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Managed Care Credentialing Jobs in Florida (NOW HIRING)

Palm Careers

Credentialing Specialist

Oakland Park, FL · On-site +1

If you are detail-oriented, organized, and passionate about healthcare credentialing, we'd love to hear from you. What You'll Do Manage the full credentialing lifecycle for locum tenens physicians ...

KeyStaff

Senior Credentialing Specialist

Pompano Beach, FL · On-site

$43.27 - $48.08/hr

Manage the full lifecycle of clinical credentialing and recredentialing for healthcare providers. * Verify provider qualifications, including licenses, certifications, education, training, work ...

Private Practice

Be Seen First

Credentialing Specialist

Miami, FL · On-site

Revenue Cycle Manager FLSA STATUS: Non-Exempt QUALIFICATIONS/EDUCATION: * AA Degree required. * Minimum two years of experience in healthcare credentialing. * Knowledge of regulatory requirements and ...

Truman Medical Centers

Credentialist II

Tampa, FL · On-site

OR managed care credentialing * OR an academic medical center working with physicians and administrative processes * Strong computer proficiency and database experience * Exceptional attention to ...

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All JobsManaged Care Credentialing JobsManaged Care Credentialing Jobs in Florida

Managed Care Credentialing information

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How much do managed care credentialing jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for managed care credentialing in Florida is $18.20, according to ZipRecruiter salary data. Most workers in this role earn between $14.38 and $20.67 per hour, depending on experience, location, and employer.

What is managed care credentialing?

Managed care credentialing is the process by which healthcare organizations, such as insurance companies or managed care organizations, verify and evaluate the qualifications of healthcare providers before allowing them to join their network. This includes checking education, licensure, experience, and professional history to ensure providers meet specific standards and regulations. Credentialing helps maintain quality of care and protects patients by ensuring only qualified professionals deliver services within the network.

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

To excel in Managed Care Credentialing, you need a thorough understanding of healthcare regulations, credentialing standards, and provider enrollment processes, often supported by experience in healthcare administration or a related certification like CPCS. Familiarity with credentialing software, databases, and compliance tracking systems such as CAQH and NCQA standards is typically required. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and timely credentialing of providers. These competencies are crucial for maintaining regulatory compliance, reducing risk, and ensuring smooth operations within healthcare organizations.

What are some common challenges faced by professionals in managed care credentialing, and how can they be addressed?

Professionals in managed care credentialing often encounter challenges such as staying current with frequently changing regulations and payer requirements, keeping up with large volumes of applications, and managing tight deadlines. Effective organization, strong attention to detail, and leveraging credentialing software can help streamline processes and reduce errors. Building strong communication with providers and payers also plays a critical role in resolving issues quickly and ensuring compliance.

What is the difference between Managed Care Credentialing vs Medical Billing Specialist?

AspectManaged Care CredentialingMedical Billing Specialist
Required CredentialsCertifications in healthcare administration, insurance, or related fields; often requires knowledge of payer policiesCertification in medical billing or coding; familiarity with billing software and coding standards
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageUsed by healthcare providers to establish payer relationships and ensure complianceUsed to process insurance claims and manage patient billing

Managed Care Credentialing focuses on verifying provider credentials and establishing payer relationships, while Medical Billing Specialists handle billing processes and insurance claims. Both roles are essential in healthcare administration but serve different functions within the revenue cycle.

What are popular job titles related to Managed Care Credentialing jobs in Florida?

For Managed Care Credentialing jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Managed Care Credentialing jobs in Florida look for?

The top searched job categories for Managed Care Credentialing jobs in Florida are:

Managed Care Credentialing jobs near you
Infographic showing various Managed Care Credentialing job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $37,861 per year, or $18.2 per hour.

Credentialing/Provider Enrollment Specialist | Managed Care & Corporate Development

UF Health

Gainesville, FL • Hybrid

Full-time

Re-posted 3 days ago

Job description

Overview

Supporting the Network Behind Exceptional Care. 

???? Work Style: Hybrid (Onsite training for first 2 months, then hybrid schedule)
???? Location: Gainesville, FL 
???? FTE: Full-Time (1.0 FTE)
⏰ Schedule: Monday – Friday - 8:00 am to 5:00 pm

Verifies and authenticates the credentials of healthcare professionals to ensure compliance with regulatory standards. Coordinates with medical staff and external agencies to collect and review necessary documentation, maintaining accurate credentialing records, and monitoring expiration dates for timely renewals. Supports audit and accreditation processes by preparing reports and documentation, communicates credentialing requirements to stakeholders, and assists the credentialing committee with meeting coordination. Requires resolving discrepancies and following up on incomplete credentialing information to maintain data integrity and compliance.

This position works collaboratively with Managed Care, Credentialing, Revenue Cycle, Medical Staff, Operations, and IT teams to support provider onboarding, enrollment maintenance, payor reporting, and operational workflow coordination across the health system.


Responsibilities

Key Responsibilities

  • Verifies and authenticates credentials of healthcare professionals.
  • Coordinates with medical staff and external agencies for documentation collection and review.
  • Maintains accurate credentialing records and monitors expiration dates.
  • Supports audit and accreditation processes with reports and documentation.
  • Communicates credentialing requirements to stakeholders.
  • Assists the credentialing committee with meeting coordination.
  • Resolves discrepancies and follows up on incomplete credentialing information.

Qualifications
Minimum Qualifications
  • Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or a related field required; equivalent work experience may be considered in lieu of education
    • 3+ years of experience in healthcare credentialing, provider enrollment, or medical staff services.
    • Knowledge of healthcare regulatory requirements, credentialing standards, and accreditation processes.
    • Experience managing credentialing documentation, primary source verification, and provider renewal processes.
    • Strong organizational, communication, and record management skills.
    • Ability to coordinate effectively with medical staff, providers, licensing boards, payers, and external agencies.
     
Preferred Qualifications
  • Experience with delegated provider rosters, provider onboarding, and enrollment maintenance workflows
  • Familiarity with PECOS, NPPES, Medicaid portals, Medicare enrollment processes, and commercial payor systems
  • Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and payor loading processes
  • Experience validating provider demographics, NPIs, TINs, practice locations, specialties, taxonomy codes, and participation records
  • Familiarity with CMS, AHCA, NCQA, and delegated credentialing requirements
  • Experience working within a large multi-site health system, academic medical center, or managed care environment
  • Experience with credentialing or enrollment systems such as CredentialStream, MD-Staff, or related platforms
     
     

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