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Provider Credentialing Manager Jobs in California

This Credentialing Manager position will guide daily operations related to provider onboarding, recredentialing, enrollment support, and data accuracy while maintaining adherence to regulatory and ...

This role works closely with providers, external credentialing partners, and internal departments ... Ability to manage multiple priorities and meet deadlines in a production-focused environment.

Manage and process provider credentialing and re-credentialing applications * Verify provider qualifications, licenses, certifications, and work history * Maintain accurate credentialing files and ...

Credentials Coordinator

Los Angeles, CA · On-site

$1.4K - $1.6K/wk

Adventist Health White Memorial is seeking a detail-oriented Credentialing Coordinator to manage provider credentialing, privileging, and onboarding processes. What You'll Do: * Coordinate provider ...

Credentials Coordinator

Los Angeles, CA · On-site

$1.4K - $1.6K/wk

Adventist Health White Memorial is seeking a detail-oriented Credentialing Coordinator to manage provider credentialing, privileging, and onboarding processes. What You'll Do: * Coordinate provider ...

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Provider Credentialing Manager information

See California salary details

$38.4K

$70.6K

$117.2K

How much do provider credentialing manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for provider credentialing manager in California is $70,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,400.00 and $81,900.00 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 are the most commonly searched types of Provider Credentialing jobs in California?

The most popular types of Provider Credentialing jobs in California are:

What cities in California are hiring for Provider Credentialing Manager jobs?

Cities in California with the most Provider Credentialing Manager job openings:

Infographic showing various Provider Credentialing Manager job openings in California as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $70,611 per year, or $33.9 per hour.

Credentialing Manager

Robert Half

Long Beach, CA • On-site

$32 - $45/hr

Temporary

Medical, Dental, Vision, Retirement

Posted 19 days ago


Job description

A healthcare company is looking for an experienced Credentialing Manager to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. This Credentialing Manager position will guide daily operations related to provider onboarding, recredentialing, enrollment support, and data accuracy while maintaining adherence to regulatory and health plan standards. The Credentialing Manager also partners with internal leaders to strengthen workflows, support audit readiness, and promote consistent credentialing practices across the function.


Key Responsibilities:

• Direct the day-to-day work of credentialing and provider data staff, setting priorities and providing operational guidance.

• Lead provider onboarding, reappointment cycles, payer enrollment activity, and privileging coordination to keep processes moving efficiently.

• Maintain compliance with applicable accreditation standards, delegated credentialing obligations, and state and federal regulations.

• Review credentialing records, provider rosters, and supporting documentation to ensure information remains complete, current, and accurate.

• Track team volume and turnaround times, remove workflow obstacles, and support timely resolution of credentialing issues.

• Prepare the department for internal and external reviews by conducting audits and addressing gaps before formal assessments occur.

• Work with leadership to refine credentialing policies, improve reporting, and enhance departmental procedures.

• Oversee provider data integrity across systems and records to support reliable downstream use and regulatory reporting.


Benefits: Health, Dental, Vision, 401k, and Sick Time Off.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related discipline.

• At least 5 years of experience in managed care credentialing, including 1 or more years in a lead or supervisory capacity.

• Strong understanding of delegated credentialing, payer enrollment requirements, recredentialing practices, and provider file management.

• Knowledge of state, federal, regulatory, and accreditation expectations related to credentialing operations.

• Experience using credentialing platforms and maintaining provider databases; familiarity with MD-Staff is preferred.

• Ability to manage multiple priorities, monitor compliance, and support audit preparation in a healthcare environment.

• Certification in credentialing is considered an advantage.

• Background in healthcare managed care settings is strongly preferred.


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About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948