ZipRecruiter

Log In

1

Credentialing Provider Data Manager Jobs (NOW HIRING)

Centene

Manager, Provider Data Management

$70K - $126K/yr

The Manager Provider Data Management is responsible for managing the activities that support all ... Works in conjunction with Credentialing for the set up and maintenance of all delegated entity ...

Rendr

Credentialing Coordinator

Manhattan, NY · On-site

Credentialing Coordinator Essential Functions * Responsible for assembling/obtaining full ... Reconcile payer rosters against internal provider data management resources and employment/sub ...

GDIT

Provider Data Supervisor

WV · On-site +1

Provider Data Management & Lifecycle * Oversee maintenance of provider demographics, participation, enrollment, credentialing attributes, and directory content across systems. * Ensure timely ...

Workforce Connections

SQL Data Analyst

Tampa, FL · Remote

Work closely with Credentialing, Provider Data Management, and Network teams to support enterprise initiatives. * Support provider data automation and modernization projects. * Ensure data accuracy ...

next page

Showing results 1-20

All JobsHealthcare JobsHospital JobsDirector Of Medical Staff Services JobsCredentialing Provider Data Manager Jobs

Credentialing Provider Data Manager information

See salary details

$43.5K

$85K

$131.5K

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

As of Sep 13, 2026, the average yearly pay for credentialing provider data 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 provider data manager?

A Credentialing Provider Data Manager is a professional responsible for overseeing the collection, verification, and management of healthcare provider data for credentialing purposes. They ensure that all provider information meets regulatory and organizational standards, and that records are accurate and up-to-date. This role often involves coordinating with providers, insurance companies, and regulatory agencies to facilitate the credentialing process and maintain compliance. Additionally, they may supervise credentialing staff and implement data management systems to enhance workflow efficiency.

What skills and qualifications are needed to thrive as a credentialing provider data manager?

To thrive as a Credentialing Provider Data Manager, you need expertise in healthcare credentialing processes, data management, and compliance standards, often backed by a bachelor’s degree in healthcare administration or a related field. Familiarity with credentialing software (like CAQH, VerityStream), database systems, and knowledge of industry regulations such as NCQA and CMS is typical. Attention to detail, strong organizational skills, and the ability to communicate clearly with providers and regulatory bodies are crucial soft skills. These competencies ensure accurate provider data, regulatory compliance, and efficient credentialing operations, which are essential for patient safety and organizational integrity.

How does a credentialing provider data manager collaborate with other departments to ensure data accuracy and regulatory compliance?

A Credentialing Provider Data Manager often works closely with teams such as credentialing specialists, compliance officers, IT, and provider relations to maintain accurate provider records and meet regulatory requirements. This collaboration involves regular meetings to review data discrepancies, sharing updates on policy or regulatory changes, and coordinating the implementation of data management solutions. Effective cross-functional communication is essential to resolve issues quickly and ensure that all provider data is current, complete, and in line with industry standards.

What cities are hiring for Credentialing Provider Data Manager jobs?

Cities with the most Credentialing Provider Data Manager job openings:

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

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

Network Data Specialist- Credentialing Team

Coral Gables, FL • On-site

FLORIDA DOCTORS GROUP CORP
Outpatient Health Care • 201 - 500 employees
Learn more about FLORIDA DOCTORS GROUP CORPexternal

$19 - $26/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 18 days ago

Job description

Benefits:
  • Opportunity for advancement
  • Paid time off
  • Training & development
  • Vision insurance
  • Bonus based on performance
  • Company parties
  • Dental insurance
  • Free uniforms

Join Our Growing Healthcare Team!
Are you a highly organized, detail-oriented professional who enjoys working with data, healthcare operations, and provider relations? Florida Doctors Group is looking for a Network Data Specialist to join our growing team.
In this role, you will play a critical part in maintaining the integrity of our provider network by supporting credentialing, provider data management, contracting, and health plan enrollment activities. You'll work closely with insurance companies, healthcare providers, and internal departments to ensure our providers remain compliant, accurately represented, and ready to serve our members.
This is an excellent opportunity for someone who enjoys problem-solving, managing multiple projects, and contributing to a fast-paced healthcare organization that values teamwork, accuracy, and professional growth.
What You'll Do
As a Network Data Specialist, you will:
  •  Coordinate provider and facility credentialing with multiple commercial and government health plans. 
  •  Complete and submit provider and facility credentialing and contracting applications. 
  •  Perform primary source verification of provider credentials, including: 
    •  State Licenses 
    •  DEA Registrations 
    •  Board Certifications 
    •  Malpractice Insurance 
    •  Professional Liability History 
    •  Sanction Monitoring 
    •  Education and Training Verification 
  •  Maintain accurate provider demographic, credentialing, and contracting information across internal databases and health plan portals. 
  •  Monitor license, certification, DEA, malpractice, and other credential expiration dates to ensure continuous compliance. 
  •  Update provider records and practice information with health plans and regulatory agencies. 
  •  Audit provider directories to ensure information remains current and accurate. 
  •  Research and resolve provider data discrepancies with insurance companies and internal departments. 
  •  Collaborate with Provider Relations, Contracting, Quality, Billing, and Operations teams to resolve provider issues. 
  •  Assist with provider onboarding and network maintenance initiatives. 
  •  Maintain accurate documentation and tracking throughout the credentialing lifecycle. 
  •  Participate in special projects and other duties as assigned. 
What We're Looking For
The ideal candidate possesses:
  •  Strong attention to detail and exceptional organizational skills. 
  •  Ability to prioritize multiple projects while meeting deadlines. 
  •  Strong analytical and problem-solving abilities. 
  •  Excellent verbal and written communication skills. 
  •  Ability to work independently while collaborating effectively with multiple departments. 
  •  Professionalism when communicating with physicians, office managers, insurance representatives, and leadership. 
  •  Proficiency with Microsoft Office (Excel, Outlook, Word, Teams). 
  •  Experience working with online health plan portals and provider databases is preferred. 
  •  Knowledge of CAQH, NPPES, PECOS, and provider enrollment systems is a plus. 
  •  Understanding of healthcare credentialing, provider enrollment, contracting, or provider data management is preferred. 
Preferred Qualifications
  •  1-3 years of experience in healthcare administration, provider credentialing, provider enrollment, medical office administration, health plan operations, or provider data management. 
  •  Experience working with Medicare Advantage, Medicaid, Commercial, or Marketplace health plans is highly desirable. 
  •  Associate's or Bachelor's degree preferred, but equivalent experience will also be considered. 
Why Join Florida Doctors Group?
At Florida Doctors Group, you'll become part of a collaborative organization dedicated to supporting physicians and improving healthcare delivery throughout Florida. We invest in our employees by providing opportunities for professional growth, continuous learning, and career advancement while fostering a supportive and team-oriented work environment.
If you're looking for a career where your work directly impacts healthcare providers and the patients they serve, we'd love to hear from you.