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Provider Relations Credentialing Manager Jobs (NOW HIRING)

Sky Mavis

Provider Relations Manager

Henderson, NV · On-site

$100 - $125/hr

Overall Purpose The Provider Relations Manager is responsible for developing and maintaining collaborative relationships with contracted primary care providers, clinic leadership, office managers ...

PrimeMSOSurgicalCenters

Provider Relations

Torrance, CA · On-site

$70K/yr

The Provider Relations Representative primarily handles communication and development for post ... Advise management of surgeons' problems/issues and effectively outline a resolution * Adherence to ...

GDIT

Provider Relations Supervisor

Concord, NC · On-site

Work in conjunction with the Provider Services Lead on Provider Relations strategy and annual ... credentialing, enrollment, provider data, contracts, and portal support ; manage queues and case ...

Nexus HR

Provider Relations Specialist

El Monte, CA · On-site

$30 - $40/hr

About the Job The Provider Relations Specialist will develop and manage relationships with ... Responsibilities include provider contracting and negotiations, credentialing documentation ...

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Provider Relations Credentialing Manager information

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$34.5K

$78.1K

$134K

How much do provider relations credentialing manager jobs pay per year?

As of Sep 9, 2026, the average yearly pay for provider relations credentialing manager in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 per year, depending on experience, location, and employer.

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

AspectProvider Relations Credentialing ManagerProvider Relations Specialist
CredentialsTypically requires certifications like CPCS or equivalent, with experience in credentialingMay have basic healthcare or customer service certifications, less focus on credentialing
Work EnvironmentSupervises credentialing processes, manages teams, and ensures complianceHandles provider inquiries, maintains provider relations, and supports credentialing tasks
Employer & Industry UsageCommon in healthcare organizations, insurance companies, and credentialing firmsFound in healthcare provider offices, insurance companies, and managed care organizations

The Provider Relations Credentialing Manager focuses on overseeing credentialing processes and managing teams, requiring specialized certifications. In contrast, the Provider Relations Specialist primarily supports provider communication and maintains provider relationships, with less emphasis on credentialing certifications.

What cities are hiring for Provider Relations Credentialing Manager jobs?

Cities with the most Provider Relations Credentialing Manager job openings:

What states have the most Provider Relations Credentialing Manager jobs?

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

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

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

Infographic showing various Provider Relations 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 $78,084 per year, or $37.5 per hour.

Medicaid Provider Enrollment Subject Matter Expert (SME)

Remote

Accede Solutions Inc.
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Accede Solutions Inc.external

Other

Posted 5 days ago

Job description

Medicaid Provider Enrollment Subject Matter Expert (SME)

Duration: 12+ months

Location: Remote

Job Summary: A Medicaid Provider Enrollment Subject Matter Expert (SME) ensures healthcare providers are properly credentialed, contracted, and enrolled in government-sponsored health plans. Responsibilities include managing complex enrollment applications, ensuring compliance with Medicaid/Medicare policies, auditing data, and acting as a lead contact for state enrollment systems.

Key Responsibilities

  • Enrollment & Credentialing: Managing and submitting accurate, timely applications to state Medicaid agencies and managed care organizations.
  • Policy Expertise: Ensuring compliance with federal and state regulations regarding Medicaid provider enrollment, including Fee-for-Service (FFS) and managed care.
  • System Auditing & Support: Supporting audits of enrollment applications, remediating data quality issues, and assisting with data mapping or provider enrollment system updates.
  • Relationship Management: Working with providers, clinics, and state agencies to resolve enrollment roadblocks.

Required Skills and Qualifications

  • Experience: Generally 3–6+ years in provider relations, credentialing, or enrollment, with deep knowledge of Medicaid/Medicare workflows.
  • Knowledge: Strong understanding of Medicaid regulations, credentialing standards (NCQA), and provider compensation models (e.g., FFS, risk).
  • Technical Skills: Proficiency in provider enrollment databases, state portals, and Microsoft Office Suite.
  • Education: Bachelor's degree preferred (or equivalent work experience)

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