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Credentialing Manager Jobs in Springfield, VA (NOW HIRING)

Submit and manage enrollment applications with Medicare (PECOS), Medicaid portals (e.g., EPREP), CAQH, Availity, and other payor-specific platforms. * Conduct primary source verification for ...

Credentialing Specialist

Bethesda, MD · On-site

$23 - $28.50/hr

Job Summary Our client is seeking a Credentialing Specialist to join their team. The primary ... Submit and manage enrollment applications with Medicare (PECOS), Medicaid portals (e.g., EPREP ...

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Ability to manage multiple tasks, to prioritize needs and expedite credentialing upon request. * Strong communication skills with a focus on customer service. * Ability to work in a multi-cultural ...

Ability to manage multiple tasks, to prioritize needs and expedite credentialing upon request. * Strong communication skills with a focus on customer service. * Ability to work in a multi-cultural ...

Ability to manage multiple tasks, to prioritize needs and expedite credentialing upon request. * Strong communication skills with a focus on customer service. * Ability to work in a multi-cultural ...

YES, nationwide to support onsite credentialing operations as mission needs require.Security Clearance Required: N/ACONTINGENT UPON AWARDING OF GOVERNMENT CONTRACT*****Credentialin.

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Credentialing Manager information

See Springfield, VA salary details

$45.4K

$88.8K

$137.4K

How much do credentialing manager jobs pay per year?

As of Jun 27, 2026, the average yearly pay for credentialing manager in Springfield, VA is $88,817.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,800.00 and $98,700.00 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.
What are the most commonly searched types of Credentialing jobs in Springfield, VA? The most popular types of Credentialing jobs in Springfield, VA are:
What job categories do people searching Credentialing Manager jobs in Springfield, VA look for? The top searched job categories for Credentialing Manager jobs in Springfield, VA are:
What cities near Springfield, VA are hiring for Credentialing Manager jobs? Cities near Springfield, VA with the most Credentialing Manager job openings:
Infographic showing various Credentialing Manager job openings in Springfield, VA as of June 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $88,817 per year, or $42.7 per hour.
CREDENTIALING MANAGER

CREDENTIALING MANAGER

Korak Healthsource Group

Washington, DC • On-site

Other

Posted 3 days ago


Job description

Additional Information

All your information will be kept confidential according to EEO guidelines.


Korak Healthsource Group logo

About Korak Healthsource Group

Sourced by ZipRecruiter

Korak Healthsource Group Inc., looks beyond today’s challenges and creates values for the future. Today’s Claims Management clients need the organizational flexibility for all staffing solutions to drive cost savings, efficiencies improvements and enhancement to process effectiveness. Korak Healthsource is dedicated to developing innovative partnerships, creating customized staffing solutions, cost-effective and efficient health care claims administration outsourcing and support services to meet your business goals. Our focus is on your business goals to drive business process improvement, solution effectiveness and technology enhancements to accelerate results.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Forest Hill, MD, US

Year founded

1996