Full-time Payer Credentialing Manager - Remote (US)

Theoria Medical; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k) with employer match

Health, dental, and vision insurance

PTO + paid holidays

Life insurance

Remote flexibility with national scope

Job summary

Theoria Medical is seeking a Payer Credentialing Manager. This remote role leads payer credentialing and re-credentialing for healthcare providers, ensures compliance with accreditation standards and regulations, and oversees enrollments and data integrity.

You will manage the credentialing team, drive timely onboarding, coordinate with payers and boards, and audit processes to improve accuracy and reduce risk nationwide.

Qualifications

• 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.

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.

Skills

Organizational skills

Attention to detail

Communication

Problem-solving

Regulatory knowledge

Education

Bachelor’s degree in healthcare administration, business, or related field

Tools

CAQH

Medallion

MS Office (Excel/Access/Word)

Job description

Remote - United States

Aug 25, 2026

Payer Credentialing Manager

Position Type: Full-time

Compensation: TBA

Company Overview

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. We offer multispecialty physician services, telemedicine, remote patient monitoring, and more.

Job Summary

We’re seeking a Payer Credentialing Manager to lead payer credentialing and re-credentialing processes for healthcare providers while ensuring compliance with accreditation standards, regulatory requirements, and organizational policies. This role includes oversight of payer enrollments, managing the payer credentialing team, maintaining data accuracy, and streamlining provider onboarding to reduce risk and support patient safety.

Shift Structure

• Remote position, TBA

Key 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.

Qualifications

Education

• Bachelor’s degree in healthcare administration, business, or related field.

Experience

• 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.

Technical Proficiency/Skills

• Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion).
• Strong knowledge of databases and Microsoft Office applications (Excel, Access, Word).
• Strong organizational skills, attention to detail, communication, problem-solving, and knowledge of regulatory guidelines.

Compensation and Benefits

• 401(k) with employer match
• Health, dental, and vision insurance
• PTO + paid holidays
• Life insurance coverage
• Remote flexibility with a national legal scope

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.

Theoria Medical

A leader in tech-enabled, value-based primary care.

Theoria Medical is an innovative leader in healthcare technology, enhancing patient care through advanced services in post-acute and primary care nationwide.

Private Equity - Amulet Capital Partners

Footprint

Where they work

41800 W 11 Mile Rd, 109, Novi, Michigan 48375, US