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Healthcare Credential Manager Jobs (NOW HIRING)

Colla Health

Behavioral Health Care Manager

Lake City, FL · Remote

$60K - $70K/yr

About The Role
 Our Behavioral Health Care Managers are the consistent, trusted advocates at the very center of our care model. By providing targeted behavioral health support that integrates with ...

SPHS GROUP

Credentialed Counselor 2

Latrobe, PA

Demonstrated ability or willingness to obtain the designated managed care credential of Mental Health Professional or Certified Addiction Counselor. * Demonstrated ability to obtain vital information ...

Altais, Inc.

Senior Manager, Credentialing

At Altais, we're on a mission to improve the healthcare experience for everyone-starting with the ... This role manages the credentialing program for Altais affiliated entities, including employed ...

Addison Group

Healthcare Recruiter

Oak Brook, IL · On-site

$35 - $42/hr

The Healthcare Recruiter will manage the full recruitment lifecycle for clinical positions, with a ... Review candidate credentials and ensure required licensing and background information is ...

Centrum Health

Credentialing Specialist

Doral, FL · On-site

Associate's degree or Bachelor's degree in healthcare administration or related field preferred. * One (1) or more years of experience in credentialing, managed care, or a related healthcare field.

Author Health

$100K - $113K/yr

Let's build the future of mental health care together! Summary & Objective We are a fast-growing telehealth company seeking an experienced and strategic Senior Manager, Licensing and Credentialing.

Waste Management

Healthcare Project Manager

Manhattan, NY · On-site

$72K - $86K/yr

Job Summary The Manager, Project - WMSS is responsible for providing strategic guidance towards the ... Required Qualifications * 3 years of experience in the healthcare industry, or the equivalent in ...

Waste Management

Healthcare Project Manager

Hudson, NH · On-site

$56K - $80K/yr

Required Qualifications * 3 years of experience in the healthcare industry, or the equivalent in project/customer management experience, demonstrating excellent working knowledge of medical waste ...

Waste Management

Healthcare Project Manager

Phoenix, AZ · On-site

$56K - $80K/yr

Required Qualifications * 3 years of experience in the healthcare industry, or the equivalent in project/customer management experience, demonstrating excellent working knowledge of medical waste ...

Waste Management

Healthcare Project Manager

Hudson, NH · On-site

$74K - $90K/yr

Required Qualifications * 3 years of experience in the healthcare industry, or the equivalent in project/customer management experience, demonstrating excellent working knowledge of medical waste ...

Waste Management

Healthcare Project Manager

New York, NY · On-site

$72K - $86K/yr

Job Summary The Manager, Project - WMSS is responsible for providing strategic guidance towards the ... Required Qualifications * 3 years of experience in the healthcare industry, or the equivalent in ...

Friedman Williams

Healthcare Attorney

Woodbridge, NJ

$145K - $160K/yr

Outstanding academic credentials and excellent written and oral communication skills required. Admission to the NJ bar in good standing is required. The salary range for a Healthcare Attorney is $145 ...

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Healthcare Credential Manager information

See salary details

$31.5K

$77.4K

$125K

How much do healthcare credential manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for healthcare credential manager in the United States is $77,368.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $98,000.00 per year, depending on experience, location, and employer.

What is a healthcare credential manager?

Healthcare Credential Managers are professionals responsible for verifying, organizing, and maintaining the credentials of healthcare providers within a medical facility or organization. They ensure that doctors, nurses, and other staff meet all licensing, certification, and regulatory requirements. Their work is crucial for maintaining compliance with laws, accreditation standards, and hospital policies, ultimately ensuring that patients receive care from qualified professionals. Healthcare Credential Managers often use specialized software to track expirations and manage documentation efficiently.

What are some common challenges faced by healthcare credential managers, and how can they be addressed?

Healthcare Credential Managers often face challenges such as keeping up with frequently changing regulations, ensuring timely renewal of credentials, and managing large volumes of provider data. To address these, it is important to implement efficient tracking systems, stay informed about regulatory updates, and maintain clear communication with healthcare providers. Collaboration with compliance officers and regular training can also help ensure all requirements are consistently met.

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

To thrive as a Healthcare Credential Manager, you need strong organizational skills, attention to detail, and knowledge of credentialing standards, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing software, databases, and compliance management systems, as well as certification such as Certified Provider Credentialing Specialist (CPCS), is highly valuable. Excellent communication, problem-solving abilities, and discretion are key soft skills for interacting with providers, regulatory bodies, and internal teams. These skills ensure that healthcare organizations maintain regulatory compliance, minimize risk, and support safe, effective patient care.

What are popular job titles related to Healthcare Credential Manager jobs?

For Healthcare Credential Manager jobs, the most frequently searched job titles are:

Client Success Manager - Provider Credentialing

Addison, TX • Remote

Plutus Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Plutus Healthexternal

Full-time

Re-posted 27 days ago

Job description

About Plutus Health Inc.:

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance, and specializes in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. We are proud to be recognized by Becker's Healthcare as one of the Top Revenue Cycle Management Companies to Know (2026), featured on the Inc. 5000 list of America's Fastest-Growing Private Companies, honored in the SMU Cox Dallas 100 for multiple consecutive years, and recognized by Black Book Research as a leading healthcare RCM solutions provider.

Role Summary

Plutus Health is seeking a detail-oriented and proactive Client Success Manager - Provider Credentialing to join our U.S. Client Success Manager credentialing team. You will be responsible for working with the offshore team in providing the end-to-end credentialing process for healthcare providers, ensuring compliance with payer requirements and regulatory standards. This role is critical to maintain operational efficiency and timely provider onboarding across multiple clients and specialties.

Key Responsibilities

  • Should have a good understanding of initial credentialing, re-credentialing, and enrollment processes for providers across Medicare, Medicaid, and commercial payers.
  • Serve as the communication bridge between the client and the offshore team to ensure service level agreements (SLAs) are consistently met
  • Work with the offshore team in making sure provider profiles are kept up to date.
  • Collaborate with the offshore team to identify missing documentation and coordinate with the client to obtain the required information
  • Initiate phone calls and build rapport with the payer enrollment department to accelerate the application process
  • Verify provider credentials including licenses, certifications, education, and work history.
  • Collaborate with the sales team to support and enhance sales initiatives
  • Coordinate with internal teams and clients to gather required documentation and resolve discrepancies.
  • Maintain credentialing trackers and ensure data accuracy.
  • Support audits and ensure compliance with HIPAA and payer-specific guidelines.
  • Participate in credentialing meetings and contribute to process improvement initiatives.

Requirements

  • 7+ years of experience in U.S. provider credentialing.
  • Familiarity with CAQH, PECOS, NPPES, and payer-specific portals (e.g., Anthem, Optum, Medicaid MCOs).
  • Strong organizational and communication skills.
  • Proficiency in Microsoft Excel, credentialing databases, and tools.

Preferred Attributes

  • Experience handling credentialing for various specialties and multi-state providers.
  • Ability to work independently and manage multiple priorities.
  • Strong attention to detail and commitment to data accuracy.
  • Familiarity with payer-specific credentialing nuances and timelines.

Tools & Systems

  • CAQH, PECOS, NPPES, OIG, SAM, MEDICAID EXCLUSION, MEDICARE OPT OUT LIST, SOCIAL SECURITY DEATH MASTER FILE.
  • Payer portals including UHC, BCBS, Cigna, Humana, State Medicaid.
  • Credentialing dashboards and Excel-based trackers.

Why Join Plutus Health Inc.?

  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.

Apply