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Credentialing Jobs in Minnesota (NOW HIRING)

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How much do credentialing jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for credentialing in Minnesota is $23.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $27.07 per hour, depending on experience, location, and employer.

How do you get into credentialing?

To enter credentialing, individuals typically need relevant education such as a healthcare or administrative degree, along with experience in healthcare administration or compliance. Certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with credentialing software is often required. Entry-level roles may require strong organizational skills and attention to detail.

What is credentialing?

Credentialing is the process by which organizations verify the qualifications, experience, and professional standing of healthcare providers, such as doctors and nurses. This ensures that providers meet specific standards required to deliver care within a healthcare facility or insurance network. The process typically involves checking education, licenses, certifications, work history, and any disciplinary actions. Credentialing is essential for patient safety and regulatory compliance, and it is a key step before providers can practice or receive reimbursement from insurers.

Is credentialing a hard job?

Credentialing is a detail-oriented role that involves verifying qualifications, licenses, and certifications of healthcare providers or professionals. It requires strong organizational skills, attention to accuracy, and knowledge of industry standards, but the difficulty varies depending on the complexity of the credentialing process and the environment. Some find it challenging due to the administrative workload and compliance requirements, while others find it manageable with experience and proper tools.

What is the difference between Credentialing vs Medical Assistant?

AspectCredentialingMedical Assistant
Required credentialsCertifications, licenses, or accreditation for healthcare providersCertification (e.g., CMA), training programs, or on-the-job training
Work environmentHealthcare facilities, clinics, hospitals, insurance companiesDoctor's offices, clinics, outpatient facilities
Employer and industry usageUsed by healthcare providers and organizations to verify credentialsUsed by healthcare providers to assist with clinical and administrative tasks

Credentialing involves verifying healthcare providers' qualifications and licenses, ensuring they meet industry standards. Medical Assistants perform clinical and administrative duties under supervision. While credentialing focuses on verifying qualifications, Medical Assistants are involved in patient care and office tasks. Both roles are essential in healthcare but serve different functions.

What are the key skills and qualifications needed to thrive as a credentialing specialist, and why are they important?

To excel as a Credentialing Specialist, you need attention to detail, organizational skills, and knowledge of credentialing standards, usually supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software (such as CAQH or Verity), database management, and regulatory compliance systems is typically required. Strong communication, problem-solving abilities, and discretion stand out as essential soft skills in this role. These competencies ensure accurate provider verification, regulatory adherence, and smooth healthcare operations.

What are some common challenges faced by credentialing specialists when verifying provider information, and how can they be managed?

Credentialing specialists often encounter challenges such as incomplete or outdated provider documentation, slow response times from references, and varying requirements from different regulatory bodies. To manage these issues, it's important to maintain strong organizational skills, use credentialing software to track progress, and communicate clearly with providers about documentation needs and deadlines. Proactively following up and establishing checklists can help minimize delays and ensure compliance with industry standards.
What are the most commonly searched types of Credentialing jobs in Minnesota? The most popular types of Credentialing jobs in Minnesota are:
What are popular job titles related to Credentialing jobs in Minnesota? For Credentialing jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in Minnesota look for? The top searched job categories for Credentialing jobs in Minnesota are:
What cities in Minnesota are hiring for Credentialing jobs? Cities in Minnesota with the most Credentialing job openings:
Credentialing jobs near you
Infographic showing various Credentialing job openings in Minnesota as of August 2026, with employment types broken down into 76% Full Time, and 24% Part Time. Highlights an 88% In-person, and 12% Remote job distribution, with an average salary of $49,622 per year, or $23.9 per hour.

Senior Credentialing Representative - Quality Auditor

UnitedHealth Group

Minnetonka, MN • On-site

$91K - $163K/yr

Full-time

Retirement

Posted 8 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Senior Credentialing Representative is responsible for ensuring that credentialing information and data meets internal and external quality standards and requirements. Internal audits are performed against established standards for all credentialing and recredentialing functions within the Credentialing Center of Excellence (CCoE). The SCRA will document findings, identify trends, and recommend opportunities for improvement.
Location: Remote, Nationwide
Schedule: Monday to Friday, 8 AM- 5 PM
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges
Primary Responsibilities:
Credentialing File Review/Audit:
  • Performs daily audits of credentialing and recredentialing files utilizing standardized audit template
  • Ensures audits are performed within established timeframes
  • Communicates identified errors to credentialing representatives and specialists utilizing established processes

Process improvement:
  • Participates in audit result review and track and trend of results
  • Participates in root cause analysis
  • Reviews repeat errors for potential training opportunities
  • Provides explanations and interpretations within area of expertise
  • Identifies potential process improvement needs to workflows and procedures
  • Communicates potential and identified trends to leadership

Delegation Oversight:
  • Collect and review credentialing files and materials for submission to delegating health plans at time of initial and annual delegation oversight audits
  • Collect and review submitted sub-delegated files and materials at time of pre-assessment and annual delegation oversight audits
  • Other department duties as assigned

Knowledge, Skills, and Abilities:
  • Demonstrated understanding credentialing information processes
  • Established knowledge of credentialing requirements to include NCQA, CMS, and state-specific regulations
  • Attention to detail, ability to identify inconsistencies and missing information
  • Consistently delivers excellent quality of credentialing files processed
  • Analytical and critical thinking skills
  • Ability to research and evaluate credentialing criteria when questions or discrepancies are presented
  • Strong communication skills, ability to communicate clearly and professionally in written or oral formats
  • Ability to identify problems, analyze data and recommend solutions
  • Ability to maintain confidential information in accordance with Company policies, state, and federal regulations
  • Ability to manage detail and work with accuracy
  • Ability to acquire knowledge of technical resources within the organization
  • Ability to work independently
  • Ability to establish and maintain cooperative working relationships with individuals at all levels including teammates from other teams
  • Ability to work with frequent interruptions
  • Ability to prioritize work and skill in working effectively under deadlines and changing priorities
  • Demonstrated knowledge of Microsoft Office applications such as Word, Excel, and Outlook
  • Intermediate level skills working in Microsoft Excel
  • Consistently delivers excellent quality of work

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma/GED
  • 2+ years of experience in Credentialing
  • 1+ years of proven consistent quality audit scores passing or exceeding requirements
  • 1+ years of experience using credentialing software or software managing provider information

Preferred Qualifications:
  • Experience using MD-Staff credentialing software

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN

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