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Credentialing Manager Jobs in Rosedale, NY (NOW HIRING)

Records Management: Maintains assigned physician files, updating each item/action as processed ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...

Records Management: Maintains assigned physician files, updating each item/action as processed ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...

Credentialing Coordinator

Jericho, NY · On-site

$27.88 - $29.81/hr

Manage provider records in online platforms for internal and external credentialing systems. Optimize efficiency and performs query, reports and document generation. 3. Compliance & Auditing: Ensure ...

Records Management: Maintains assigned physician files, updating each item/action as processed ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...

Records Management: Maintains assigned physician files, updating each item/action as processed ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...

This position manages provider applications, credentialing documentation, database records, compliance requirements, and expiration tracking while ensuring all credentialing activities meet ...

Under the supervision of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with participating client health plans. Credentialing ...

Showing results 21-40

Credentialing Manager information

See Rosedale, NY salary details

$45.7K

$89.4K

$138.3K

How much do credentialing manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for credentialing manager in Rosedale, NY is $89,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,300.00 and $99,400.00 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 Rosedale, NY?

The most popular types of Credentialing jobs in Rosedale, NY are:

What job categories do people searching Credentialing Manager jobs in Rosedale, NY look for?

The top searched job categories for Credentialing Manager jobs in Rosedale, NY are:

What cities near Rosedale, NY are hiring for Credentialing Manager jobs?

Cities near Rosedale, NY with the most Credentialing Manager job openings:

Infographic showing various Credentialing Manager job openings in Rosedale, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $89,396 per year, or $43 per hour.

Credentialing Coordinator

ISLAND PEER REVIEW ORGANIZATION INC

Jericho, NY • On-site

$27.88 - $29.80/hr

Full-time

Posted 9 days ago


Key responsibilities

  • Coordinate, prepare, submit, and monitor credentialing and re-credentialing applications for Clinical Reviewers, including the VHA PIV card process.

  • Maintain and manage provider records within electronic databases and credentialing platforms, generating reports and documentation.

  • Ensure provider files remain compliant with standards, regulations, and organizational policies, and monitor credential expiration and renewal requirements.


Job description

Credentialing Coordinator

In this role you will be responsible for all activities associated with onboarding and credentialing of Clinical Reviewers, specifically for IPRO’s VHA Peer Review Contract. Duties include but are not limited to the processing of provider applications and re-applications; reviewing and loading information into the database tracking system to ensure high-quality standards are maintained and compliant with all regulatory and organizational standards.

This position is based in the Jericho, NY office. 

DUTIES: 

  • Application Management: Coordinate, prepare, submit, and monitor initial credentialing and recredentialing applications for all Clinical Reviewers, including the VHA Federal Personal Identity Verification (PIV) card process. Submit applications to the Credentialing Verification Organization (CVO), collaborate with IPRO’s Credentialing Coordinator, and provide ongoing follow-up to ensure timely completion of all credentialing requirements.
  • Database Administration: Maintain and manage provider records within electronic databases and credentialing platforms. Generate queries, reports, and documentation while identifying opportunities to improve operational efficiency and data integrity.
  • Compliance and Audit Management: Ensure provider files remain fully compliant with URAC standards, applicable state and federal regulations, contractual obligations, and organizational policies. 
  • Expiration and Renewal Oversight: Monitor and track the expiration of critical credentials and documentation, including state licenses, CPR certifications, malpractice and liability insurance, and other required credentials. Facilitate timely renewals to ensure uninterrupted compliance.
  • Stakeholder Communication and Coordination: Serve as the primary point of contact among Clinical Reviewers, Medical Directors, and internal departments to resolve discrepancies, streamline onboarding activities, and support credentialing processes. Provide timely assistance regarding applications, documentation requirements, appointments, and PIV card access and facilitation.
  • Meeting Management Coordinate and facilitate ongoing Credentialing Committee meetings involving internal stakeholders, external partners, clinical team members, and Medical Directors. Prepare meeting materials, document outcomes, and support follow-up activities as required.
  • Recruitment and Onboarding Support: Provide support for recruitment, onboarding, and related departmental initiatives as assigned. 

QUALIFICATIONS: 

  • Exceptional written and verbal communication skills, with a demonstrated commitment to accuracy and attention to detail. 
  • Strong interpersonal and relationship-building abilities, with the capacity to effectively engage and collaborate with internal and external stakeholders at all organizational levels. 
  • Highly developed organizational and time-management skills, with the ability to prioritize competing responsibilities and manage multiple assignments concurrently.
  • Demonstrated ability to maintain a professional, courteous, and positive demeanor in all interactions. 
  • Capable of working independently with minimal supervision while contributing effectively within a collaborative team environment.
  •  Advanced computer proficiency, including extensive experience with Microsoft Office applications (Word, Excel, Access, and PowerPoint). 
  • Strong database management capabilities, including querying and document generation. 
  • Proven ability to ensure the accuracy, integrity, and quality of reports, records, and data. 
  • Comprehensive understanding of healthcare and credentialing processes, including the importance of maintaining confidentiality and safeguarding sensitive information. 

EDUCATION & EXPERIENCE: 

  • Associate degree in healthcare administration, business, or related field, required.
  • Bachelor’s degree in healthcare administration, business, or related field, preferred. 
  • A minimum of three (3) years of work experience in a healthcare setting with multiple project responsibilities, required. 
  • Two (2) years of credentialing experience, especially with government organizations, required.

The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $27.88 - $29.80. Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.

The salary range listed does not include other forms of compensation or benefits.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.