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Provider Credentialing Manager Jobs in California

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 ...

New

LIBERTY DENTAL

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.

Pacer Group

Credentialing Coordinator

Los Angeles, CA · On-site

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

HiredFirst

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 ...

HiredFirst

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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All JobsProvider Credentialing JobsProvider Credentialing Manager JobsProvider Credentialing Manager Jobs in California

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 26, 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:

Provider Credentialing Manager jobs near you
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

UCLA Health

Los Angeles, CA • On-site

$80K - $168K/yr

Full-time

Posted 3 days ago

New

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

6th of 893 rated healthcare providers

Job description

General Information
Press space or enter keys to toggle section visibility
Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8:00am - 5:00pm PST
Posted Date
08/20/2026
Salary Range: $80700 - 168500 Annually
Employment Type
2 - Staff: 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 provider credentialing and recredentialing operations, ensuring processes and programs remain compliant with applicable regulatory, accreditation, contractual, and organizational requirements. This role is responsible for the ongoing development, implementation, monitoring, and continuous improvement of credentialing programs across all lines of business.
Key Responsibilities
  • Lead, develop, and manage the Credentialing team, including hiring, training, performance management, and goal setting.
  • Oversee end-to-end credentialing and recredentialing operations, including application review, primary source verification, and ongoing monitoring.
  • Ensure compliance with NCQA, regulatory, contractual, and organizational standards, including turnaround times and reporting requirements.
  • Maintain audit readiness and manage credentialing audits, corrective action plans, and remediation efforts.
  • Develop, implement, and maintain credentialing policies, procedures, workflows, and delegation agreements.
  • Lead Credentialing Committee activities, including file review, meeting facilitation, documentation, and follow-up actions.
  • Serve as a subject matter expert and liaison for health plans, regulatory agencies, accreditation bodies, and internal stakeholders.
  • Oversee credentialing systems, vendor performance, and provider data integrity; identify and implement system and process improvements.
  • Monitor and report on operational metrics, productivity, and quality standards to identify trends and improvement opportunities.
  • Lead process improvement and operational efficiency initiatives, including project planning and implementation.
  • Support budget oversight and ensure effective use of resources.

Salary Range: $80,700 - $168,500/annually
Job Qualifications
Press space or enter keys to toggle section visibility
  • Bachelor's degree in healthcare administration or other related field or a combination of equivalent education, training & experience. Candidates without a degree must have four (4) years of relevant professional experience in addition to the required five (5) years of credentialing experience. - REQUIRED
  • Five years or more of previous experience in Credentialing working for a complex and diversified health plan, IPA, or other managed care organization - REQUIRED
  • Three years or more experience managing personnel with at least two years supervising personnel in Provider Relations and/or Member Services - REQUIRED
  • In depth knowledge of healthcare industry regulatory agencies, credentialing and provider directory standards including but not limited to CMS, NCQA, DMHC, DHCS, and HICE.
  • Extensive understanding and experience using credentialing systems including the flow of credentialing and provider demographic information.
  • Demonstrated computer skills; proficient with Microsoft Windows applications including but not limited to Excel, Word, Teams and Outlook.
  • Demonstrated software skills in MD Staff - PREFERRED
  • Familiarity with EPIC Tapestry
  • Ability to travel/attend off-site meetings and conferences, when necessary
  • CPMSM or CPCS - PREFERRED

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

Sourced by ZipRecruiter

UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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