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Job Summary:

  • We are seeking a Payer Credentialing Manager to lead payer credentialing processes and ensure compliance.
  • This role includes oversight of payer enrollments, managing the team, and streamlining provider onboarding.

Key Responsibilities:

  • Process initial payer applications and maintain compliance with accreditation standards.
  • Manage credentialing databases and serve as liaison with payers and regulatory agencies.
  • Supervise staff, conduct audits, and drive continuous improvement.

Qualifications:

  • Bachelor's degree in healthcare administration or related field.
  • Minimum 3 years in payer credentialing, with 1–3 years in management.
  • Hands-on experience with CAQH, Medallion, and Microsoft Office.

Compensation and Benefits:

  • Competitive salary with 401(k) employer match.
  • Health, dental, and vision insurance plus PTO and paid holidays.
  • Remote flexibility and life insurance coverage.

Theoria Medical

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. They serve facilities across the United States, offering multispecialty physician services, telemedicine, and remote patient monitoring.

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