Theoria Medical

Payer Credentialing Manager

Theoria Medical

full-time

Posted on:

Location Type: Remote

Location: Missouri • United States

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About the role

  • 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 (Excel, Access, Word).
  • Strong organizational skills, attention to detail, communication, problem –solving, and knowledge of regulatory guidelines.
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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
payer credentialingpayer enrollment processesdatabase managementMicrosoft ExcelMicrosoft AccessMicrosoft Wordauditingcorrective actionscontinuous improvement
Soft Skills
organizational skillsattention to detailcommunicationproblem-solvingleadershiptrainingperformance monitoring