree/Diploma in medical staff services studies, or a related field preferred.
  • Three to five years experience in medical staff affairs/credentialing, credentials verification organization, or related field preferred.
  • Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers.
  • Requires excellent time management and organizational skills in order to handle multiple projects simultaneously.
  • Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

What Presbyterian Healthcare Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Presbyterian Healthcare Services logo

About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

Social media

FacebookTwitter

View All Presbyterian Healthcare Services Jobs

Apply