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Delegated Credentialing Manager Jobs (NOW HIRING)

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

Oversee compliance with health plan requirements related to delegated credentialing agreements and ... Responsible for management and supervision of credentialing staff / team. Upon request of ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

... to delegated credentialing agreements and credentialing file audits. • Oversee processes and ... managed care entities for assigned divisions. • Develops and provides regular reports and ...

Nourish

Credentialing / Enrollment Lead

Dallas, TX · Remote

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

Nourish

Credentialing / Enrollment Lead

Denver, CO · Remote

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

Nourish Inc

Credentialing / Enrollment Lead

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

Nourish

Credentialing / Enrollment Lead

San Diego, CA · Remote

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

Nourish Inc

Credentialing / Enrollment Lead

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

Nourish

Credentialing / Enrollment Lead

Portland, OR · Remote

... delegated credentialing operations. * Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records. * Use metrics to manage ...

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Delegated Credentialing Manager information

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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.

Credentialing Specialist

Austin, TX • On-site

Action Behavior Centers
Health Care and Social Assistance • 11 - 50 employees
Learn more about Action Behavior Centersexternal

$18 - $22/hr

Full-time

Retirement, PTO

Posted 22 days ago

Action Behavior Centers rating

4.8

Company rating: 4.8 out of 10

Based on 359 frontline employees who took The Breakroom Quiz

879th of 898 rated healthcare providers

Job description

ABC Story:
Our story began in 2017 in Austin, TX. We started with humble roots but big aspirations. From 1 center in North Austin, our movement has inspired thousands of clinicians and operators. Today, the ABC community is 10,000+ strong, serving thousands of children with ASD. Growth with intentionality: We have an intentional focus on our core values. Each center is purpose-built, and each community of teammates is nurtured.
Position Description:
We are looking for a motivated, top-notch Credentialing Specialist who wants to be a part of a stellar team and deliver exceptional results. We are a smart, fun place to work. Simply put, we are different, and we aim to be the best. The right candidate will be a natural self-starter with extremely strong attention to detail. We will train on specific task items listed below, although the right fit will quickly and easily pick up responsibilities and manage them on their own.
Job Title: Credentialing Specialist
Department: Revenue Cycle Management
Reports to: Credentialing Manager
Duties & Responsibilities:
  • Prioritize and complete work accurately, efficiently, and within established deadlines
  • Maintain Availity database additions, changes, and verification requests
  • Maintain provider/group demographic information and process updates accurately
  • Participate in delegated credentialing projects and complete assigned special projects
  • Resolve payer information requests in a timely manner
  • Review provider/group demographic changes, identify credentialing concerns, and obtain additional information as needed
  • Facilitate payer calls to address contracting or credentialing issues
  • Train Specialists and support enrollment processes across dual markets
  • Contribute to team efforts and complete additional duties as needed

Qualifications:
  • 2-10 years of professional experience
  • 2+ years of administrative experience, preferably in Behavioral Health or Healthcare
  • 1-5 years of credentialing experience preferred
  • Delegated Credentialing experience preferred
  • Strong understanding of CAQH attestations and processing
  • Proficient in Excel and Word; Google Suite experience preferred
  • Ability to communicate confidently and professionally about past accomplishments

Critical Traits:
  • Maintain a high level of accuracy and attention to detail
  • Stay organized and effectively manage priorities
  • Communicate proactively and regularly with the Credentialing Manager
  • Be approachable, receptive to feedback, and open to learning
  • Consistently meet deadlines and team goals
  • Demonstrate strong problem-solving skills and look for opportunities to improve processes

Perks:
  • 10 Days of PTO, 10 Paid Holidays, 2 Flex Days + More with Tenure
  • Student Loan Repayment Employer Contributions
  • Maternity/Paternity Award of up to $3,000 & FSA Options for Childcare
  • Door Dash Pass, Team Happy Hours, and Regional Night of Honors
  • Up to $600 Student Loan Repayment Options & Tuition Discounts.

Additional Rewards:
  • Quarterly Team outings and events to bond and celebrate our wins both big and small!
  • Professional development: we want to pour into you as you pour into ABC
  • Leadership opportunities: To be the best, we have to continually keep learning and you get to push yourself here to learn more and take on more responsibilities, and show what you can do!
  • 401K Retirement Plans with company matching

Compensation & Schedule:
  • Full-Time: $18- 22 hourly
  • Austin, TX (on-site position), Remote if outside of the Austin area
    • Located at 6300 Bee Caves Rd BLDG 2 - 100, Austin, TX 78746

Our Community & Culture:
  • Instagram: https://instagram.com/actionbehaviorcenters
  • Facebook: https://facebook.com/actionbehaviorcenters

See what others have said when they made the decision to grow with us!
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ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.
@Copyright 2026
Pay Range: $18 - $22 per hour

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