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How much do medical staff credentialing manager jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for medical staff credentialing manager in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $28.61 per hour, depending on experience, location, and employer.

What is the difference between Medical Staff Credentialing Manager vs Medical Staff Coordinator?

AspectMedical Staff Credentialing ManagerMedical Staff Coordinator
Primary ResponsibilitiesOversees credentialing processes, manages staff, ensures complianceAssists with credentialing tasks, maintains records, supports credentialing team
Required CredentialsTypically requires experience in credentialing, certifications like CHC or CPCOften requires administrative or healthcare experience, less specialized certifications
Work EnvironmentHospital or healthcare organization, managerial settingMedical offices, clinics, or healthcare facilities

The Medical Staff Credentialing Manager focuses on overseeing the credentialing process and managing staff, requiring specialized certifications and managerial skills. In contrast, the Medical Staff Coordinator provides support with credentialing tasks and record maintenance, often in a more administrative role. Both roles are essential in healthcare credentialing but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as a Medical Staff Credentialing Manager, and why are they important?

To thrive as a Medical Staff Credentialing Manager, you need in-depth knowledge of credentialing standards, healthcare regulations, and experience in medical staff services, often supported by a bachelor’s degree and certification such as CPCS or CPMSM. Familiarity with credentialing software, hospital information systems, and compliance management tools is typically required. Strong organizational skills, attention to detail, and the ability to communicate effectively across departments are essential soft skills. These capabilities are critical to ensuring provider qualifications, reducing compliance risks, and maintaining patient safety in healthcare organizations.

What does a Medical Staff Credentialing Manager do?

A Medical Staff Credentialing Manager oversees the process of verifying and evaluating the qualifications of healthcare professionals within a hospital or medical facility. Their responsibilities include ensuring that all physicians, nurses, and allied health staff meet the required licensing, education, and training standards. They also maintain accurate records, coordinate credentialing and re-credentialing processes, and ensure compliance with regulatory and accreditation requirements. This role is essential in maintaining high standards of patient care and minimizing organizational risk.

What are some common challenges faced by Medical Staff Credentialing Managers, and how can they be addressed?

Medical Staff Credentialing Managers often encounter challenges such as keeping up with changing regulatory requirements, managing large volumes of documentation, and ensuring timely verification of credentials. These challenges can be addressed by staying updated on industry standards, implementing efficient credentialing software, and fostering strong communication with medical staff and external agencies. Proactive organization and regular training also help ensure compliance and smooth operations within a healthcare facility.
More about Medical Staff Credentialing Manager jobs
What are the most commonly searched types of Medical Staff Credentialing jobs? The most popular types of Medical Staff Credentialing jobs are:
What states have the most Medical Staff Credentialing Manager jobs? States with the most job openings for Medical Staff Credentialing Manager jobs include:
What job categories do people searching Medical Staff Credentialing Manager jobs look for? The top searched job categories for Medical Staff Credentialing Manager jobs are:
Medical Staff Credentialing Manager jobs near you
Infographic showing various Medical Staff Credentialing Manager job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 1% As Needed, 56% Full Time, 12% Part Time, and 25% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $52,868 per year, or $25.4 per hour.

Medical Staff Credentialing Specialist

Madera Community Hospital

Madera, CA • On-site

$25 - $32/hr

Full-time

Re-posted yesterday

Job description

Position Summary
The Medical Staff Credentialing Specialist is responsible for the full credentialing and re-credentialing lifecycle for physicians, allied health professionals, telehealth providers, and locum tenens practitioners at Madera Community Hospital. This position ensures every practitioner granted clinical privileges has been verified, vetted, and appointed in accordance with Medical Staff Bylaws, hospital policies, NCQA standards, Joint Commission requirements, CMS Conditions of Participation, and California state law.
The Specialist serves as the primary subject-matter expert on credentialing within the Medical Staff Office and is expected to own the credentialing function end-to-end - driving timelines, managing the file queue, coordinating workflow across stakeholders, and ensuring files are committee-ready without daily oversight. This role exercises significant independent judgment and process ownership while reporting to the Director of Medical Staff Services.
Essential Duties and Responsibilities
Credentialing & Re-credentialing
  • Process initial appointment, reappointment, and privilege modification applications for all medical staff and allied health categories within established turnaround times.
  • Conduct primary source verification of education, training, board certification, licensure, DEA, work history, malpractice claims, NPDB queries, OIG/SAM/Medi-Cal sanctions checks, and references.
  • Review applications for completeness, identify red flags, and follow up directly with applicants and verification sources to resolve gaps.
  • Prepare credentialing files for review by department chairs, the Credentials Committee, Medical Executive Committee, and the Governing Board.
  • Maintain expirables tracking (license, DEA, board certification, malpractice insurance, BLS/ACLS/PALS) and proactively notify practitioners well in advance of expiration to prevent lapses in privileges.

Process Ownership & Workflow Coordination
  • Own the day-to-day credentialing workflow, including prioritization of the file queue, assignment of verification tasks, and escalation of files at risk of missing committee deadlines.
  • Serve as the point of contact for department chairs, hospital administration, the CVO, and external entities on credentialing matters and file status.
  • Coordinate the work of credentialing support staff and outside CVO vendors on assigned files, providing direction on file build, verification standards, and quality checks (without formal supervisory authority).
  • Mentor and provide training to new Medical Staff Office staff on credentialing standards, software workflows, and regulatory requirements.
  • Lead process improvement initiatives within the credentialing function - including identifying bottlenecks, recommending policy or workflow changes, and implementing approved changes.
  • Develop and maintain credentialing desktop procedures, checklists, and standard work documents.

Committee & Meeting Support
  • Coordinate logistics, agendas, file packets, and minutes for the Credentials Committee and assist with Medical Executive Committee preparation as it relates to credentialing matters.
  • Track committee action items and follow through to closure.
  • Prepare credentialing reports, dashboards, and KPI summaries (turnaround time, file aging, denial rate, expirables compliance) for leadership and committee review.

Compliance & Audit
  • Ensure ongoing compliance with Joint Commission, CMS, NCQA, CDPH, and Medical Staff Bylaws standards.
  • Serve as the primary credentialing point of contact during Joint Commission surveys, CDPH inspections, and payer audits.
  • Conduct internal file audits to confirm files meet regulatory and bylaws requirements; identify and correct deficiencies.
  • Maintain confidentiality of all peer review, quality, and credentialing information in accordance with California Evidence Code §1157 and HIPAA.

Payer Enrollment Coordination (as assigned)
  • Coordinate with the payer enrollment team or vendor to ensure newly credentialed providers are enrolled with Medicare, Medi-Cal, and contracted commercial/managed care plans in alignment with the start date.

Other
  • Maintain the credentialing database (MD-Staff, Cactus, Echo, MSOW, or equivalent) and ensure data integrity.
  • Respond to verification requests from outside hospitals, payers, and licensing boards.
  • Perform other duties as assigned by the Director of Medical Staff Services.

Minimum Qualifications
Education
  • High school diploma or equivalent required.
  • Associate or Bachelor's degree in Healthcare Administration, Business, or related field preferred.

Experience
  • Minimum of three (3) years of hands-on hospital medical staff credentialing experience required.
  • Experience in an acute care hospital Medical Staff Office strongly preferred.
  • Demonstrated experience independently managing a credentialing file caseload from application through board approval.
  • Experience coordinating the work of others, mentoring junior staff, or serving as a lead/senior on a credentialing team preferred.

Knowledge, Skills, and Abilities
  • Strong working knowledge of Joint Commission MS standards, CMS Conditions of Participation, NCQA credentialing standards, and CDPH licensing requirements for general acute care hospitals.
  • Working knowledge of California Medical Staff Bylaws structure, Business & Professions Code §805 reporting, and §1157 peer review confidentiality protections.
  • Proficiency with credentialing software (MD-Staff, Cactus, Echo, MSOW, Symplr, or equivalent).
  • Familiarity with NPDB query and reporting requirements, CAQH, and primary source verification standards.
  • High level of accuracy, attention to detail, and ability to manage a complex file queue with competing deadlines.
  • Strong written and verbal communication skills, including the ability to professionally interface with physicians, executive leadership, and external verifying entities.
  • Ability to work independently, exercise sound judgment, and escalate appropriately.
  • Proficient with Microsoft Outlook, Word, and Excel.

Preferred Qualifications
  • Certified Provider Credentialing Specialist (CPCS) through NAMSS - strongly preferred.
  • Certified Professional Medical Services Management (CPMSM) through NAMSS - preferred.
  • Experience preparing for and participating in Joint Commission triennial surveys.
  • Experience supporting telemedicine credentialing-by-proxy arrangements.
  • Experience with payer enrollment processes (Medicare PECOS, Medi-Cal PAVE, CAQH ProView).

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