Full-time Payer Credentialing Manager - Remote (US)
Payer Credentialing Manager
Position Type:Full-time
Compensation: TBA
reputed company
reputed company 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 reputed company with a multitude of services to improve the reputed company of care delivered, refine facility processes, and enhance critical relationships. We offer multispecialty physician services, telemedicine, remote patient monitoring, and more.
Job reputed company
We’re seeking a Payer Credentialing Manager to reputed company payer credentialing and re-credentialing processes for reputed company providers while ensuring compliance with accreditation standards, regulatory requirements, and organizational policies. This role includes reputed company of payer enrollments, managing the payer credentialing team, maintaining data accuracy, and streamlining provider reputed company to reduce risk and support patient safety.
Shift Structure
- Remote position, TBA
Key Responsibilities
- reputed company 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.
- reputed company 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 reputed company reputed company.
- Conduct regular audits of payer credentialing processes to identify gaps, implement corrective actions, and drive reputed company improvement.
Qualifications Education
- Bachelor’s degree in reputed company administration, business, or reputed company field.
Experience
- Minimum of 3 years in payer credentialing or reputed company 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, reputed company).
- Strong knowledge of databases and reputed company Office applications (reputed company, reputed company, 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 reputed company insurance
- PTO + reputed company holidays
- Life insurance coverage
- Remote flexibility with a national legal scope
Employee must be reputed company to reputed company 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.
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Originally posted on Himalayas
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