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Provider Credentialing Manager Jobs (NOW HIRING)

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

This role focuses on improving efficiency, implementing automation, and ensuring timely provider ... Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of ...

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

This role focuses on improving efficiency, implementing automation, and ensuring timely provider ... Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of ...

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

This role focuses on improving efficiency, implementing automation, and ensuring timely provider ... Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of ...

Medix

Credentialing Manager

Scottsdale, AZ · On-site

$48/hr

Develop and oversee processes supporting provider onboarding, credentialing, enrollment maintenance, and hierarchy management. * Serve as a key liaison between internal teams and external vendors.

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

This role focuses on improving efficiency, implementing automation, and ensuring timely provider ... Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of ...

UCLA Health

Credentialing Manager

Los Angeles, CA · On-site

$80K - $168K/yr

Career Duration Indefinite Job # 32459 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility The Credentialing Manager provides leadership and oversight for ...

Triwest Healthcare

Provider Credentialing Rep

This role facilitates meetings to discuss and resolve certification and credentialing issues and concerns, manages the Credentialing shared inbox to provide accurate and prompt responses to internal ...

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Provider Credentialing Manager information

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$43.5K

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$131.5K

How much do provider credentialing manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for provider credentialing manager in the United States is $85,031.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What is a provider credentialing manager?

Provider Credentialing Managers are professionals responsible for overseeing the process of verifying the qualifications and credentials of healthcare providers within a medical facility or health plan. They ensure that all physicians, nurses, and allied health professionals meet the required standards set by regulatory bodies and accrediting organizations. Their role involves managing documentation, coordinating background checks, and maintaining compliance with industry regulations. This helps ensure patient safety and organizational integrity by allowing only qualified providers to deliver care. Credentialing managers often work closely with human resources, compliance departments, and external agencies.

What are the key skills and qualifications needed to thrive as a provider credentialing manager?

To thrive as a Provider Credentialing Manager, you need in-depth knowledge of credentialing standards, healthcare regulations, and provider enrollment processes, usually supported by a bachelor's degree and experience in medical staff services. Familiarity with credentialing software, databases, and compliance management systems such as CAQH and NCQA accreditation is essential. Strong organizational skills, attention to detail, and effective communication help manage complex documentation and coordinate with providers and regulatory bodies. These skills ensure the timely and accurate onboarding of providers, mitigate compliance risks, and maintain organizational credibility.

What are some common challenges faced by provider credentialing managers, and how can they be addressed?

Provider Credentialing Managers often encounter challenges such as managing large volumes of credentialing applications, ensuring compliance with ever-changing regulations, and coordinating across multiple departments. Effective use of credentialing software, staying updated on industry standards, and maintaining clear communication with providers and internal teams can help address these challenges. Building strong organizational systems and fostering collaborative relationships with medical staff and regulatory agencies are also key to streamlining processes and minimizing delays.

What is the difference between Provider Credentialing Manager vs Provider Enrollment Specialist?

AspectProvider Credentialing ManagerProvider Enrollment Specialist
Primary FocusManaging provider credentialing processes, verifying credentials, maintaining provider filesEnrolling providers with insurance plans, submitting applications, ensuring payer compliance
CertificationsOften requires certifications in healthcare administration or credentialingTypically requires knowledge of insurance policies and enrollment procedures
Work EnvironmentHealthcare organizations, credentialing companiesInsurance companies, healthcare provider offices
Common TasksVerifying provider credentials, maintaining databases, compliance trackingSubmitting enrollment applications, following up with payers, updating provider information

The Provider Credentialing Manager focuses on verifying and maintaining provider credentials to ensure compliance, while the Provider Enrollment Specialist handles the enrollment process with insurance payers. Both roles are essential in healthcare administration but differ in their specific responsibilities and workflows.

What cities are hiring for Provider Credentialing Manager jobs?

Cities with the most Provider Credentialing Manager job openings:

What are the most commonly searched types of Provider Credentialing jobs?

The most popular types of Provider Credentialing jobs are:

What states have the most Provider Credentialing Manager jobs?

States with the most job openings for Provider Credentialing Manager jobs include:

What are popular job titles related to Provider Credentialing Manager jobs?

For Provider Credentialing Manager jobs, the most frequently searched job titles are:

Provider Credentialing Manager jobs near you
Infographic showing various Provider Credentialing Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Revenue Cycle & Credentialing Manager - 406926

Trenton, NJ • On-site

Atrium
Hospitals • 10K+ employees
Learn more about Atriumexternal

$35 - $37/hr

Other

Medical, PTO

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

Atrium Health rating

7.6

Company rating: 7.6 out of 10

Based on 636 frontline employees who took The Breakroom Quiz

Job description

Client Overview
Our client is a healthcare organization providing medical, dental, behavioral health, and ancillary services. The organization is committed to maintaining high standards of patient care, compliance, and revenue cycle operations. They are currently looking to add a Revenue Cycle & Credentialing Manager to their team.
Salary/Hourly Rate
$35/hr - $37/hr
Position Overview
Our client is seeking a Revenue Cycle & Credentialing Manager to oversee daily revenue cycle and provider credentialing operations. This position will provide leadership to Revenue Cycle and Credentialing staff while ensuring accurate billing, timely provider enrollment, reimbursement integrity, and compliance with applicable federal, state, payer, HRSA, and NCQA requirements. The Supervisor will work closely with Finance, Patient Access, Clinical Operations, IT, and other internal teams to improve workflows, resolve reimbursement issues, and support overall revenue performance.
Responsibilities Of The Revenue Cycle & Credentialing Manager
  • Provide leadership, guidance, coaching, and oversight to Revenue Cycle and Credentialing staff.
  • Assign duties, review work, establish goals, and monitor team performance.
  • Oversee billing, coding, collections, and denial management processes.
  • Monitor revenue cycle performance metrics and identify opportunities for improvement.
  • Support reimbursement audits, compliance initiatives, and process improvements.
  • Ensure compliance with HIPAA, CPT, ICD-10, Medicare, Medicaid, and commercial payer requirements.
  • Monitor AR aging, clean claim rates, denial trends, underpayments, and reimbursement performance.
  • Support Medicaid WRAP activity, LOA billing workflows, and payer reimbursement processes.
  • Work with Patient Access, Dental, Medical, Behavioral Health, Finance, and IT teams to resolve billing and workflow issues.
  • Monitor data accuracy between Dental and Medical EMR/software platforms.
  • Oversee provider credentialing and re-credentialing, including applications, renewals, and primary source verification.
  • Monitor provider licenses, certifications, DEA registrations, insurance coverage, and credential expiration dates.
  • Maintain compliance with federal, state, payer, HRSA, and NCQA credentialing standards.
  • Serve as a liaison between providers, payers, regulatory agencies, and internal departments.
  • Prepare credentialing and revenue cycle reports for leadership.
  • Train staff on FQHC billing, coding, credentialing, and compliance requirements.
  • Manage competing deadlines, special projects, and a high-volume workload.
Required Experience/Skills For The Revenue Cycle & Credentialing Manager
  • 5 - 7 years of healthcare billing experience in a primary care setting.
  • 3 - 5 years of experience in provider credentialing or enrollment.
  • At least 3 years of supervisory or leadership experience.
  • Strong understanding of healthcare billing, reimbursement, and revenue cycle operations.
  • Experience with provider enrollment, credentialing, and re-credentialing.
  • Knowledge of Medicare, Medicaid, managed care, and commercial insurance billing.
  • Knowledge of CPT and ICD-10 coding principles.
  • Strong analytical and problem-solving skills.
  • Excellent attention to detail and organizational skills.
  • Proficiency in Microsoft Word and Excel.
Preferred Experience/Skills For The Revenue Cycle & Credentialing Manager
  • Experience working in an FQHC or similar healthcare setting.
  • Athena EHR experience.
  • Experience with FQHC billing, HRSA requirements, LOA, grants, and related assistance programs.
  • Certified Professional Coder (CPC).
  • Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Manager (CPMSM).
  • Bilingual proficiency.
  • Strong experience with process improvement and workflow optimization.
Education Requirements
  • Bachelor’s degree is preferred, or a combination of education and 5 - 7 years of relevant revenue cycle and credentialing experience.
Benefits
  • Atrium Care Package available, upon eligibility (including healthcare plans, discount programs, and paid time off).

What Atrium Health employees say

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About Atrium Health

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Atrium Health is one of the nation's leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region's largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care. We've been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors' offices to behavioral health centers to nursing homes. Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

1940

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