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Full-time
bachelor degree
401(k) With Employer Match, Health Insurance, Dental Insurance, Vision Insurance, PTO, Paid Holidays
Posted 15d ago
~40 hrs/week
Remote in United States
Responsibilities
Lead the payer credentialing and re-credentialing processes for healthcare providers to ensure compliance with regulatory and accreditation standards. Supervise the credentialing team, manage databases, and coordinate with payers and licensure boards to streamline provider onboarding.
Requirements
Requires a Bachelor's degree in healthcare administration or a related field with at least 3 years of experience in payer credentialing. Candidates must have 1-3 years of supervisory experience and proficiency with systems like CAQH and Medallion.
Full job description
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
Competitive salary
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.
A leader in tech-enabled, value-based primary care.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2019
Headquarters
Novi, Michigan
LinkedIn followers
129,499
Theoria Medical is a pioneering healthcare and technology leader, dedicated to enhancing patient care across the continuum with a focus on post-acute and primary care. Our nationwide presence supports healthcare facilities with advanced services, including medical directorships, multispecialty physician services, telemedicine, remote monitoring and more. Renowned for innovation and quality, we're on a mission to refine healthcare processes and expand our impact. Join us in transforming healthcare delivery.
Offices: 41800 W 11 Mile Rd, 109, Novi, Michigan 48375, US
Primary Care and Value-Based CareHospitalHealth CareHome Health CareElectronic Health Record (EHR)
Based on 1139 listings with disclosed salaries, most healthcare jobs in Michigan pay between $65k–$172k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Michigan right now?
There are currently 16,558 open healthcare positions in Michigan listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Michigan?
Companies currently hiring include Corewell Health, Detroit Medical Center, St. Peter's Health Partners, Munson Healthcare, McLaren Health Care, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Michigan?
Yes — 1055 of the 16558 open healthcare positions offer remote or hybrid work (326 remote, 729 hybrid).
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