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Managed Care Credentialing Jobs (NOW HIRING)

This role is responsible for assisting with credentialing submissions, monitoring IPA portal ... Managed Care experience is desired, including familiarity and health plan engagement. ESSENTIAL ...

... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal responsibilities include: Application Maintenance * * Prepare initial Credentialing application ...

Experience working in a healthcare, hospital, medical group, or managed care environment. * Experience using MD-Staff credentialing software. * Ability to manage a high-volume workload, including 80 ...

Experience working in a healthcare, hospital, medical group, or managed care environment. * Experience using MD-Staff credentialing software. * Ability to manage a high-volume workload, including 80 ...

Payer Credentialing Coordinator

Delta, CO ยท On-site

$25.42 - $36.45/hr

Delta Health is looking for a detail-driven Payer Credentialing Coordinator to manage provider credentialing and enrollment across commercial payers, Medicare, Medicaid, and managed care ...

Managed Care Coordinator

Los Angeles, CA ยท On-site

$25 - $31/hr

This role is responsible for assisting with credentialing submissions, monitoring IPA portal ... Managed Care experience is desired, including familiarity and health plan engagement. ESSENTIAL ...

Showing results 41-60

Managed Care Credentialing information

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$13

$24

$38

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:

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.

Credentialing Specialist

Palm Careers

Fort Lauderdale, FL โ€ข On-site, Remote

Full-time

Re-posted 23 days ago


Job description

LOCUMS CREDENTIALING SPECIALIST


Remote | Hybrid | On-Site | Full-Time


Palm Health Resources


Join a team that values precision, collaboration, and professional growth.

Palm Health Resources, a nationally recognized healthcare staffing firm, is seeking an experienced Credentialing Specialist with a background in locum tenens credentialing for Physicians and Advanced Practice Providers. This role offers the opportunity to work alongside a supportive, high-performing team while playing a critical role in connecting healthcare providers with facilities nationwide.


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 and advanced practice providers across multiple specialties and states.

Coordinate licensing, privileging, payer enrollment, primary source verifications, and facility onboarding requirements.

Maintain accurate credentialing records and documentation to ensure compliance with client, regulatory, and accreditation standards.

Serve as the primary point of contact between providers, healthcare facilities, recruiters, and internal stakeholders throughout the credentialing process.

Monitor expiration dates and proactively manage renewals, reappointments, and re-credentialing requirements.

Ensure timely communication and follow-up to keep providers on track for scheduled assignments.


What We're Looking For

2+ years of experience credentialing locum tenens physicians and/or advanced practice providers (required).

Strong knowledge of healthcare credentialing, licensing requirements, compliance standards, and provider onboarding processes.

Excellent organizational, communication, and follow-up skills.

Ability to manage multiple providers, facilities, and deadlines simultaneously.

Strong attention to detail and commitment to accuracy.

Comfortable working independently in a remote environment while collaborating with a team.

A professional looking to build a long-term career within healthcare staffing and credentialing.


Why Palm Health Resources?

Remote, hybrid, and on-site opportunities available.

Supportive, collaborative, and growth-oriented culture.

Stable organization with a strong national presence in healthcare staffing.

Opportunity to work with leading healthcare facilities and providers nationwide.

Autonomy to manage your work while receiving the support needed to succeed.

Career growth opportunities within an expanding organization.



Ready to take the next step in your credentialing career?



Apply today and join a team that values your expertise, supports your professional growth, and recognizes the important role credentialing plays in delivering quality patient care.