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Credentialing Provider Data Manager Jobs (NOW HIRING)

Partner with PPHP

Credentialing Assistant

$22/hr

... in credentialing, provider data, provider contracting, network management, healthcare ... administration, or a related support function preferred. * Experience with provider file ...

TriWest Healthcare

Provider Data Specialist

Phoenix, AZ · On-site

$17 - $22.50/hr

Requires the ability to manage a large amount of complex information and must be able to communicate clearly and draw sound conclusions. Supports the maintenance of accurate, up-to-date provider data ...

STEMboard

Data Manager

Tampa, FL

$92K - $100K/yr

The Data Manager develops and governs data-oriented systems designed to meet the needs of an ... Determine (search and identify) data sources providing data that satisfy the data needs and ...

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

As of Sep 14, 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:

Credentialing Specialist - Provider

Detroit, MI • On-site

OpTech LLC
See more jobs at OpTech LLCexternal

Full-time

Retirement

Re-posted yesterday

Job description

Detroit, MI
Healthcare Organizations
Contract
We are seeking a Provider Credentialing Specialist in the metro Detroit MI area. This is a hybrid position 2x/week in the office.
Job Description:
The Provider Credentialing Specialist is responsible for validating, auditing, and maintaining accurate provider information to support provider directory accuracy and data quality. This position conducts provider outreach, researches discrepancies, processes audit results, and works with internal leadership and operational teams to ensure accurate provider data is maintained across systems.
Skills/Experience/Education:
  • 3 - 5 years' experience:
    • Outbound provider inquires - verifying demographics and contact information
    • Validate provider data on customer facing sites
    • Process provider audit results and collaborate with leadership
  • Microsoft Office - Excel, Access, Outlook
  • Systems knowledge (preferred) - PORTICO, SF MACESS, FACETS
  • Education/Certifications - Highschool diploma

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

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