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Healthcare Credentialing Jobs in Kansas (NOW HIRING)

ProviDRs Care

Credentialing Lead - Onsite

Wichita, KS · On-site

Credentialing Lead This position is ON-SITE only, NOT remote. Position Summary The Credentialing ... Experiencesupporting multi-state healthcare organizations. * Advancedreporting and process ...

ProviDRs Care

Credentialing Lead - Onsite

Wichita, KS · On-site

$40K - $70K/yr

Experience supporting multi-state healthcare organizations. * Advanced reporting and process improvement experience. Success Measures * Credentialing and enrollment turnaround times meet or exceed ...

Walgreens

Healthcare Services Pharmacist

Topeka, KS · On-site

Maintains current knowledge and required licensing/credentialing/certification as established by ... Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy ...

Walgreens

Healthcare Services Pharmacist

Topeka, KS

Maintains current knowledge and required licensing/credentialing/certification as established by ... Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy ...

Walgreens

Healthcare Services Pharmacist

Overland Park, KS · On-site

$60.90 - $82.30/hr

Maintains current knowledge and required licensing/credentialing/certification as established by ... Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy ...

Walgreens

Healthcare Services Pharmacist

Topeka, KS · On-site

$60.90 - $82.30/hr

Maintains current knowledge and required licensing/credentialing/certification as established by ... Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy ...

WALGREENS

Healthcare Services Pharmacist

Topeka, KS · On-site

$60.90/hr

Maintains current knowledge and required licensing/credentialing/certification as established by ... Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy ...

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Healthcare Credentialing information

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How much do healthcare credentialing jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for healthcare credentialing in Kansas is $21.72, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $24.66 per hour, depending on experience, location, and employer.

What is healthcare credentialing?

Healthcare credentialing is the process of verifying the qualifications, experience, and professional background of healthcare providers, such as doctors, nurses, and other practitioners. This process ensures that healthcare professionals meet specific standards required by hospitals, insurance companies, and regulatory agencies. Credentialing typically involves validating education, training, licensure, certifications, and work history. It is essential for maintaining patient safety, regulatory compliance, and the quality of care within healthcare organizations.

What are the key skills and qualifications needed to thrive in healthcare credentialing?

To thrive in Healthcare Credentialing, you need meticulous attention to detail, a solid understanding of healthcare regulations, and experience with credentialing processes, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing management software (such as CAQH or Verity), compliance databases, and knowledge of Joint Commission standards are typically required. Strong organizational skills, clear communication, and the ability to handle confidential information make candidates stand out. Mastery of these skills ensures accurate provider verification, regulatory compliance, and timely onboarding, all of which are vital for patient safety and institutional integrity.

What are some of the main challenges healthcare credentialing specialists face in maintaining up-to-date provider records?

Healthcare credentialing specialists often encounter challenges such as frequent changes in provider information, varying requirements from different insurance companies, and tight deadlines for credentialing renewals. Staying organized and maintaining accurate, up-to-date records is crucial, as incomplete or outdated information can delay provider onboarding or disrupt patient care. Effective communication with both providers and regulatory bodies is key to overcoming these hurdles, and many teams rely on specialized credentialing software to streamline the process and ensure compliance.

What is the difference between Healthcare Credentialing vs Medical Billing Specialist?

AspectHealthcare CredentialingMedical Billing Specialist
Primary FocusVerifying provider credentials and licensingProcessing insurance claims and payments
Required CertificationsCredentialing certifications, healthcare complianceBilling and coding certifications (e.g., CPC)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Industry UsageHealthcare administration, provider onboardingRevenue cycle management, billing departments

Healthcare Credentialing and Medical Billing Specialists both operate within healthcare administration but focus on different aspects. Credentialing ensures providers meet licensing standards, while billing specialists handle insurance claims. Understanding these differences helps clarify career paths and job roles in healthcare administration.

How to get into healthcare credentialing?

To enter healthcare credentialing, individuals typically need a high school diploma or equivalent, with some roles requiring a postsecondary certificate or associate degree in health administration or related fields. Gaining experience in healthcare settings and developing skills in attention to detail, organization, and knowledge of licensing and certification processes are important. Certification programs, such as the Certified Provider Credentialing Specialist (CPCS), can enhance job prospects and credibility in the field.

Is healthcare credentialing a hard job?

Healthcare credentialing can be challenging due to the detailed review of provider qualifications, compliance requirements, and the need for accuracy. It often requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job may involve repetitive tasks and tight deadlines, but it is manageable with proper training and experience.

What are popular job titles related to Healthcare Credentialing jobs in Kansas?

For Healthcare Credentialing jobs in Kansas, the most frequently searched job titles are:

What job categories do people searching Healthcare Credentialing jobs in Kansas look for?

The top searched job categories for Healthcare Credentialing jobs in Kansas are:

Healthcare Credentialing jobs near you
Infographic showing various Healthcare Credentialing job openings in Kansas as of August 2026, with employment types broken down into 2% As Needed, 67% Full Time, 15% Part Time, 1% Temporary, and 15% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $45,185 per year, or $21.7 per hour.

Credentialing Lead - Onsite

ProviDRs Care

Wichita, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description


Credentialing Lead
This position is ON-SITE only, NOT remote.
Position Summary
The Credentialing Lead is responsible for overseeing and executing complex provider credentialing activities across multiple states and payer networks. This role serves as the subject matter expert for escalated credentialing issues, ensures regulatory and accreditation compliance, manages provider credential expirations, and drives operational excellence within the credentialing function. The Credentialing Lead owns the credentialing work queue, prioritizes high-risk and time-sensitive cases, and partners closely with providers, payers, licensing boards, and internal stakeholders to ensure timely enrollment and ongoing compliance.
Key Responsibilities
Credentialing Operations
  • Manageand maintain ownership of the credentialing and recredentialing workqueue, ensuring timely processing and resolution of cases.
  • Handlecomplex credentialing scenarios, including multi-state licensure, payerenrollment challenges, provider relocations, and high-priority onboardingcases.
  • Coordinateand submit credentialing applications to commercial, government, andmanaged care payers.
  • Monitorcredentialing status and proactively address delays, deficiencies, orbarriers to enrollment.

Escalation Management
  • Serveas the primary escalation point for credentialing-related issues.
  • Investigateand resolve complex credentialing and enrollment problems with payers,providers, and regulatory agencies.
  • Developcorrective action plans and drive issues through resolution whilemaintaining stakeholder communication.

Expiration & Compliance Management
  • Overseetracking and management of provider licenses, certifications,registrations, malpractice insurance, and other credentialingrequirements.
  • Ensuretimely renewals and prevent lapses that could impact provider eligibilityor reimbursement.
  • Maintainaccurate credentialing records and documentation in credentialing systemsand databases.

Accreditation & Quality Oversight
  • Maintaincredentialing processes in accordance with accreditation standards.
  • Supportaudits, accreditation reviews, and internal quality assurance initiatives.
  • Ensurecredentialing policies, procedures, and documentation remain compliantwith regulatory and accreditation requirements.
  • Identifyprocess improvement opportunities and implement best practices tostrengthen compliance and operational efficiency.

Leadership & Collaboration
  • Provideguidance and mentorship to credentialing specialists and team members.
  • Establishand monitor credentialing performance metrics, service levels, and qualitystandards.
  • Collaboratewith Provider Operations, Compliance, Revenue Cycle, Clinical Leadership,and external partners to support organizational goals.
  • Assistin developing workflows, training materials, and standard operatingprocedures.

Qualifications
Required
  • 3+years of provider credentialing experience, including payer enrollment andrecredentialing.
  • Demonstratedexperience managing complex credentialing cases and multi-state providercredentials.
  • Strongunderstanding of credentialing regulations, payer requirements, andprovider enrollment processes.
  • Experienceworking with credentialing software, CAQH, NPPES, PECOS, and statelicensing boards.
  • Knowledgeof accreditation standards such as NCQA, URAC, or Joint Commission.
  • Excellentorganizational, problem-solving, and communication skills.
  • Abilityto manage multiple priorities in a fast-paced environment.

Preferred
  • CertifiedProvider Credentialing Specialist (CPCS) certification.
  • Experienceleading credentialing operations or serving as a team lead.
  • Experiencesupporting multi-state healthcare organizations.
  • Advancedreporting and process improvement experience.

Success Measures
  • Credentialingand enrollment turnaround times meet or exceed organizational goals.
  • Providercredential expirations are proactively managed with minimal to no lapses.
  • Escalatedcredentialing issues are resolved efficiently and effectively.
  • Accreditationand audit requirements are consistently met.
  • Credentialingqueue remains current and within established service level agreements.
  • Highlevels of provider and internal stakeholder satisfaction.

Reports To: Director of Provider Relations and Credentialing
Classification: Full-Time
Department: Provider Network Operations / Credentialing & Enrollment
Requirements
Education
  • High school diploma or GED required
  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
Experience
  • 3+ years of provider credentialing or medical staff services experience preferred
  • Experience with payer enrollment and provider credentialing processes
  • Knowledge of commercial, Medicare, and Medicaid enrollment requirements
  • Experience working in a healthcare organization, provider network, or health plan preferred
Required Knowledge
  • Provider credentialing and re-credentialing processes
  • Primary Source Verification (PSV)
  • CAQH ProView maintenance
  • NPI and PECOS enrollment
  • Medicare, Medicaid, and commercial payer enrollment
  • NCQA, CMS, Joint Commission, and state regulatory requirements
  • Provider file maintenance and document management
  • Medical terminology and healthcare operations
Technical Skills
  • Microsoft Office (Excel, Word, Outlook)
  • Credentialing software
  • Electronic document management systems
  • Database management and accurate data entry
  • Internet research and state licensing board websites
Core Competencies
  • Exceptional attention to detail
  • Strong organizational skills
  • Time management and prioritization
  • Excellent written and verbal communication
  • Customer service orientation
  • Problem-solving and critical thinking
  • Ability to manage multiple deadlines
  • Ability to work independently and collaboratively
  • Confidentiality and professionalism

Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off (PTO)
Employee Assistance Program (EAP)
401(k) with Employer Contribution
Health Savings Account (HSA)
Flexible Savings Account (FSA)
Referral Program
Life Insurance
Discounted Gym Membership

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