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Credentialing Provider Contracting Manager Jobs

Humana

Provider Contracting Professional

Orlando, FL · On-site

The Provider Contracting Professional 2 work assignments are varied and frequently require ... Ability to manage multiple priorities in a fast-paced environment * Proficiency in MS Office ...

Humana

Provider Contracting Professional

Orlando, FL · On-site

The Provider Contracting Professional 2 work assignments are varied and frequently require ... Ability to manage multiple priorities in a fast-paced environment * Proficiency in MS Office ...

Partner with PPHP

Credentialing Assistant

$22/hr

High school diploma or equivalent required. * 0-2 years of experience in credentialing, provider data, provider contracting, network management, healthcare administration, or a related support ...

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Credentialing Provider Contracting Manager information

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$43.5K

$85K

$131.5K

How much do credentialing provider contracting manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for credentialing provider contracting 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 the difference between Credentialing Provider Contracting Manager vs Credentialing Specialist?

AspectCredentialing Provider Contracting ManagerCredentialing Specialist
Required CredentialsTypically requires a bachelor's degree and industry certificationsUsually requires a high school diploma or associate degree, with certifications preferred
Work EnvironmentManages contracts and provider relations, often in healthcare organizations or insurance companiesFocuses on credentialing processes, working within healthcare facilities or credentialing departments
Employer & Industry UsageCommonly employed by healthcare providers, insurance companies, and managed care organizationsPrimarily found in healthcare facilities, credentialing firms, and provider networks

The Credentialing Provider Contracting Manager oversees provider contracts and relations, requiring strategic skills and certifications. In contrast, the Credentialing Specialist handles credentialing processes, focusing on verifying provider credentials. Both roles are essential in healthcare administration but differ in scope and responsibilities.

What cities are hiring for Credentialing Provider Contracting Manager jobs?

Cities with the most Credentialing Provider Contracting Manager job openings:

What states have the most Credentialing Provider Contracting Manager jobs?

States with the most job openings for Credentialing Provider Contracting Manager jobs include:

What are popular job titles related to Credentialing Provider Contracting Manager jobs?

For Credentialing Provider Contracting Manager jobs, the most frequently searched job titles are:

Infographic showing various Credentialing Provider Contracting Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Provider Enrollment & Credentialing Specialist

Littleton, CO • On-site

Physicians' Ally Inc.
Business Management Consulting • 11 - 50 employees
Learn more about Physicians' Ally Inc.external

$29 - $40/hr

Full-time

Posted 8 days ago

Job description

Provider Enrollment & Credentialing Specialist
Location: In-Person/Hybrid
Employment Type: Full-Time or Part-Time
Compensation: Competitive, based on experience
About Physicians' Ally
Physicians' Ally is a nationally recognized healthcare consulting firm that provides physician practices, surgery centers, and healthcare organizations with expert credentialing, provider enrollment, payer contracting, and consulting services. For more than 25 years, we have helped independent medical practices navigate the complexities of payer participation, provider enrollment, and practice growth.
We are seeking a highly organized and detail-oriented Credentialing Specialist to join our growing team. This position is ideal for an individual who enjoys problem solving, managing multiple projects, and serving as a trusted resource for healthcare providers and practice administrators.
Position Summary
The position is posted as full-time, but does not necessarily require 30-40 hours/week. Also posted as fully remote, but if candidate is in Colorado, could be in-person or hybrid. Responsible for managing provider credentialing, payer enrollment, demographic maintenance, and related regulatory activities on behalf of physician practices across the United States. This role requires strong attention to detail, excellent communication skills, and the ability to work independently while managing multiple deadlines and priorities.
Successful candidates will have experience with provider credentialing, CAQH maintenance, Medicare and Medicaid enrollments, payer portals, and healthcare regulatory requirements.
Essential Responsibilities
  • Manage provider credentialing, recredentialing, and CAQH maintenance.
  • Prepare and track provider enrollments with commercial and government payers.
  • Maintain provider demographics, NPPES records, payer rosters, and directory listings.
  • Coordinate Medicare, Medicaid, and state licensure applications and renewals.
  • Manage hospital privileging, ASC credentialing, and facility affiliations.
  • Monitor credentialing deadlines, provider documentation, and regulatory compliance.
  • Research and resolve credentialing, enrollment, and payer-related issues.
  • Communicate effectively with providers, payers, hospitals, and regulatory agencies.
Qualifications
Required
  • 2+ years of credentialing, provider enrollment, or healthcare administration experience.
  • Working knowledge of CAQH, NPPES, Medicare, Medicaid, and payer portals.
  • Proficiency with Microsoft Office and web-based applications.
  • Strong organizational, communication, and multitasking skills.
  • Detail-oriented with a high level of professionalism and confidentiality.
Preferred
  • CPCS certification.
  • Experience with Modio or similar credentialing software.
  • Hospital privileging experience.
  • Healthcare consulting or multi-specialty practice experience.