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Credentialing Program Manager Jobs in Ohio (NOW HIRING)

Program Manager

Canton, OH · On-site

$125K/yr

Specialized experience would include one year of substantive supervisory or program management ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

Program Manager

Dayton, OH · On-site

$125K/yr

Specialized experience would include one year of substantive supervisory or program management ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

Program Manager

Toledo, OH · On-site

$125K/yr

Specialized experience would include one year of substantive supervisory or program management ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

PMP certification or equivalent program/project management credential * Familiarity with AS9100 and aerospace quality management systems Key Competencies * Hands-on, roll-up-your-sleeves problem ...

Program Manager Location: Wright Patterson AFB, OH (On-site) Schedule: Monday-Friday, 0730-1630 ... Provide credentialing support by tracking nursing licensure, certifications, Basic Life Support ...

Program Manager Location: Wright Patterson AFB, OH (On-site) Schedule:Monday-Friday, 0730-1630 ... Provide credentialing support by tracking nursing licensure, certifications, Basic Life Support ...

Program Manager Location: Wright Patterson AFB, OH (On-site) Schedule: Monday-Friday, 0730-1630 ... Provide credentialing support by tracking nursing licensure, certifications, Basic Life Support ...

Program Manager Location: Wright Patterson AFB, OH (On-site) Schedule: Monday-Friday, 0730-1630 ... Provide credentialing support by tracking nursing licensure, certifications, Basic Life Support ...

Showing results 21-40

Credentialing Program Manager information

What is a credentialing program manager?

A Credentialing Program Manager is a professional responsible for overseeing the credentialing process within healthcare organizations or other regulated industries. They ensure that all staff and providers meet the necessary qualifications, licenses, and certifications required by law and organizational policy. This role involves managing documentation, coordinating with regulatory agencies, maintaining compliance, and often leading a team that supports credentialing activities. The Credentialing Program Manager plays a crucial role in reducing risk and ensuring quality standards are met. Their work directly impacts patient safety, organizational accreditation, and the overall reputation of the institution.

What are the key skills and qualifications needed to thrive as a credentialing program manager?

To thrive as a Credentialing Program Manager, you need expertise in credentialing processes, regulatory compliance, and healthcare administration, often supported by a bachelor's degree in a related field. Familiarity with credentialing software, databases such as CAQH, and knowledge of NCQA or URAC standards is typically required. Strong organizational, analytical, and communication skills help manage complex workflows and coordinate effectively with providers and regulatory bodies. These skills are crucial to ensure that healthcare staff meet regulatory requirements, maintain accreditation, and uphold organizational quality standards.

What are the most common challenges faced by a credentialing program manager, and how can they be addressed?

Credentialing Program Managers often face challenges such as staying compliant with ever-changing regulatory standards, managing large volumes of provider data, and ensuring timely credentialing to avoid service disruptions. Addressing these challenges involves implementing robust tracking systems, fostering strong relationships with providers and regulatory bodies, and maintaining clear, organized documentation. Regular training and process audits can also help ensure ongoing compliance and efficiency within the credentialing process.

What is the difference between Credentialing Program Manager vs Credentialing Specialist?

AspectCredentialing Program ManagerCredentialing Specialist
CertificationsOften requires certifications like Certified Provider Credentialing Specialist (CPCS)Typically holds similar certifications, such as CPCS or equivalent
Work EnvironmentOversees teams, manages programs, and develops policies in healthcare or insurance organizationsPerforms credentialing tasks, verifies provider credentials, and maintains records
Employer & IndustryHospitals, health plans, healthcare organizationsMedical practices, healthcare facilities, insurance companies

The Credentialing Program Manager focuses on managing credentialing programs, policies, and teams, while the Credentialing Specialist handles the day-to-day verification and record-keeping tasks. Both roles require similar certifications and work within healthcare or insurance settings, but the Program Manager has a broader oversight role.

What cities in Ohio are hiring for Credentialing Program Manager jobs?

Cities in Ohio with the most Credentialing Program Manager job openings:

Infographic showing various Credentialing Program Manager job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Program Manager

Independence, OH • On-site

US Department of the Treasury
Public Administration • 10K+ employees

$125K/yr

Full-time

Re-posted 10 days ago


U.S. Department Of The Treasury rating

8.2

Company rating: 8.2 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

WHAT IS TEGE - Tax Exempt/Government Entities ?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • TEGE - Exempt Organizations and Government Entities - Government Entities, Federal, State, Local (FSL)
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 REQUIREMENTS: To qualify for this position, you must meet the qualification requirements outlined below:
SPECIALIZED EXPERIENCE: To be minimally qualified for this position you must have at least one (1) year of specialized experience equivalent to the next lower level payband or GS grade in the normal line of progression. Specialized experience would include one year of substantive supervisory or program management experience at the GS-13 or GS-14 level or equivalent level manager or comparable management or leadership experiences outside of Federal service. To be qualifying for this position your experience should be sufficient to demonstrate:

  • Applying management techniques, methods, theories, principles, and labor relations concepts, sufficient to assure optimum utilization of personnel, equipment, and space, and to accomplish program objectives through combined technical and administrative oversight
  • Applying appropriate operations, policies, applicable laws, regulations, rules, practices, procedures, and techniques sufficient to provide oversight and direction in the planning, development, and implementation of the technical aspects of programs directly related and/or specific to the position being filled.
  • Applying budget and fiscal methods used in establishing and maintaining an organization.
  • Working on major programs segments, organizational structures and/or functional responsibilities specific to the position being filled.
  • Analyzing and reporting enterprise risks using established risk management principles, tools, practices, and frameworks to manage risks.
  • Providing strategic recommendations to executive leadership to strengthen governance, support mission objectives, and enhance organizational performance.
  • Communicating technical, and sensitive information through written reports, executive briefings, presentations, and consultations with senior executives, managers, employees, and external stakeholders to build consensus, influence outcomes, and support strategic initiatives.


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".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

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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