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Credentialing Provider Enrollment Manager Jobs (NOW HIRING)

Pediatrix

Provider Enrollment Specialist

The Provider Enrollment Specialist II will assist Management in maintaining provider enrollment ... Documents assignments in the Credentialing/Provider Enrollment tracking system per the department ...

Alegis

Provider Enrollment Manager

Brecksville, OH

Manage provider enrollment team resources and workflow to reach maximum efficiency and productivity levels, as well as provide solutions on how to improve in this area. * Participate and ensure ...

DOCS, LLC

Provider Enrollment Specialist

Blue Ash, OH · On-site

Identify discrepancies with credentialing documentation or history and notify the * Provider Enrollment Manager of significant discrepancies. * Enroll providers with payers by providing information ...

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Credentialing Provider Enrollment Manager information

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

As of Jun 11, 2026, the average yearly pay for credentialing provider enrollment 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 Enrollment Manager vs Credentialing Specialist?

AspectCredentialing Provider Enrollment ManagerCredentialing Specialist
CertificationsOften requires industry certifications like CPCS or CPMSMMay hold certifications such as Certified Provider Credentialing Specialist
Work EnvironmentManages teams, oversees enrollment processes, interacts with payersPerforms credentialing tasks, verifies provider information, processes applications
Employer & Industry UsageUsed in healthcare organizations, insurance companies, and credentialing firmsCommonly employed in healthcare facilities, billing companies, and credentialing departments

The Credentialing Provider Enrollment Manager typically oversees the entire provider enrollment process, managing teams and strategic planning. In contrast, the Credentialing Specialist focuses on executing credentialing tasks and verifying provider credentials. Both roles are essential in healthcare credentialing but differ in scope and responsibilities.

What is the role of a provider credentialing manager?

A provider credentialing manager oversees the process of verifying healthcare providers' qualifications, licenses, and certifications to ensure compliance with regulatory standards. They manage applications, maintain accurate provider records, and coordinate with insurance companies and regulatory agencies to facilitate provider enrollment and credentialing. Strong organizational skills and knowledge of healthcare regulations are essential for this role.

How much does a credentialing specialist make in the US?

A credentialing specialist in the US typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer size. Salaries for credentialing provider enrollment managers can be higher, often ranging from $50,000 to $80,000 or more with additional certifications and skills in healthcare compliance and insurance processes.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include specialized roles such as high-level consulting, executive positions, certain medical specialists, or freelance professionals like software developers and project managers with significant experience. These roles often require advanced skills, certifications, or extensive expertise, and may involve project-based or contract work with variable schedules.

What are some common challenges faced by a Credentialing Provider Enrollment Manager, and how can they be addressed?

Credentialing Provider Enrollment Managers often encounter challenges such as managing tight deadlines for provider onboarding, navigating complex payer requirements, and ensuring compliance with ever-changing regulations. Maintaining clear communication with providers and payers, staying updated on industry standards, and implementing robust tracking systems can help address these issues effectively. Regular training for staff and fostering a collaborative team environment are also key strategies for overcoming these challenges and ensuring smooth enrollment processes.

What is a Credentialing Provider Enrollment Manager?

A Credentialing Provider Enrollment Manager is a professional responsible for overseeing the process of verifying healthcare providers’ qualifications and enrolling them with insurance payers and government programs. They ensure that all providers meet the necessary standards and maintain compliance with regulatory and organizational requirements. Their role includes managing documentation, coordinating with providers and payers, and staying up to date with changes in credentialing and enrollment policies. This position is essential for healthcare organizations to ensure that providers are authorized to deliver services and receive reimbursement.

Is it hard to become a credentialing specialist?

Becoming a credentialing provider enrollment manager or specialist typically requires knowledge of healthcare regulations, strong organizational skills, and attention to detail. Many roles prefer candidates with relevant certifications and experience in healthcare administration or credentialing processes, but the difficulty varies based on individual background and training.

What are the key skills and qualifications needed to thrive as a Credentialing Provider Enrollment Manager, and why are they important?

To thrive as a Credentialing Provider Enrollment Manager, you need in-depth knowledge of healthcare regulations, credentialing standards, and provider enrollment processes, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with credentialing software (such as CAQH or Verity), database management, and understanding of payer requirements are typically essential. Exceptional organizational skills, attention to detail, and strong communication abilities help in managing complex documentation and facilitating provider relations. These competencies ensure accurate, timely provider onboarding and regulatory compliance, which are critical for uninterrupted patient care and organizational success.
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