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Credentialing Manager Jobs (NOW HIRING)

Orlando Health

Mgr, Credentialing, MSS

Lakeland, FL · On-site

Position Summary The Medical Staff Services Credentialing Manager is responsible for overseeing the development, implementation, and integrity of the initial credentialing and reappointment ...

Careington

Healthcare Credentialing Manager

Frisco, TX · On-site

Lead, coach, and develop a team to manage credentials for members in the Careington network. * Model high-quality leadership behaviors that reinforce accountability, ownership, curiosity, and member ...

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Credentialing Manager information

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$131.5K

How much do credentialing manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for credentialing manager in the United States is $85,031.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $94,500.00 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 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 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.
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Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Pharmacy Licensing & Credentialing Manager

BaRupOn LLC

Irvine, CA • On-site

$60K - $70K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago

Job description

Job Summary

The Pharmacy Licensing & Credentialing Manager is responsible for managing and maintaining licensure, certifications, and credentialing documentation for BaRupOn's pharmacies, pharmacists, and technicians across multiple jurisdictions. This associate-level role ensures timely renewals, regulatory compliance, and audit readiness for pharmacy operations nationwide.

Key Responsibilities
  • Coordinate and maintain pharmacy licenses (state boards of pharmacy, DEA, FDA, etc.)
  • Submit applications for new licenses, renewals, and changes of ownership or address
  • Track expiration dates and regulatory deadlines using compliance management software
  • Maintain current credentials for pharmacists, technicians, and clinical staff
  • Collaborate with legal, operations, and HR to ensure all credentialing documents are current
  • Prepare documentation for regulatory audits, inspections, and accreditations
  • Monitor state/federal updates and compliance changes impacting pharmacy operations
  • Respond to inquiries from boards of pharmacy and credentialing bodies
Qualifications
  • Associate degree in Health Administration, Business, or a related field
  • 24 years of experience in pharmacy licensing, credentialing, or healthcare compliance
  • Knowledge of state pharmacy board regulations, NABP tools, and DEA registration processes
  • Strong organizational and record-keeping skills
  • Experience with credentialing systems or compliance platforms (e.g., Certemy, MedTrainer, Symplr)
  • Familiarity with USP <797>/<800>, HIPAA, and pharmacy operations
Preferred Skills
  • Experience in multi-state or multi-site pharmacy environments
  • Notary Public or Certified Provider Credentialing Specialist (CPCS) certification
  • Experience with FDA 503A/503B licensing or outsourcing facility registration
  • Understanding of CLIA, NABP inspections, or specialty pharmacy credentialing
Benefits
  • Health, dental, and vision insurance
  • 401(k) with employer match
  • Paid time off and company holidays
  • Continuing education and certification reimbursement
  • Key role in regulatory and operational expansion across new markets