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Senior Credentialing Analyst Jobs (NOW HIRING)

QualDerm Partners

Credentialing Specialist - Remote

$48K - $64K/yr

Purpose: Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing ... Demonstrated skills in analysis, problem solving and resolution. * Ability to communicate ...

Turn2Partners

Senior Financial Analyst

Washington, DC · On-site

$100K - $120K/yr

... is seeking a Senior Financial Analyst to join its corporate finance team. This is a rare ... Join a tight-knit, highly credentialed finance team with CPAs and Big 4 backgrounds. * Low turnover ...

Barbaricum

Barbaricum is seeking a Senior Intelligence Analyst to support The U.S. Army Training and Doctrine ... Doctorate (PhD) - Advanced academic credentials with strong research, analytical, and theoretical ...

REJIS Commission

Senior Crime Analyst

Saint Louis, MO · On-site

$70K/yr

Description REJIS is seeking a highly skilled Senior Crime Analyst to serve as the lead individual ... Certified Law Enforcement Analyst (CLEA) credential, or ability to obtain within 18 months

Rejis

Senior Crime Analyst

Saint Louis, MO · On-site

$70K/yr

Job Type Full-time Description REJIS is seeking a highly skilled Senior Crime Analyst to serve as ... Certified Law Enforcement Analyst (CLEA) credential, or ability to obtain within 18 months

IMSolutions, LLC

Sr Cost Analyst

Stafford, VA · Remote

$85K - $108K/yr

... credentials or clearances as specified by the customer. Suitability Requirement: A full background check will be required. Who We Are, IMSolutions is a rapidly growing woman-owned, veteran-owned ...

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Senior Credentialing Analyst information

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How much do senior credentialing analyst jobs pay per hour?

As of Aug 22, 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:

Senior Credentialing Analyst jobs near you

Credentialing Specialist - Remote

QualDerm Partners

Remote

$48K - $64K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

QualDerm Partners rating

6.5

Company rating: 6.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you!
Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees.
Purpose:
Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all aspects of the credentialing, re-credentialing, payer enrollment and privileging processes for all providers in an assigned region. The Credentialing Specialist will develop strong relationships with regional operational leaders to ensure proactive communication on credentialing and recredentialing requirements while ensuring that credentialing is complete in advance of services being rendered under contracted and enrolled health plans. The Credentialing Specialist will be responsible for implementing standardized processes and capturing data for each provider in QualDerm's credentialing databases and online systems for utilization across multiple stakeholder groups.
Essential Duties and Responsibilities:
  • Oversee all aspects of Provider Credentialing and Payer Enrollment with third party payers and hospital / health system partners for assigned region.
  • Assure compliance with all health plan requirements as related to provider certification and credentialing.
  • Meets with assigned region operational leadership on a routine basis to ensure timely on-boarding of new providers and that all credentialing needs are met.
  • Manages processes that maintain up-to-date data for each provider in credentialing databases and online systems.
  • Ensures timely renewal of licenses, certifications, and credentialing.
  • Maintains confidentiality of provider information.
  • Assist in managing the flow of information between payers, contracted PHO's, ACO's and other QualDerm networks.
  • Coordinate and prepare management reports for assigned regions.
  • Manage continual process and quality improvement efforts related to payer enrollment, data entry, credentialing committees and all aspects related to credentialing & enrollment.
  • Participates in the training of new Credentialing & Enrollment team members.

Requirements
  • Bachelor's degree in related field preferred.
  • Minimum of three (3) years' experience in managed care credentialing or medical staff service setting required.
  • National or multi-state credentialing experience preferred.
  • Demonstrated skills in analysis, problem solving and resolution.
  • Ability to communicate appropriately and effectively with practitioners and providers, including sensitive and confidential information.
  • Strong knowledge of NCQA, Joint Commission, URAC, CMS and State Laws and regulations as they pertain to the credentialing of QualDerm providers.
  • Prioritize and meet deadlines on an ongoing basis to ensure timely completion according to process requirements.
  • Must be able to function independently in a matrix environment.

Benefits
Benefits of joining Qualderm Partners:
  • Competitive Pay - Attractive compensation to reward your hard work
  • Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered
  • Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
  • Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
  • Company-Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans
  • Disability Protection - Short-term and long-term disability coverage to protect you in unexpected circumstances
  • Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security
  • Employee Assistance Program (EAP) - Access confidential support for personal or work-related challenges
  • Exclusive Employee Discounts - Save on products and services with special discounts just for you
  • Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team

QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.
Compensation Range: $48,152 - $64,916 per year. Final offer will be based on a combination of skills, experience, location, and internal equity.

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