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Credentials Manager Jobs in Colorado (NOW HIRING)

AUS Inc

Security Officer Credential Management

Aurora, CO · On-site

$22/hr

As an Access Control Officer, you will monitor entry points, verify credentials, manage visitor access, and support a secure logistics location. You will remain visible to help deter security-related ...

Delta Health

Payer Credentialing Coordinator

Delta, CO · On-site

$25.42 - $36.45/hr

Verify licenses, certifications, DEA registrations, education, training, malpractice coverage, and other credentials. * Manage provider information across CAQH, payer portals, credentialing systems ...

Qualis LLC

Principal DevOps Engineer

Colorado Springs, CO · On-site

$49.25 - $67.50/hr

You will leverage containerization technologies and secure credential and identity management solutions to support our distributed modeling and simulation environments. Essential Duties * Design ...

Robert Half

Credentialing Specialist

Englewood, CO · On-site

$24 - $25/hr

This contract-to-permanent opportunity is ideal for someone who can manage provider enrollment and credentialing activities with accuracy, discretion, and strong follow-through. The person in this ...

Kyo

Credentialing Specialist

Denver, CO

$27.88 - $31.25/hr

Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies * Ensuring compliance with various state ...

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Credentials Manager information

What is a credentials manager?

A Credentials Manager is a professional responsible for overseeing, maintaining, and securing access credentials such as passwords, certificates, and digital keys within an organization. Their role typically involves implementing policies and systems that ensure only authorized individuals can access sensitive information or systems. They may use credential management software to automate password changes, monitor usage, and enforce security protocols. Credentials Managers play a critical role in protecting an organization's data and preventing unauthorized access.

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 familiarity with industry standards and documentation processes, which can make it challenging for some individuals. The difficulty level depends on the complexity of the credentialing requirements and the workload involved.

What are common challenges faced by a credentials manager, and how can they be addressed?

A Credentials Manager often encounters challenges such as keeping up with frequently changing regulatory requirements, managing large volumes of sensitive data, and ensuring timely renewals for staff credentials. Staying organized with robust tracking systems and maintaining clear communication with team members can help prevent lapses or compliance issues. Additionally, adopting credentialing software and regular training on industry standards can significantly reduce errors and improve efficiency in the role.

What is the difference between Credentials Manager vs Credential Analyst?

AspectCredentials ManagerCredential Analyst
Required credentialsCertifications in security, IT, or compliance; experience in credential management systemsCertifications in data analysis, security, or compliance; knowledge of credential standards
Work environmentCorporate, IT departments, security teamsCompliance departments, security teams, data analysis units
Employer and industry usageUsed in IT, security, and corporate compliance sectorsCommon in security, compliance, and auditing fields
Search and comparison intentUnderstanding roles related to credential management and securityAnalyzing credential data and compliance status

While both roles involve handling credentials, a Credentials Manager primarily oversees the secure storage and management of credentials within organizations, focusing on security and access control. A Credential Analyst, on the other hand, analyzes credential data for compliance, validation, and auditing purposes. Both roles are vital in security and compliance sectors but serve different functions within organizations.

What skills and qualifications are needed to thrive as a credentials manager?

To thrive as a Credentials Manager, you need strong organizational skills, attention to detail, and a solid understanding of compliance and credentialing processes, often supported by a degree in business administration or a related field. Familiarity with credentialing software systems, databases, and knowledge of industry standards such as NCQA or Joint Commission requirements is essential. Excellent communication, problem-solving abilities, and discretion are valuable soft skills for managing sensitive information and coordinating with diverse stakeholders. These skills ensure accurate credential management, regulatory compliance, and smooth operations in organizational environments.

What are the most commonly searched types of Credentials jobs in Colorado?

The most popular types of Credentials jobs in Colorado are:

Credentials Manager jobs near you

Dental Credentialing Manager

Lone Peak Dental Group

Denver, CO • On-site

$80K - $95K/yr

Full-time

Dental, PTO

Re-posted 2 days ago

Job description

Lone Peak Dental Group | Denver, CO
Hybrid Role | Denver Metro Area
Salary Range: $80,000 to $95,000, plus PTO, benefits, and more
At Lone Peak Dental Group, we believe learning should be simple, meaningful, and connected to the real work our teams do every day. On the Credentialing team we support doctors, leaders, and team members with the tools, training, and confidence they need to grow in their roles and deliver excellent care to children and families.
We are looking for a Dental Credentialing Manager who is a self-starter, solution-oriented, highly organized, and excited to help build and support credentialing experiences across our organization. This role is a great fit for someone who can manage multiple moving pieces, bring structure to ideas, and turn needs into clear, practical resources while ensuring programs run smoothly behind the scenes.
This role is best suited for someone who enjoys owning details, working in a fast-paced environment, and taking initiative to move work forward.
What You'll Help Create & Manage
The Dental Credentialing Manager is responsible for leading all credentialing, recredentialing, provider enrollment, delegated credentialing, and payer participation activities across a multi-location dental organization.
  • Lead, coach, and develop a team of credentialing and provider enrollment specialists.
  • Oversee initial credentialing, recredentialing, provider enrollment, revalidation, and demographic maintenance for dental providers and locations.
  • Serve as the organization's subject-matter expert for dental Medicaid credentialing and enrollment.
  • Manage provider and group enrollment across multiple state Medicaid programs and Medicaid managed care organizations.
  • Oversee revalidations, ownership and control disclosures, fingerprinting or screening requirements, site visits, affiliation requests, and changes of information.
  • Lead and administer delegated credentialing programs with contracted payers.
  • Ensure credentialing and recredentialing activities comply with delegation agreements, payer policies, applicable regulatory standards, and internal policies.
  • Maintain complete and compliant credentialing files, committee documentation, policies, procedures, reports, and quality-control records.
  • Serve as an escalation point for payer enrollment, participation, and contracting issues.
  • Negotiate or support negotiations related to network participation, provider effective dates, closed panels, retroactive enrollment, reimbursement arrangements, and contract exceptions.
  • Lead credentialing activities associated with new office openings, acquisitions, mergers, provider transitions, and market expansion.
  • Develop dashboards and reports for application status, aging, provider readiness, recredentialing, expirables, audit compliance, and staff productivity.
  • Monitor key performance indicators and identify bottlenecks, recurring payer issues, and opportunities for automation.
  • Perform routine quality audits of credentialing files and enrollment records.

We are looking for someone who brings:
  • Bachelor's degree in healthcare administration, business, or a related field, or equivalent relevant experience.
  • At least five years of progressive credentialing, provider enrollment, payer relations, or network management experience.
  • At least three years of leadership or direct staff-management experience.
  • Significant credentialing experience within a dental service organization, multi-location dental group, or comparable multi-unit healthcare environment.
  • Extensive experience with dental Medicaid enrollment, revalidation, managed Medicaid plans, and state-specific provider enrollment requirements.
  • Demonstrated experience managing delegated credentialing programs and payer audits.
  • Experience negotiating with payers, provider relations representatives, government agencies, and/or healthcare providers.
  • Strong knowledge of CAQH, NPPES, Medicaid enrollment portals, payer portals, primary-source verification, sanctions monitoring, and provider data management.

Join Us
At Lone Peak Dental Group, we are building a culture where learning is ongoing, practical, and shared. We celebrate progress, learn from challenges, and believe every team member contributes to something bigger.
Apply today and help us shape learning experiences that support our teams, strengthen our practices, and make a meaningful difference for patients and families.

Apply