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Credentialing Verification Organization Jobs (NOW HIRING)

OpenLoop Health, Inc

Credentialing Specialist

The Credentialing Specialist is responsible for managing the credentialing and recredentialing ... Verification Organization (CVO) guidelines. This role ensures all providers meet necessary ...

Anders

Credentialing Specialist

Saint Louis, MO

A5 Healthcare (Anders Affiliate) one of one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to ...

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How much do credentialing verification organization jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for credentialing verification organization in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What are common daily responsibilities within a Credentialing Verification Organization role?

As a credentialing specialist or team member in a Credentialing Verification Organization, your typical day involves collecting, reviewing, and verifying professional licensure, education, certifications, and work history for healthcare providers or other professionals. You’ll regularly communicate with applicants, licensing boards, and employers to clarify or request additional information. Attention to detail is essential, as you’ll document findings in credentialing databases and prepare reports for review by clients or regulatory bodies. Collaboration with other team members and departments is also common to resolve complex cases or expedite urgent verifications, providing a dynamic and fast-paced work environment.

What are the key skills and qualifications needed to thrive in the Credentialing Verification Organization position, and why are they important?

To thrive as a professional within a Credentialing Verification Organization, you need a strong attention to detail, in-depth understanding of compliance regulations, and experience in verifying professional credentials and backgrounds. Familiarity with credentialing management software, databases, and sometimes certifications such as Certified Provider Credentialing Specialist (CPCS) are commonly required. Excellent communication, time management, and problem-solving skills help manage complex cases and interactions with providers and stakeholders. These abilities are crucial to ensure compliance, maintain organizational reputation, and facilitate timely and accurate credential verification processes.

What is a Credentialing Verification Organization job?

A Credentialing Verification Organization (CVO) job involves verifying the credentials, qualifications, and work history of healthcare providers on behalf of hospitals, insurance companies, or other healthcare entities. Professionals in this role ensure that providers meet licensing, certification, and regulatory requirements. They research, collect, and validate information from primary sources, such as medical boards and educational institutions. CVO jobs require attention to detail, knowledge of compliance standards, and strong organizational skills.

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Credentialing Verification Organization jobs near you

Executive Director, Centralized Verification Organization

Baptistjax

Watertown, SD • On-site

Full-time

Posted yesterday

Job description

About Baptist Health
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

Baptist Health is seeking an experienced and strategic leader to serve as Executive Director of the Centralized Verification Organization (CVO) in Jacksonville, Fl.
This role provides executive leadership and operational oversight for enterprise credentialing, primary source verification, payer enrollment data integrity, and provider lifecycle processes across the system.

The Executive Director will ensure credentialing operations are timely, accurate, compliant, and service-oriented, supporting safe, high-quality care for both employed and affiliated providers. This leader plays a critical role in advancing operational maturity, enhancing collaboration, and maintaining NCQA-aligned standards across the organization.

Executive Director, CVO, Job Responsibilities:

  • Provide executive oversight of credentialing, verification, and provider enrollment operations across Baptist Health
  • Ensure compliance with regulatory, accreditation, and NCQA standards
  • Lead and optimize end-to-end provider lifecycle processes, including onboarding and recredentialing
  • Drive operational excellence, process improvement, and data integrity initiatives
  • Partner with clinical, operational, and administrative leaders to support a seamless provider experience
  • Oversee day-to-day CVO performance, including service delivery, quality, and turnaround times
  • Strengthen cross-functional collaboration across HR, Medical Staff, Revenue Cycle, and other key departments
  • Develop and monitor key performance indicators (KPIs) and reporting to support informed decision-making
  • Promote a culture of accountability, continuous improvement, and customer service excellence

Experience Requirements:

  • Progressive leadership experience in credentialing, provider enrollment, or healthcare operations required
  • Experience leading centralized verification or credentialing functions preferred
  • Strong knowledge of NCQA standards, regulatory requirements, and credentialing best practices required
  • Demonstrated experience driving process improvement and operational efficiency initiatives

Education & Credential Requirements:

Bachelor's degree required; Master's degree in Healthcare Administration, Business Administration, or related field preferred

Relevant certification (e.g., CPCS, CPMSM) preferred

If you are a strategic leader passionate about operational excellence and supporting high-quality patient care through efficient provider processes, we encourage you to apply today.

Primary Location:

Downtown - Main Building

Apply