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Provider Relations Credentialing Manager Jobs (NOW HIRING)

USA Clinics Group

Credentialing Manager

Northbrook, IL · On-site

This role focuses on improving efficiency, implementing automation, and ensuring timely provider ... Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of ...

CVS Health

Manager, Provider Relations (Metro, NY)

$66K - $159K/yr

... Credentialing, and Contracting teams to resolve complex provider issues, improve provider ... relations, network management, managed care, claims, provider services, or related healthcare ...

GDIT

Provider Relations Representative

WV · On-site +1

No The Provider Relations Representative is the frontline liaison between the World Trade Center ... Lean/Six Sigma or project management credential (e.g., Green Belt, PMP). Skills & Competencies

Salma Health

Provider Relations Manager

Laguna Hills, CA · Remote

$80K - $100K/yr

The Provider Relations Manager plays a critical role in expanding Salma Health's referral network across Orange County and San Diego. This role focuses on building trusted relationships with health ...

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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 10, 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.

Credentialing Assistant

Remote

Provider Partners Health Plan
See more jobs at Provider Partners Health Planexternal

$22/hr

Full-time

Posted 20 days ago

Job description

The Credentialing Assistant provides administrative and operational support to the Credentialing Department by managing credentialing communications, facility recredentialing outreach, application intake and completeness screening, provider termination support, provider record maintenance, and license monitoring activities in accordance with established departmental procedures. The role is responsible for timely and accurate documentation in Salesforce, appropriate escalation of issues, and ensuring work is ready for processing by the Credentialing Coordinators.
PRINCIPAL ACCOUNTABILITIES
1. Email Management amp; Credentialing Communications – 20%
  • Monitor credentialing email activity each workday, including morning and afternoon review.
  • Respond to all credentialing emails within 24 hours.
  • Send credentialing-related email communications through Salesforce in accordance with department procedure.
  • Escalate urgent or unresolved matters to the Credentialing Coordinator or Manager, as appropriate.
  • Maintain clear and timely documentation of communications and follow-up activity in Salesforce.
2. Facility Recredentialing Outreach amp; Follow-Up – 25%
  • Initiate facility recredentialing outreach according to the established SOP timeline:
  • 90 days before the recredentialing due date: send the initial outreach email.
  • 60 days before the due date: send the follow-up outreach email.
  • 45 days before the due date: make the final outreach attempt by telephone.
  • Document all outreach and follow-up activity in Salesforce.
  • For facility recredentialing that remains incomplete after required outreach, update the provider status in Salesforce to 'F/U by PR' in accordance with the SOP.
3. Facility Recredentialing Application Intake – 20%
  • Review facility recredentialing applications and submitted documents upon receipt.
  • Screen all submitted materials for completeness before routing the file for credentialing processing.
  • When all required documents are present, notify the Credentialing Coordinators that the application is complete and ready for processing.
  • Maintain accurate documentation in Salesforce to support workflow visibility and handoff.
4. Provider Termination Support amp; Record Maintenance – 15%
  • Process and complete all provider termination requests within three (3) business days of receipt.
  • Run applicable Salesforce reports required to support termination activity.
  • Remove providers from CAQH when required by the termination workflow.
  • Remove the applicable provider association or location from Salesforce in accordance with established procedures.
  • Update Salesforce to accurately reflect completed termination activity, including required status changes and documentation.
  • Track termination requests from receipt through completion to ensure compliance with the three-business-day turnaround standard.
  • Escalate any termination request that cannot be completed within three business days to the Credentialing Manager, including the reason for delay and outstanding action required.
5. Expired License Monitoring amp; Reverification – 20%
  • Run the expired license report and review identified provider licenses.
  • Reverify expired licenses in Salesforce using the provider record Credentials tab and the 'Click to Re-Verify' function.
  • Review license verification results and distinguish active statuses (Active, Unencumbered, Registered) from inactive statuses (Lapsed, Inactive, Not Found, Expired, Suspended).
  • If a license is expired in a state where the provider actively sees members, initiate the process to terminate that location/association in accordance with department procedure.
  • If the provider remains active in another state, remove only the expired location/state as applicable.
  • Communicate required location-removal actions to Provider Relations and document the action in Salesforce.
PERFORMANCE amp; WORKFLOW EXPECTATIONS
  • Complete assigned activities accurately and within established departmental timelines and service-level expectations.
  • Maintain complete, accurate, and current Salesforce documentation for all assigned work.
  • Follow the Credentialing Assistant SOP and escalate exceptions or unclear situations rather than deviating from the documented workflow.
  • Maintain confidentiality of provider and organizational information.
  • Support departmental workflow needs and participate in team meetings, training, and SOP updates as assigned.
QUALIFICATION REQUIREMENTS
  • High school diploma or equivalent required.
  • 0–2 years of experience in credentialing, provider data, provider contracting, network management, healthcare administration, or a related support function preferred.
  • Experience with provider file maintenance, data entry, document review, or high-volume administrative workflows preferred.
  • Ability to manage multiple assignments, meet deadlines, and maintain accuracy in a high-volume environment.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Excel and general office applications.
  • Experience with Salesforce or similar workflow/database systems preferred.
KEY SYSTEMS / WORK TOOLS
  • Salesforce
  • CAQH
  • Microsoft Outlook / Email
  • Microsoft Excel
  • Department reports, work queues, and credentialing tracking tools

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