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Senior Credentialing Analyst Jobs (NOW HIRING)

Evette

Senior Credentialing Manager

Dallas, TX

Job Summary The Senior Credentialing Manager to lead and oversee all credentialing and compliance ... process improvements Analyze workflows to improve efficiency, accuracy, and compliance ...

Memorial Hermann

Sr Credentialing Specialist

Plaza, ND · On-site

Job Summary The Senior Credentialing Specialist is responsible for the coordination of all ... Strong analytical skills with the ability to assess compliance, record, analyze, and interpret data ...

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How much do senior credentialing analyst jobs pay per hour?

As of May 30, 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 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 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 Senior Credentialing Analysts?

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 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:
Senior Credentialing Analyst jobs near you

Credentialing Analyst - Hybrid

UPMC Senior Communities

Pittsburgh, PA • On-site

$20 - $30.55/hr

Full-time

Posted 6 days ago

Job description

UPMC Community Care Behavioral Health is hiring a full-time Credentialing Analyst. The team is headquartered in downtown Pittsburgh at the U.S. Steel Tower. This position will work in a hybrid model, with a few in office days each week - Monday, Wednesday and Thursday.
The Credentialing Analyst will handle credentialing duties within Community Care. They ensure the accurate completion and maintenance of credentialing files. They take files for credentialing through the entire process including interacting with external agencies for PSV and bringing problems about a particular file to the attention of the Credentialing Supervisor.
Responsibilities:
  • Provide support to Data Management including but not limited to: spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing
  • Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing.
  • Complete provider complaint documentation.
  • Identify problems/issues associated with the credentialing process.
  • Coordinate site visit completion with Credentialing Analyst responsible for this task.
  • Utilize the Provider at Risk list to assist to identify provider files requiring urgent attention.
  • Complete data entry at 95% accuracy.
  • Provide back up for other Credentialing Analysts and to the Credentialing Team as assigned by the Credentialing Supervisor.
  • Utilize Equifax, NPDB, and the federal cumulative sanction software for credentialing.
  • Initiate and maintain fluid communication with individual providers being credentialed.
  • Maintain complete and accurate records regarding credentialing/re-credentialing for practitioners or facilities as assigned.
  • Prioritize work assignments related to credentialing processes to ensure timely completion with satisfactory results.
  • Initiate consultation with the Chief Medical Officer or designee when provider specific information warrants, to include but not limited to NPDB queries, Act 33 & 34, claims histories, licensure, references.
  • Maintain confidentiality concerning queries through all credentialing processes.
  • Track expired data for providers and follow-up appropriately including state licensure, professional references, NPDB, etc.
  • Communicate with Network Management and Contracting regarding providers presenting problems with completing initial credentialing/re-credentialing.
  • Complete PsychConsult Network Credentialing Manager checklist for all practitioners assigned for review.
  • Enter provider data into PsychConsult Network Credentialing Manager and PSV Manager.

Qualifications:
  • High school diploma or equivalent required.
  • 2 years experience in healthcare (such as credentialing, enrollment, claims, medical billing, or related areas) OR strong experience in administration, legal support, project management, HR onboarding, quality, auditing, or similar fields strongly preferred.
  • Excellent written/verbal communication skills.
  • Ability to gather and manipulate data accurately and consistently.
  • Strong organizational skills.
  • Ability to manage multiple task and be flexible to the daily needs of the organization.
  • Computer competence.
  • Attention to detail.
    Licensure, Certifications, and Clearances:
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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