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Managed Care Credentialing Jobs (NOW HIRING)

TeleMed2U

Credentialing Specialist

Austin, TX · Remote

$21 - $30/hr

Coordinate all managed care credentialing activities to ensure provider participation status. * Credentialing activities require substantial contact with outside agencies * Maintain Credentialing ...

Careington

Healthcare Credentialing Manager

Frisco, TX · On-site

  • Medical

  • Life

Lead, coach, and develop a team to manage credentials for members in the Careington network. * Model high-quality leadership behaviors that reinforce accountability, ownership, curiosity, and member ...

D4C Dental Brands

Credentialing Specialist

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Liaise between the practitioners, health plans, hospitals, patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment. * Manage ...

Atlas Management

Credentialing Specialist

Brentwood, TN · On-site

$30/hr

Atlas Management is hiring a Credentialing Coordinator for a major corporation in the Brentwood, TN ... Knowledge of healthcare credentialing standards, primary source verification, licensure ...

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Managed Care Credentialing information

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How much do managed care credentialing jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for managed care credentialing in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 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.

More about Managed Care Credentialing jobs

What states have the most Managed Care Credentialing jobs?

States with the most job openings for Managed Care Credentialing jobs include:

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

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

Managed Care Credentialing jobs near you
Infographic showing various Managed Care Credentialing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 22% Part Time, and 8% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Healthcare Credentialing Coordinator

SEEDS of the Willistons INc

Williston Park, NY • On-site

Other

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Benefits:

401(k)

401(k) matching

Bonus based on performance

Dental insurance

Flexible schedule

Health insurance

Opportunity for advancement

Vision insurance

Healthcare Credentialing & Front Office Coordinator

Benefits / Perks

Flexible schedule

Great family-style work environment

401(k) with employer match

Health, dental, and vision benefits available

Career advancement opportunities

Opportunity to grow into a front office management role

Job Summary

We are a growing, family-style speech and occupational therapy practice that has been a trusted part of the community for over 20 years. As we continue to expand our insurance-based services, we are looking for a dedicated Healthcare Credentialing & Front Office Coordinator to join our team.

This position will focus heavily on provider credentialing, insurance enrollment, payer follow-up, and maintaining accurate credentialing records. The role will also support our front office team with insurance intake, eligibility verification, scheduling support, and overflow administrative responsibilities.

For the right candidate, this role has the potential to grow into a larger leadership position within the front office as the practice continues to expand.

Responsibilities

Maintain accurate records of provider credentials, licenses, insurance enrollments, and payer approvals

Track expiration dates for provider licenses, credentials, CAQH profiles, and required documentation

Organize and maintain copies of all provider licenses, certifications, and credentialing documents

Complete and submit new credentialing and re-credentialing applications

Follow up with insurance companies regarding credentialing status, missing documentation, approvals, and effective dates

Assist with insurance intake for new clients, including collecting insurance information and verifying benefits

Help identify and resolve credentialing or payer enrollment issues that may delay billing or payment

Maintain a high level of confidentiality with provider, client, and insurance information

Support the front office with overflow responsibilities, including phones, scheduling, client communication, and administrative tasks

Work closely with ownership, billing staff, and the front office team to improve systems and processes

Qualifications

Experience with healthcare credentialing, payer enrollment, and insurance follow-up required

Experience with claims, eligibility, or provider enrollment for insurance plans such as Anthem Blue Cross Blue Shield, United Healthcare, Aetna, Cigna, EmblemHealth, GHI, 1199, Northwell Health, and similar payers strongly preferred

Knowledge of healthcare credentialing and licensing requirements preferred

Strong attention to detail and ability to track multiple deadlines

Excellent organizational and follow-up skills

Experience using Microsoft Excel and general office software

Ability to multitask in a busy healthcare office environment

Ability to work independently while also supporting a team

Strong communication skills, both written and verbal

Professional, dependable, and able to handle confidential information appropriately

Ideal Candidate

The ideal candidate is someone who understands that credentialing is not just paperwork — it directly affects whether providers can see clients, whether claims can be paid, and whether the practice can grow. We are looking for someone who is organized, detail-oriented, proactive, and comfortable following up with insurance companies until issues are resolved.

This is a great opportunity for someone who wants to become an important part of a growing healthcare practice and potentially move into a larger front office leadership role over time.

Apply