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Delegated Credentialing Manager information

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$43.5K

$85K

$131.5K

How much do delegated credentialing manager jobs pay per year?

As of Sep 9, 2026, the average yearly pay for delegated credentialing 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 does a delegated credentialing manager do?

A Delegated Credentialing Manager oversees the process by which healthcare organizations delegate credentialing responsibilities to third-party entities, such as medical groups or management service organizations. Their role includes ensuring that all delegated entities comply with regulatory and accreditation standards, monitoring performance, and conducting regular audits. They act as a liaison between the health plan and delegated entities to ensure that all providers are properly vetted, credentialed, and re-credentialed according to established policies. This helps maintain the quality and integrity of the provider network, reduces risk, and ensures regulatory compliance.

What are common challenges faced by a delegated credentialing manager when overseeing multiple provider groups?

A Delegated Credentialing Manager often encounters challenges such as ensuring consistent compliance with accreditation standards across various provider groups, managing tight deadlines for credentialing and re-credentialing, and maintaining up-to-date, accurate records amidst frequent regulatory changes. Coordinating communication between internal teams and external delegated entities can also be complex, requiring strong organizational and problem-solving skills. Proactive process improvements and regular audits are essential to address these challenges and minimize risks related to credentialing errors.

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

To thrive as a Delegated Credentialing Manager, you need a deep understanding of credentialing standards, regulatory compliance, and healthcare provider enrollment, often supported by a bachelor’s degree and relevant certifications like CPCS or CPMSM. Familiarity with credentialing software, NCQA or URAC accreditation processes, and database management systems is typically required. Exceptional organizational skills, attention to detail, and the ability to communicate effectively with internal and external stakeholders are crucial soft skills. These competencies ensure that credentialing processes meet industry standards, reduce compliance risks, and support the smooth onboarding of healthcare providers.

What is the difference between Delegated Credentialing Manager vs Credentialing Specialist?

AspectDelegated Credentialing ManagerCredentialing Specialist
CertificationsTypically requires industry-specific certifications like Certified Provider Credentialing Specialist (CPCS)Often holds similar certifications but at an entry or mid-level
Work EnvironmentManages teams, oversees credentialing processes, and interacts with healthcare providers and payersPerforms credentialing tasks, data entry, and verification primarily on a case-by-case basis
Employer & Industry UsageUsed in healthcare organizations, insurance companies, and credentialing firmsCommonly employed in healthcare facilities, hospitals, and clinics

The Delegated Credentialing Manager oversees credentialing teams and processes, ensuring compliance and efficiency, while Credentialing Specialists handle the day-to-day verification and data entry tasks. Both roles are essential in healthcare credentialing but differ in scope and responsibility.

What cities are hiring for Delegated Credentialing Manager jobs?

Cities with the most Delegated Credentialing Manager job openings:

What states have the most Delegated Credentialing Manager jobs?

States with the most job openings for Delegated Credentialing Manager jobs include:

What are popular job titles related to Delegated Credentialing Manager jobs?

For Delegated Credentialing Manager jobs, the most frequently searched job titles are:

Infographic showing various Delegated Credentialing Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Dental Credentialing Manager

Denver, CO • On-site

Lone Peak Dental Group
Offices of Dentists • 501 - 1,000 employees
Learn more about Lone Peak Dental Groupexternal

$80K - $95K/yr

Full-time

Dental, PTO

Re-posted 25 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