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Senior Credentialing Analyst Jobs (NOW HIRING)

Senior Credentialing Specialist

Dallas, TX · On-site

$18.50 - $35.29/hr

... analyzing provider information. The Sr. Credentialing Specialist also drives process improvements, handles stakeholder inquiries, and provides administrative and operational support to meet ...

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... Senior Credentialing Representatives has to say about what she does: A Day in the Life of a ... Problem Solving and Analysis - Able to gather appropriate data and diagnose the cause of a problem ...

... Senior Credentialing Representatives has to say about what she does: A Day in the Life of a ... Problem Solving and Analysis - Able to gather appropriate data and diagnose the cause of a problem ...

... Senior Credentialing Representatives has to say about what she does: A Day in the Life of a ... Problem Solving and Analysis - Able to gather appropriate data and diagnose the cause of a problem ...

The Senior Director, Credentialing will report to OneOncology's VP, RCM Practice Services and is ... Establish enterprise reporting and analytics strategies that provide actionable insights into ...

The Senior Director, Credentialing will report to OneOncology's VP, RCM Practice Services and is ... Establish enterprise reporting and analytics strategies that provide actionable insights into ...

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Senior Credentialing Analyst information

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$15

$25

$43

How much do senior credentialing analyst jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for senior credentialing analyst in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $27.40 per hour, depending on experience, location, and employer.

What is a senior credentialing analyst?

Senior Credentialing Analysts are professionals responsible for overseeing the process of verifying and evaluating the qualifications of healthcare providers, such as doctors and nurses, to ensure they meet regulatory and organizational standards. Their duties include managing credentialing applications, maintaining accurate records, and coordinating with providers, insurance companies, and regulatory agencies. Senior analysts often handle more complex cases, mentor junior staff, and help develop credentialing policies and procedures. They play a crucial role in ensuring patient safety and compliance within healthcare organizations.

What are some typical challenges a senior credentialing analyst might face when managing provider files across multiple healthcare organizations?

A Senior Credentialing Analyst often encounters challenges such as coordinating with different healthcare organizations that may have varying credentialing standards and timelines. Managing large volumes of provider files while ensuring accuracy and regulatory compliance can be demanding, especially with frequent policy updates. Strong organization, attention to detail, and clear communication with providers and internal teams are essential to navigate these complexities and prevent delays in credentialing processes.

What are the key skills and qualifications needed to thrive as a senior credentialing analyst, and why are they important?

To thrive as a Senior Credentialing Analyst, you need in-depth knowledge of credentialing standards, healthcare regulations, and experience with provider enrollment, typically supported by a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software (such as CAQH or Echo), database management, and sometimes Certified Provider Credentialing Specialist (CPCS) certification is highly valued. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for managing complex documentation and collaborating with providers and regulatory agencies. These skills ensure the accuracy, compliance, and efficiency necessary for maintaining organizational standards and patient safety.

What is the difference between Senior Credentialing Analyst vs Credentialing Specialist?

AspectSenior Credentialing AnalystCredentialing Specialist
Required CredentialsTypically requires a certification like NCCS or CHC, and relevant experienceOften requires similar certifications, but may have less experience prerequisites
Work EnvironmentWorks in healthcare organizations, insurance companies, or credentialing firmsWorks in healthcare facilities, hospitals, or insurance providers
Employer & Industry UsageCommonly employed in healthcare administration and credentialing departmentsUsed across healthcare settings for credentialing tasks
Comparison Search IntentOften compared for experience level and responsibilitiesCompared for entry to mid-level credentialing roles

The Senior Credentialing Analyst typically has more experience and handles complex credentialing processes, while the Credentialing Specialist focuses on routine credentialing tasks. Both roles are essential in healthcare credentialing, but the senior position involves greater responsibility and expertise.

What cities are hiring for Senior Credentialing Analyst jobs?

Cities with the most Senior Credentialing Analyst job openings:

What are the most commonly searched types of Credentialing Analyst jobs?

The most popular types of Credentialing Analyst jobs are:

What states have the most Senior Credentialing Analyst jobs?

States with the most job openings for Senior Credentialing Analyst jobs include:

What are popular job titles related to Senior Credentialing Analyst jobs?

For Senior Credentialing Analyst jobs, the most frequently searched job titles are:

Senior Credentialing Specialist

Dallas, TX • On-site

CVS Health
Health Care and Social Assistance • 10K+ employees

$18.50 - $35.29/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,375 frontline employees who took The Breakroom Quiz


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary:

The Network Activation Sr. Credentialing Specialist supports network operations, compliance monitoring, and provider data integrity. The role ensures network providers comply with company, state, and regulatory body requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements, by reviewing, validating, and analyzing provider information. The Sr. Credentialing Specialist also drives process improvements, handles stakeholder inquiries, and provides administrative and operational support to meet departmental needs.

Roles & Responsibilities:

  • Support diverse network activation projects and operations to ensure department-wide compliance and efficiency.
  • Act as primary liaison for clinicians and internal departments to support communication, address inquiries, and resolve issues.
  • Conduct ongoing verification and monitoring of state licenses, exclusion lists, DEAs, board certifications, and enrollment data to validate provider standing.
  • Manage clinician enrollment, state licensure applications, and renewals according to state and federal guidelines.
  • Ensure strict adherence to business, state, and accrediting body regulatory requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements.
  • Maintains data tracking and facilitates provider data integrity across organizational units.
  • Prepare education and training materials on Network Activation policies, procedures, and quality standards, and conduct training to enforce standards.
  • Drive process improvement initiatives, manage stakeholder inquiries, and execute administrative and operational support to accommodate flexible departmental needs.

Required Qualifications:

  • 3-5 years of successful work experience in a Network Activation or credentialing role/department

Preferred Qualifications:

  • Candidates local to the Dallas area who can commute to the Signify Health headquarters in Farmers Branch are preferred.
  • NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility to certify.
  • Intermediate skills in Google Suite Applications such as Gmail, Google Calendar, Google Sheets and Slide Presentations

Education:

  • High School Diploma

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/29/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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