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Director Of Credentialing Jobs in Boca Raton, FL

Armada Ltd

Credentialing Specialists

Plantation, FL

... as directed by ICAM * Credentialing Specialists shall perform IRS credentialing functions and may be required to travel up to 40% of their annual work hours to support IRS credentialing and ...

Medical Care for Women LLC

Be Seen First

Director of Practice Operations

North Miami Beach, FL · On-site

$80K - $130K/yr

... Director of Operations to own the business side of the practice, strengthen how we operate, and ... Payer contracts & credentialing. Know every contract and rate, keep providers credentialed, and ...

CCP Cares

Credentialing Coordinator

Sunrise, FL · On-site

Re-credentials existing providers in all applicable lines of business from inception through ... Self-directed * Exhibit independent judgment * Results-oriented * Self-motivated * Communicate ...

Compass Group

DIR, NUTRITION SYSTEMS II

West Palm Beach, FL · On-site

$90K - $100K/yr

Take the next step in your career with CCL Hospitality Group as a DIR, NUTRITION SYSTEMS II in WEST ... of the system and Company as appropriate. Preferred Qualifications: * Credentialed as a Registered ...

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All JobsOf Credentialing JobsDirector Of Credentialing JobsDirector Of Credentialing Jobs in Boca Raton, FL

Director Of Credentialing information

See Boca Raton, FL salary details

$41.3K

$80.7K

$124.8K

How much do director of credentialing jobs pay per year?

As of Aug 22, 2026, the average yearly pay for director of credentialing in Boca Raton, FL is $80,691.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,700.00 and $89,700.00 per year, depending on experience, location, and employer.

What does a director of credentialing do?

A Director of Credentialing oversees the process of verifying and maintaining the credentials of healthcare providers within an organization. This role ensures that all physicians, nurses, and allied health professionals meet the necessary licensing, certification, and regulatory requirements. The director manages credentialing staff, develops and updates policies, and coordinates with regulatory bodies to maintain compliance. They play a critical role in ensuring patient safety and organizational integrity by confirming provider qualifications.

What are the key skills and qualifications needed to thrive as a director of credentialing?

To thrive as a Director of Credentialing, you need in-depth knowledge of credentialing standards, healthcare regulations, and experience with provider enrollment, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing software systems (such as CAQH or Verity), compliance management tools, and industry certifications like CPCS or CPMSM is typically required. Strong leadership, analytical thinking, and effective communication are crucial soft skills for managing teams and collaborating with providers and regulatory bodies. These competencies ensure the organization maintains regulatory compliance, reduces risk, and delivers efficient, high-quality credentialing services.

What are the primary challenges faced by a director of credentialing in maintaining compliance across multiple healthcare facilities?

A Director of Credentialing often manages credentialing processes for various providers and facilities, which can present challenges such as staying up to date with differing regulatory requirements, coordinating with multiple state and federal agencies, and ensuring all documentation is consistently accurate and complete. Effective communication with providers and internal teams is essential to prevent delays and mitigate risks of non-compliance. Additionally, adapting to frequent changes in accreditation standards and payer requirements requires a proactive approach and ongoing professional development.

What is the difference between Director Of Credentialing vs Credentialing Specialist?

AspectDirector Of CredentialingCredentialing Specialist
ResponsibilitiesOversees credentialing processes, manages teams, develops policiesPerforms credentialing tasks, verifies credentials, maintains records
Required CredentialsBachelor's degree, experience in credentialing, leadership skillsHigh school diploma or associate's, certification preferred, detail-oriented
Work EnvironmentHealthcare organizations, hospitals, clinicsMedical offices, healthcare facilities, credentialing departments

The main difference is that the Director Of Credentialing manages the entire credentialing department and develops policies, while the Credentialing Specialist handles day-to-day credential verification tasks. The director role involves leadership and strategic planning, whereas the specialist focuses on operational tasks.

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Director Of Credentialing jobs near you
Infographic showing various Director Of Credentialing job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $80,448 per year, or $38.7 per hour.

Credentialing Specialist

Cancer Center of South Florida PLLC

West Palm Beach, FL • On-site

Full-time

Posted 16 days ago

Job description

Description:

POSITION SUMMARY:

The Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing, recredentialing, and privileging for all medical providers delivering care across Cancer Center of South Florida locations. This role ensures providers are accurately enrolled, credentialed, and privileged with health plans, hospitals, and other patient care facilities in a timely manner. The Credentialing Specialist maintains accurate, up-to-date provider data across credentialing systems and trackers, and proactively manages renewals, expirations, and CAQH updates to ensure continuous compliance and uninterrupted billing.


CORE ESSENTIAL RESPONSIBILITIES:

  • Prepare and submit credentialing and payer enrollment applications for new and existing providers, including initial enrollment, recredentialing, and mid-cycle updates.
  • Manage hospital privileging applications and reappointments across applicable facilities.
  • Maintain and update provider CAQH profiles, ensuring attestations are current and complete.
  • Process provider demographic updates with payers, including address changes, tax ID updates, and panel status changes.
  • Monitor application status across all active submissions and follow up with payers, hospital medical staff offices, and licensing bodies to keep things moving.
  • Track expiration dates for licenses, certifications, DEA registrations, and payer enrollments, initiating renewals well ahead of deadlines.
  • Maintain accurate and audit-ready provider records in the credentialing database and all applicable tracking systems.
  • Serve as the primary point of contact for assigned providers, communicating proactively on status, outstanding requirements, and timelines without waiting to be asked.
  • Collect required credentialing documentation from providers in a way that is organized, clear, and minimally burdensome.
  • Escalate stalled or at-risk enrollments to the Director of Credentialing promptly with a clear status summary.
  • Collaborate with Revenue Cycle, Recruiting, and Operations to coordinate enrollment timelines and resolve billing-related credentialing issues.
Requirements:

REQUIRED EDUCATION & EXPERIENCE

  • High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred.
  • 2+ years of experience in provider credentialing, payer enrollment, or a related healthcare administrative role.

REQUIRED CERTIFICATES, LICENSE OR REGISTRATION

  • CPCS certification preferred

REQUIRED KNOWLEDGE, SKILLS OR ABILITIES

  • Knowledge of payer enrollment processes, CAQH, and hospital privileging requirements.
  • Knowledge of credentialing software and payer enrollment portals.
  • Skill in managing multiple deadlines simultaneously without sacrificing accuracy.
  • Ability to communicate proactively and professionally with providers and internal stakeholders.
  • Ability to identify problems early and escalate appropriately.
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.