ZipRecruiter

Log In

1

Provider Credentialing Manager Jobs (NOW HIRING)

ASK Consulting

Be Seen First

Credentialing Coordinator (cur_1_129809@curatelyai.net)

Farmers Branch, TX · On-site

$16 - $18/hr

The position involves close collaboration with cross-functional teams and reports directly to the Credentialing Manager. Key Responsibilities: * Review and monitor provider credentialing files to ...

New

Betterhealthgroup

Credentialing Manager

FL · Remote

They support our providers and payors, ensuring they have the necessary tools and resources to ... The Credentialing Manager (Operations) is an operational role that is responsible for overseeing ...

Select Medical

Credentialing Coordinator

Plano, TX · Hybrid

$17/hr

Manage state-specific credentialing activities for providers in our outpatient facilities. * Prepare and process all credentialing documentation. * Update and maintain current and accurate ...

Better Health Group Services

Credentialing Manager

FL · Remote

They support our providers and payors, ensuring they have the necessary tools and resources to ... The Credentialing Manager (Operations) is an operational role that is responsible for overseeing ...

ZoomCare

Provider Credentialing Specialist II

Portland, OR · On-site

$27 - $31.50/hr

Manage credentialing and re-credentialing activities to ensure all ZoomCare provider files, both new and existing, are accurate and up to date. * Maintain credentialing files, ensuring all licenses ...

previous page

Showing results 41-60

All JobsHealthcare JobsHospital JobsDirector of Medical Staff Services JobsProvider Credentialing Manager Jobs

Provider Credentialing Manager information

See salary details

$43.5K

$85K

$131.5K

How much do provider credentialing manager jobs pay per year?

As of Aug 21, 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:

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.

Client Success Manager - Provider Credentialing

Calpion/Plutus Health

Addison, TX • On-site

Full-time

Re-posted 5 days ago

Job description

About Plutus Health Inc.:

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance, and specializes in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. We are proud to be recognized by Becker's Healthcare as one of the Top Revenue Cycle Management Companies to Know (2026), featured on the Inc. 5000 list of America's Fastest-Growing Private Companies, honored in the SMU Cox Dallas 100™ for multiple consecutive years, and recognized by Black Book Research as a leading healthcare RCM solutions provider.

Role Summary

Plutus Health is seeking a detail-oriented and proactive Client Success Manager - Provider Credentialing to join our U.S. Client Success Manager credentialing team. You will be responsible for working with the offshore team in providing the end-to-end credentialing process for healthcare providers, ensuring compliance with payer requirements and regulatory standards. This role is critical to maintain operational efficiency and timely provider onboarding across multiple clients and specialties.

Key Responsibilities

  • Should have a good understanding of initial credentialing, re-credentialing, and enrollment processes for providers across Medicare, Medicaid, and commercial payers.
  • Serve as the communication bridge between the client and the offshore team to ensure service level agreements (SLAs) are consistently met
  • Work with the offshore team in making sure provider profiles are kept up to date.
  • Collaborate with the offshore team to identify missing documentation and coordinate with the client to obtain the required information
  • Initiate phone calls and build rapport with the payer enrollment department to accelerate the application process
  • Verify provider credentials including licenses, certifications, education, and work history.
  • Collaborate with the sales team to support and enhance sales initiatives
  • Coordinate with internal teams and clients to gather required documentation and resolve discrepancies.
  • Maintain credentialing trackers and ensure data accuracy.
  • Support audits and ensure compliance with HIPAA and payer-specific guidelines.
  • Participate in credentialing meetings and contribute to process improvement initiatives.

Requirements

  • 7+ years of experience in U.S. provider credentialing.
  • Familiarity with CAQH, PECOS, NPPES, and payer-specific portals (e.g., Anthem, Optum, Medicaid MCOs).
  • Strong organizational and communication skills.
  • Proficiency in Microsoft Excel, credentialing databases, and tools.

Preferred Attributes

  • Experience handling credentialing for various specialties and multi-state providers.
  • Ability to work independently and manage multiple priorities.
  • Strong attention to detail and commitment to data accuracy.
  • Familiarity with payer-specific credentialing nuances and timelines.

Tools & Systems

  • CAQH, PECOS, NPPES, OIG, SAM, MEDICAID EXCLUSION, MEDICARE OPT OUT LIST, SOCIAL SECURITY DEATH MASTER FILE.
  • Payer portals including UHC, BCBS, Cigna, Humana, State Medicaid.
  • Credentialing dashboards and Excel-based trackers.

Why Join Plutus Health Inc.?

  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.