... improve the quality of care delivered, refine facility processes, and enhance critical ... Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion). * Strong knowledge of ...
Quick apply
... improve the quality of care delivered, refine facility processes, and enhance critical ... Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion). * Strong knowledge of ...
Quick apply
... improve the quality of care delivered, refine facility processes, and enhance critical ... Hands-on experience with payer credentialing systems (e.g., CAQH, Medallion). * Strong knowledge of ...
Caledonia, MI ยท Remote
Plan and execute a risk-based supplier audit program, conducting on-site and remote quality system ... Assess supplier quality management systems for adequacy, compliance, and continuous improvement ...
Caledonia, MI ยท Remote
Plan and execute a risk-based supplier audit program, conducting on-site and remote quality system ... Assess supplier quality management systems for adequacy, compliance, and continuous improvement ...
Detroit, MI ยท On-site +1
Review the quality of work produced by lease administration team members. * Participate in the ... systems and processes. What You'll Need: * Bachelor's Degree preferred with 3-5 years of relevant ...
Detroit, MI ยท On-site +1
Review the quality of work produced by lease administration team members. * Participate in the ... systems and processes. What You'll Need: * Bachelor's Degree preferred with 3-5 years of relevant ...
Livonia, MI ยท Remote
$142K - $143K/yr
Leads, facilitates, assembles and manages cross functional teams across the System with Regional Health Ministries (RHMs) to drive system-wide priorities, achieve cost reductions, service and quality ...
Livonia, MI ยท Remote
$142K - $143K/yr
Leads, facilitates, assembles and manages cross functional teams across the System with Regional Health Ministries (RHMs) to drive system-wide priorities, achieve cost reductions, service and quality ...
Wyoming, MI ยท Remote
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
Wyoming, MI ยท Remote
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
Livonia, MI ยท Remote
$142K - $143K/yr
Leads, facilitates, assembles and manages cross functional teams across the System with Regional Health Ministries (RHMs) to drive system-wide priorities, achieve cost reductions, service and quality ...
Livonia, MI ยท Remote
$142K - $143K/yr
Leads, facilitates, assembles and manages cross functional teams across the System with Regional Health Ministries (RHMs) to drive system-wide priorities, achieve cost reductions, service and quality ...
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
Three Rivers, MI ยท Remote
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
Three Rivers, MI ยท Remote
$10/hr
Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from ... quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical ...
Livonia, MI ยท Remote
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
Livonia, MI ยท Remote
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
Livonia, MI ยท Remote
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
Livonia, MI ยท Remote
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
Livonia, MI ยท On-site +1
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
Livonia, MI ยท On-site +1
$120K - $156K/yr
... limited to, managing several simultaneous competitive sourcing processes, complex contract ... System, while not compromising quality or patient safety. Working knowledge on contract ...
... serial life quality management. * Strong understanding of connected vehicle end-to-end ... systems, telematics, mobile apps, cloud platforms, OTA, service activation, remote services ...
... serial life quality management. * Strong understanding of connected vehicle end-to-end ... systems, telematics, mobile apps, cloud platforms, OTA, service activation, remote services ...
Southfield, MI ยท Remote
$88K - $207K/yr
This is a remote position anywhere across USA About the job you're considering We are seeking an ... Non-Conformance Management (NCM) Corrective & Preventive Actions (CAPA) Audit Management Supplier ...
Southfield, MI ยท Remote
$88K - $207K/yr
This is a remote position anywhere across USA About the job you're considering We are seeking an ... Non-Conformance Management (NCM) Corrective & Preventive Actions (CAPA) Audit Management Supplier ...
... systems, electrical systems, and aftermarket products and solutions of the highest quality ... Self-motivated and comfortable working in a remote, field-based environment, managing multiple ...
... systems, electrical systems, and aftermarket products and solutions of the highest quality ... Self-motivated and comfortable working in a remote, field-based environment, managing multiple ...
... systems, electrical systems, and aftermarket products and solutions of the highest quality ... Selfmotivated and comfortable working in a remote, fieldbased environment, managing multiple ...
... systems, electrical systems, and aftermarket products and solutions of the highest quality ... Selfmotivated and comfortable working in a remote, fieldbased environment, managing multiple ...
Ensure updates occur with system and process documentation including: Risk (REF/RMP), Project Management Plan (PMP), Project Quality Plan (QP), Project Safety (PSP), and Communications Plan where ...
Ensure updates occur with system and process documentation including: Risk (REF/RMP), Project Management Plan (PMP), Project Quality Plan (QP), Project Safety (PSP), and Communications Plan where ...
Ensure updates occur with system and process documentation including: Risk (REF/RMP), Project Management Plan (PMP), Project Quality Plan (QP), Project Safety (PSP), and Communications Plan where ...
Ensure updates occur with system and process documentation including: Risk (REF/RMP), Project Management Plan (PMP), Project Quality Plan (QP), Project Safety (PSP), and Communications Plan where ...
Plymouth, MI ยท On-site +1
$95K - $130K/yr
... managing technical interfaces between emissions analyzers, sample handling systems, dilution ... This position follows a hybrid work arrangement, allowing a combination of remote and office-based ...
Plymouth, MI ยท On-site +1
$95K - $130K/yr
... managing technical interfaces between emissions analyzers, sample handling systems, dilution ... This position follows a hybrid work arrangement, allowing a combination of remote and office-based ...
Alpena, MI ยท On-site +1
$22.56/hr
The Internal Systems Analyst partners closely with the Internal Systems Manager to enhance ECS data ... Perform data quality checks and corrections to ensure integrity across systems Reporting, Analytics ...
Alpena, MI ยท On-site +1
$22.56/hr
The Internal Systems Analyst partners closely with the Internal Systems Manager to enhance ECS data ... Perform data quality checks and corrections to ensure integrity across systems Reporting, Analytics ...
Detroit, MI ยท On-site +1
$85K - $115K/yr
... quality control. - Prepares system/technical documentation. - Works under the configuration management plan. - Performs and supervises the technical aspects of the tasks. - Organizes and conducts ...
Detroit, MI ยท On-site +1
$85K - $115K/yr
... quality control. - Prepares system/technical documentation. - Works under the configuration management plan. - Performs and supervises the technical aspects of the tasks. - Organizes and conducts ...
| Aspect | Quality Systems Manager Remote | Quality Assurance Specialist |
|---|---|---|
| Credentials | ISO certifications, quality management training | ISO, GMP, or industry-specific certifications |
| Work Environment | Remote, office, or hybrid; overseeing quality systems | Primarily on-site or lab-based; focused on product testing |
| Employer & Industry | Manufacturing, healthcare, or tech companies | Pharmaceuticals, manufacturing, or food industries |
| Search & Comparison Intent | Understanding roles, responsibilities, and remote options | Job duties, certifications, and industry focus |
The main difference is that a Quality Systems Manager Remote oversees the entire quality management system remotely, focusing on compliance and process improvement, while a Quality Assurance Specialist primarily conducts product testing and inspections, often on-site. Both roles require relevant certifications and are common in manufacturing and healthcare industries, but their responsibilities and work environments differ.

Full-time
Posted 4 days ago
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
Qualifications
Education
Experience
Technical Proficiency/Skills
Compensation and Benefits
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.
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Health care and social assistance
1,001 - 5,000 Employees
Novi, MI, US
2019