Remote Payer Credentialing Leader

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

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.