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Delegated Credentialing Manager Jobs (NOW HIRING)

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

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

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

Credentialing Manager

Los Angeles, CA · On-site

$80K - $168K/yr

Lead, develop, and manage the Credentialing team, including hiring, training, performance ... Develop, implement, and maintain credentialing policies, procedures, workflows, and delegation ...

Manages WashU Medicine's delegated credentialing organization. * Manages WashU Physician's Network (WUPN). * Develops and implements policies and procedures pertaining to collection, and scope, of ...

$100 - $125/hr

Delegated Credentialing: Own and manage the company's delegated credentialing function, ensuring compliance with NCQA standards and payer requirements across all applicable states. Vendor Management:

NY · On-site

$100 - $125/hr

Manage accounts for contracted organizations. * Liaise with delegates and credentialing vendors to maintain credentialing program compliance. * Monitor contract compliance and coordinate or negotiate ...

New

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to ... The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying ...

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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?

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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 / Enrollment Lead

Atlanta, GA • Remote

Full-time

Posted 17 days ago


Job description

About Us
Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up.

Our mission is to improve people's health by making it easy to live a healthy lifestyle.

Nourish is the country's largest dietitian-led metabolic health clinic. We're an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems.

In 2026 we raised a $100M Series C, bringing total funding to $215M. The round was led by Menlo Ventures, with participation from Thrive Capital, Index Ventures, J.P. Morgan Growth Equity Partners, Maverick Ventures, Y Combinator, BoxGroup, Atomico, Daybreak, and Operator Partners.

Learn more about our Series C here: Nourish Blog, Bloomberg, Fierce Healthcare, Digital Native, The Pulse Podcast.

This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we're solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it.

About the Role

Reporting directly to our Credentialing Manager, the Credentialing / Enrollments Lead will own day-to-day execution for our New Bets Credentialing or Enrollments pod. We're hiring for a number of roles and will make sure we match you with the best fit opportunity. You will translate credentialing or enrollments strategy into a clear operating plan, and oversee the virtual-assistant capacity supporting your workflows.

This role is critical to scaling Nourish's provider network as we add payers, providers, provider types, and delegated arrangements. You will maintain a high bar for quality and compliance, ensure new-provider workflows do not become a growth bottleneck, and build the systems, team capabilities, and operating rhythms needed to support rapid growth toward 25,000+ providers.

This role is full-time and open to fully remote or NYC-based candidates. 

Key Responsibilities:
  • Develop and support a pod of New Bets Credentialing or Enrollments Associates or Senior Associates, setting priorities, clarifying ownership and deadlines, reviewing work quality, giving feedback, and holding the team accountable for outcomes.
  • Direct virtual-assistant capacity supporting the pod, including work allocation, training, quality assurance, and performance monitoring.
  • Own complex credentialing programs end to end, including payer enrollments, workflows for credentialing Medical Doctors, Nurse Practitioners and Therapists, ongoing monitoring, and delegated credentialing operations.
  • Build and maintain clear SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records.
  • Use metrics to manage capacity, throughput, timeliness, quality, provider experience, and execution risk; identify gaps early and lead practical improvement plans.
  • Investigate ambiguous payer, provider, or operational issues using data and primary sources; make sound tradeoffs across speed, compliance, provider experience, business impact, and cost.
  • Design scalable workflows and recommend tooling, automation, and ownership improvements in partnership with Product, Engineering, Payer Ops, Finance, RCM, Clinical Ops, and Customer Experience.
  • Serve as the day-to-day escalation point for the area you own, resolving blockers independently and escalating material risks with clear recommendations.
  • Communicate decisions, owners, deadlines, risks, and next steps clearly to team members, leaders, payers, providers, and cross-functional partners.
  • Build team capability by coaching associates into stronger owners and future leaders while ensuring reliable delivery against goals.
We'd love to hear from you if:
  • You have approximately 5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a closely related field for Registered Dietitians
  • You have meaningful credentialing domain depth across payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, accreditation, or related workflows.
  • You have demonstrated people-leadership experience, including setting priorities, directing work, giving feedback, managing performance, and developing team members.
  • You have owned complex operational programs with rigorous quality, compliance, documentation, and deadline requirements.
  • You use metrics to manage capacity, throughput, quality, timeliness, and execution risk.
  • You are a strong written and verbal communicator who can simplify complex operational or regulatory issues for different audiences.
  • You are tech-savvy and have experience improving processes through tooling, automation, or partnership with Product and Engineering.
  • You are flexible, adaptable, and effective in fast-changing conditions.
More Information

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