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Managed Care Credentialing Jobs (NOW HIRING)

Gentiva

Director Managed Care

Atlanta, GA · On-site

Coordinate with Gentiva's credentialing team on NP-level credentialing requirements associated with ... Serve as the primary internal liaison between the Managed Care team and legal, revenue cycle ...

Gentiva

Director Managed Care

Atlanta, GA · Remote

Coordinate with Gentiva's credentialing team on NP-level credentialing requirements associated with ... Serve as the primary internal liaison between the Managed Care team and legal, revenue cycle ...

Gentiva

Director Managed Care

Atlanta, GA · Remote

Coordinate with Gentiva's credentialing team on NP-level credentialing requirements associated with ... Serve as the primary internal liaison between the Managed Care team and legal, revenue cycle ...

Gentiva

Director Managed Care

Atlanta, GA · On-site

Coordinate with Gentiva's credentialing team on NP-level credentialing requirements associated with ... Serve as the primary internal liaison between the Managed Care team and legal, revenue cycle ...

Via Care

Managed Care Coordinator

Los Angeles, CA · 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 ...

Liberty Pain Care

Office Manager

Perth Amboy, NJ

... managed care credentialing, Medicare/aid enrollment, processing of payroll and ordering of equipment and supplies. The incumbent should demonstrates knowledge of the current healthcare and ...

Liberty Pain Care

Office Manager

Perth Amboy, NJ

... managed care credentialing, Medicare/aid enrollment, processing of payroll and ordering of equipment and supplies. The incumbent should demonstrates knowledge of the current healthcare and ...

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Managed Care Credentialing information

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How much do managed care credentialing jobs pay per hour?

As of Jul 20, 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 are some of the 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 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 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 the key skills and qualifications needed to thrive in Managed Care Credentialing, and why are they important?

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.
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 July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.
Provider Enrollment Specialist / Managed Care / Full Time

Provider Enrollment Specialist / Managed Care / Full Time

Catawba Valley Medical Center

Conover, NC

Other

Posted 11 days ago

Catawba Valley Medical Center rating

6.6

Company rating: 6.6 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

657th of 1,020 rated hospitals

Job description

Summary of Performance Expectations.
The primary function of a Provider Enrollment Specialist is to perform enrollment and re-enrollment related functions for providers with contracted insurance carriers and government payers, as needed.  This position serves as a resource and liaison to implement and resolve issues related to enrollment credentialing. This position will work directly with our payer contacts as well as our employed physicians to ensure all applications are completed within specified time periods.

Education and Credentials:

Required:

Bachelor's degree from an accredited college or a minimum of four years' experience working in managed care, credentialing, or revenue cycle.

Preferred:

Advanced knowledge of all Microsoft office products

Work Experience:

Required:

One year of applicable experience. If candidate has no experience, they must have completed a successful healthcare or finance-oriented internship with good references or at least four years working in managed care, credentialing or revenue cycle.

Preferred:

Experience in problem-solving, critical thinking, and accomplishing tasks on assigned timelines. Strong understanding of provider credentialing. Working knowledge of CAQH, PECOS and NCTracks. Ability to work independently.
About Catawba Valley Medical Center

COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY

As the region's largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.

Our mission: Exceptional Healthcare. Every Person. Every Time.
At A Glance:
  • Region's only level III Neonatal Intensive Care Unit (NICU)
  • Women's Choice Award winner for America's Best 100 Hospitals for Patient Experience for six consecutive years
  • American College of Surgeons Accredited Comprehensive Community Cancer Center
HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS

Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.

One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.

What Catawba Valley Medical Center employees say

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