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Credentialing Manager Jobs (NOW HIRING)

Network Temp Inc

Credentialing Coordinator

Bronx, NY · On-site

$30 - $35/hr

Under the supervision of the Credentialing Manager, the Credentialing Coordinator will organize and maintain all aspects of the credentialing process and functions related to the Credentialing ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV

$70K/yr

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

$70K - $85K/yr

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

The Manager, Credentialing plays a critical role in maintaining provider participation, supporting revenue cycle operations, reducing credentialing-related delays, and ensuring compliance with ...

Northern Light Health

Mgr- Credentialing

Brewer, ME · On-site +1

$35.92 - $55.13/hr

Leadership accountability will be expected in managing credentialing operations and activities by demonstrating current practices and by using and integrating technology. The Manager will be ...

Centene

Manager, Credentialing

$70K - $126K/yr

Bachelor's degree in related field or equivalent experience. 4+ years of credentialing or provider data experience. Experience in a managed care or insurance environment. Proficient in Excel highly ...

Centene

Manager, Credentialing

New Rochelle, NY · On-site

$70K - $126K/yr

Bachelor's degree in related field or equivalent experience. 4+ years of credentialing or provider data experience. Experience in a managed care or insurance environment. Proficient in Excel highly ...

Altais

$89 - $107/hr

This role manages the credentialing program for Altais affiliated entities, including employed clinicians, vendors providing clinical services on the MSOs behalf, as well as MSO services for any ...

New

Altais, Inc.

Senior Manager, Credentialing

This role manages the credentialing program for Altais affiliated entities, including employed clinicians, vendors providing clinical services on the MSOs behalf, as well as MSO services for any ...

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Credentialing Manager information

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$43.5K

$85K

$131.5K

How much do credentialing manager jobs pay per year?

As of Sep 4, 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 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 the United States as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Full-time Payer Credentialing Manager - Remote (US)

Theoria Medical

Novi, MI • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Payer Credentialing Manager

Position Type: Full-time

Compensation: TBA

Company Overview

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer multispecialty physician services, telemedicine, remote patient monitoring, and more.

Job Summary

We're seeking a Payer Credentialing Manager to lead payer credentialing and re-credentialing processes for healthcare providers while ensuring compliance with accreditation standards, regulatory requirements, and organizational policies. This role includes oversight of payer enrollments, managing the payer credentialing team, maintaining data accuracy, and streamlining provider onboarding to reduce risk and support patient safety.

Shift Structure 

  • Remote position, TBA
Key Responsibilities
  • Oversee the processing of initial payer applications for health professionals, ensuring compliance with national accreditation standards and state/federal regulations.
  • Maintain and manage payer credentialing databases and electronic records, ensuring accuracy, confidentiality, and audit readiness.
  • Liaison with medical staff leadership, payers, licensure boards, and regulatory agencies to resolve credentialing issues promptly.
  • Supervise payer credentialing staff by coordinating workloads, providing training, monitoring performance, and ensuring quality outcomes.
  • Conduct regular audits of payer credentialing processes to identify gaps, implement corrective actions, and drive continuous improvement.

Qualifications 

Education

  • Bachelor's degree in healthcare administration, business, or related field.

Experience

  • Minimum of 3 years in payer credentialing or healthcare administration.
  • 1–3 years in a supervisory or managerial role.
  • Demonstrated experience with payer enrollment processes.

Technical Proficiency/Skills

  • Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion).
  • Strong knowledge of databases and Microsoft Office applications (Excel, Access, Word).
  • Strong organizational skills, attention to detail, communication, problem –solving, and knowledge of regulatory guidelines.

Compensation and Benefits 

  • Competitive salary
  • 401(k) with employer match
  • Health, dental, and vision insurance
  • PTO + paid holidays
  • Life insurance coverage
  • Remote flexibility with a national legal scope 

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation.  Employer retains the right to change or assign other duties to this position.

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