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Provider Credentialing Manager Jobs in Florida (NOW HIRING)

OnSpot Dermatology

Credentialing Specialist

Largo, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

OnSpot Dermatology

Credentialing Specialist

Venice, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

OnSpot Dermatology

Credentialing Specialist

Jupiter, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

OnSpot Dermatology

Credentialing Specialist

Brandon, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

OnSpot Dermatology

Credentialing Specialist

Stuart, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

OnSpot Dermatology

Credentialing Specialist

Orlando, FL · On-site

$25/hr

Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of ...

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All JobsProvider Credentialing JobsProvider Credentialing Manager JobsProvider Credentialing Manager Jobs in Florida

Provider Credentialing Manager information

See Florida salary details

$30K

$55.3K

$91.7K

How much do provider credentialing manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for provider credentialing manager in Florida is $55,252.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $64,100.00 per year, depending on experience, location, and employer.

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 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 the most commonly searched types of Provider Credentialing jobs in Florida?

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

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

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

Provider Credentialing Manager jobs near you
Infographic showing various Provider Credentialing Manager job openings in Florida as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 82% In-person, and 18% Remote job distribution, with an average salary of $55,252 per year, or $26.6 per hour.

Credentialing Specialist

Family Physicians Group

Orlando, FL • On-site

Full-time

Re-posted 19 days ago

Job description

Responsible for all aspects of the credentialing, re-credentialing and privileging for all medical providers who provide patient care at Family Physicians Group. Responsible for ensuring providers are credentialed, appointed and privileged with health plans, hospitals, and patient care facilities. Maintain up-to-date data for each provider in databases and online systems; ensure timely renewal of licenses and certifications.
Essential Functions and Duties
  • Establish, retain and grow strong relationships with providers.
  • Compiles and maintains current and accurate data for all providers.
  • Completes provider credentialing and re-credentialing applications; monitors applications and follow-up as needed.
  • Maintains copies of current state licenses, provider list of OIG, DEA certifications, malpractice coverage and any other required credentialing documents for all providers.
  • Maintains corporate provider applications files.
  • Maintains knowledge of current health plan and agency requirements for credentialing providers.
  • Sets up and maintain providers' information in online credentialing databases and system.
  • Tracks license and certification expirations for all providers to ensure timely renewals.
  • Track building, elevators, septic systems licenses and renewals.
  • Ensure practice addresses are current with health plans, agencies and other entities.
  • Processes applications for appointment and reappointment of privileges FPG.
  • Tracks license, DEA and professional liability expirations for appointed ASC providers.
  • Maintains ASC appointment files, and information in credentialing database.
  • Audits health plan directories for current and accurate provider information.
  • Maintains confidentiality of provider information.
  • Provides credentialing and privileging verifications
  • Performs other duties as assigned.

Education and Experience
  • Three to Five (3-5) years' experience in credentialing
  • Must have experience in Cactus
  • Bilingual prefer (English/ Spanish)
  • Certified Provider Credentialing Specialist (CPCS) preferred.

Knowledge, Skills, and Abilities
  • Knowledge of and understanding of the credentialing process.
  • Able to organize and prioritize work and manage multiple priorities.
  • Able to be collaborative and effectively communicate with providers.
  • Able to have strong sense of urgency and use judgment to respond to emergencies.
  • Able to solve practical problems and deal with a variety of situations.
  • Excellent attention to detail.
  • Excellent verbal and written communication skills including, letters, memos, and emails.
  • Proficient use of Microsoft Office Applications (Word, Excel, Access) and internet resources.

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and/or sit for extended period of time. The employee is occasionally required to sit. The employee must occasionally lift, push, pull and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
FLSA Status
Non-Exempt
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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