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Credentialing Manager Jobs in Sumter, SC (NOW HIRING)

Doctors Care

Northeast Center Manager FT

Columbia, SC · On-site

Center Manager Location: Northeast Novant Health Urgent Care Status: Full-Time Who Are We? Part of ... Ensure compliance with regulatory standards and credentialing requirements. * Review financial ...

New

Pwc

Asset & Wealth Management Tax Manager

Columbia, SC · On-site

$99K - $266K/yr

... credentials may qualify for this opportunity What Sets You Apart - Thorough knowledge of compliance and consulting for financial partnerships - Knowledge of structuring funds to limit tax liability ...

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All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Sumter, SC

Credentialing Manager information

See Sumter, SC salary details

$38.7K

$75.7K

$117.1K

How much do credentialing manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for credentialing manager in Sumter, SC is $75,726.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,000.00 and $84,200.00 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.

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Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Sumter, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $75,726 per year, or $36.4 per hour.

Management and Program Analyst

Criminal Investigation & Law Enforcement | IRS Careers

Columbia, SC • On-site

$89K/yr

Full-time

Re-posted 24 days ago

Internal Revenue Service rating

7.3

Company rating: 7.3 out of 10

Based on 131 frontline employees who took The Breakroom Quiz

177th of 297 rated public sector bodies

Job description

WHAT IS LARGE BUSINESS & INTERNATIONAL?

A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position to be filled in following area:
    • LBI - Director Withholding Exchange/International Individual Compliance - Withholding Exchange and International Individual Compliance (WEIIC), Foreign Payments Practice (FPP), Withholding and Credits

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
QUALIFICATION REQUIRMENTS: To qualify for this position, you must meet the qualification requirements outlined below:
SPECIALIZED EXPERIENCE GS-12: To be eligible for this position, you must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the GS-11 grade level in the Federal service.
Specialized experience includes:
Experience applying evaluative and analytical methods to measure program or project accomplishments, assess progress against established goals, and revise methods or develop information-gathering approaches.
Experience applying project management techniques to plan, schedule, conduct, and monitor projects involving organizational missions, work processes, and administrative operations.
Experience analyzing operational information to identify problem areas, trends, deficiencies, and other factors affecting program or project results.
Experience applying budgeting methods and techniques to prepare resource analyses and cost estimates related to project or program requirements.
Experience presenting analytical findings and recommendations and negotiating solutions to identified operational or project issues.
AND
You must also meet the following requirement(s):

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens"
  • TIME IN GRADE (TIG): For positions above the GS-05,applicants must meet applicable time-in-grade requirements to be considered eligible. One year (52 weeks) at the next lower grade level is required to meet the time-in-grade requirements for the grade you are applying for. For positions at the GS-05, you cannot advance to the GS-05 if you have held a GS-02 in the past 52 weeks. There is no TIG restriction for GS-02, 03 or 04 positions.


For more information on qualifications please refer to OPM's Qualifications Standards.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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