Payer Credentialing Manager

Remotedxb; Dubai; On-site; AED 180,000 - 270,000; Full time

Benefits offered by this job

Competitive salary

401(k) with employer match

Health, dental, and vision insurance

PTO + paid holidays

Life insurance coverage

Job summary

Theoria Medical in the United States is seeking a qualified professional to oversee payer credentialing for health professionals, ensuring regulatory compliance and audit readiness. This role leads credentialing operations and collaborates with medical staff leadership, payers, and licensure boards.

Responsibilities include supervising credentialing staff, maintaining databases, conducting regular audits, and driving continuous improvement in enrollment processes.

Qualifications

• Bachelor’s degree in healthcare administration, business, or related field.
• Minimum 3 years in payer credentialing or healthcare administration.
• 1–3 years in a supervisory or managerial role.
• Experience with payer enrollment processes and credentialing systems (CAQH, Medallion).

Responsibilities

• Oversee initial payer applications for health professionals per regulations.
• Manage payer credentialing databases and electronic records for accuracy and audits.
• Liaise with medical staff leadership, payers, licensure boards, and regulators.
• Supervise credentialing staff: workloads, training, performance, quality.
• Conduct audits to identify gaps and drive continuous improvement.

Skills

Payer credentialing

Regulatory compliance

Supervisory experience

Database knowledge

MS Office

Education

Bachelor’s degree in healthcare administration

Tools

CAQH

Medallion

Databases

Microsoft Office

Job description

About the Company

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships.

Responsibilities

• Oversee the processing of initial payer applications for health professionals, ensuring compliance with national accreditation standards and state/federal regulations.
• Maintain and manage payer credentialing databases and electronic records, ensuring accuracy, confidentiality, and audit readiness.
• Liaison with medical staff leadership, payers, licensure boards, and regulatory agencies to resolve credentialing issues promptly.
• Supervise payer credentialing staff by coordinating workloads, providing training, monitoring performance, and ensuring quality outcomes.
• Conduct regular audits of payer credentialing processes to identify gaps, implement corrective actions, and drive continuous improvement.

Requirements

• Bachelor’s degree in healthcare administration, business, or related field
• Minimum of 3 years in payer credentialing or healthcare administration
• 1-3 years in a supervisory or managerial role
• Demonstrated experience with payer enrollment processes
• Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion)
• Strong knowledge of databases and Microsoft Office applications

Benefits

• Competitive salary
• 401(k) with employer match
• Health, dental, and vision insurance
• PTO + paid holidays
• Life insurance coverage