Full-time Payer Credentialing Manager - Remote (US)
Company:Theoria Medical
Location:United States
Languages:English
Seniority level:Manager, 3+ years in payer credentialing or healthcare administration, 1-3 years in a supervisory or managerial role
Experience:3+ years in payer credentialing or healthcare administration, 1-3 years in a supervisory or managerial role
Skills:
LeadershipMicrosoft AccessPeople ManagementProject CoordinationHR ManagementCommunication SkillsAnalytical SkillsCollaborationMicrosoft ExcelProblem SolvingAttention to detailOrganizational skillsComplianceTeamwork
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 (Excel, Access, Word). Strong organizational skills, attention to detail, communication, problem-solving, and knowledge of regulatory guidelines.
Responsibilities:
Oversee processing of initial payer applications for health professionals. Maintain and manage payer credentialing databases and electronic records. Liaison with medical staff leadership, payers, licensure boards, and regulatory agencies. Supervise payer credentialing staff. Conduct regular audits of payer credentialing processes.
