... remote patient monitoring, and more. Job Summary We're seeking a Payer Credentialing Manager to ... with accreditation standards, regulatory requirements, and organizational policies. This role ...
Quick apply
... remote patient monitoring, and more. Job Summary We're seeking a Payer Credentialing Manager to ... with accreditation standards, regulatory requirements, and organizational policies. This role ...
Remote, with required on-site travel to VA/VHA medical facilities (Illinois, Wisconsin, Michigan ... accreditation standards, along with Emergency Management (EM) and National Patient Safety Goals.
Quick apply
Remote, with required on-site travel to VA/VHA medical facilities (Illinois, Wisconsin, Michigan ... accreditation standards, along with Emergency Management (EM) and National Patient Safety Goals.
Outpatient Complex Coder/Full Time/Remote
Detroit, MI · Remote
$18.50 - $24.75/hr
Ensure compliance with accreditation standards and quality benchmarks * Contribute to provider ... management * Optimize reimbursement outcomes while maintaining coding accuracy and integrity ...
Quick apply
Outpatient Complex Coder/Full Time/Remote
Detroit, MI · Remote
$18.50 - $24.75/hr
Ensure compliance with accreditation standards and quality benchmarks * Contribute to provider ... management * Optimize reimbursement outcomes while maintaining coding accuracy and integrity ...
Departmental Manager 14
Lansing, MI · On-site +1
$35.28 - $52.61/hr
... Accreditation (CHEA). A scanned or electronic copy is acceptable, as long as it contains the ... Hybrid Remote Work. To perform the duties and responsibilities of this position, all work must be ...
Departmental Manager 14
Lansing, MI · On-site +1
$35.28 - $52.61/hr
... Accreditation (CHEA). A scanned or electronic copy is acceptable, as long as it contains the ... Hybrid Remote Work. To perform the duties and responsibilities of this position, all work must be ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Remote Licensed Mental Health Counselor (LMHC) at Charlie Health & Rehab Clinical
Highland, MI · On-site +1
The position allows you to manage your own schedule, accommodating 30 to 40 hours of work each week ... Actively participating in accreditation processes and ensuring compliance with licensing ...
Remote Licensed Mental Health Counselor (LMHC) at Charlie Health & Rehab Clinical
Highland, MI · On-site +1
The position allows you to manage your own schedule, accommodating 30 to 40 hours of work each week ... Actively participating in accreditation processes and ensuring compliance with licensing ...
Remote Licensed Mental Health Counselor (LMHC) at Charlie Health & Rehab Clinical
Highland, MI · On-site +1
The position allows you to manage your own schedule, accommodating 30 to 40 hours of work each week ... Actively participating in accreditation processes and ensuring compliance with licensing ...
Remote Licensed Mental Health Counselor (LMHC) at Charlie Health & Rehab Clinical
Highland, MI · On-site +1
The position allows you to manage your own schedule, accommodating 30 to 40 hours of work each week ... Actively participating in accreditation processes and ensuring compliance with licensing ...
State Administrative Manager 15 - Digital Opportunities Director
Lansing, MI · On-site +1
$96K - $138K/yr
Remote Only Job Number: 1801-26-PROS-004 Department: LEO-Labor and Econ Opportunity Opening Date ... Accreditation (CHEA). Go to for a list of accepted organizations that evaluate foreign credentials.
New
State Administrative Manager 15 - Digital Opportunities Director
Lansing, MI · On-site +1
$96K - $138K/yr
Remote Only Job Number: 1801-26-PROS-004 Department: LEO-Labor and Econ Opportunity Opening Date ... Accreditation (CHEA). Go to for a list of accepted organizations that evaluate foreign credentials.
New
Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)
Detroit, MI · Remote
$18.50 - $24.75/hr
Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews ... May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M ...
Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)
Detroit, MI · Remote
$18.50 - $24.75/hr
Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews ... May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M ...
Utilization Review Medical Director (Contract)
Troy, MI · On-site +1
$150/hr
Experience with NCQA UM accreditation standards * Prior UM experience for MLTC, Medicaid, or ... management of complex healthcare benefits. With a location in Michigan plus a remote workforce ...
Utilization Review Medical Director (Contract)
Troy, MI · On-site +1
$150/hr
Experience with NCQA UM accreditation standards * Prior UM experience for MLTC, Medicaid, or ... management of complex healthcare benefits. With a location in Michigan plus a remote workforce ...
Economist (Economic Analyst 9-P11)
Lansing, MI · On-site +1
$24.92 - $40.51/hr
... Accreditation (CHEA). A scanned or electronic copy is acceptable, provided it contains the elements ... Remote work arrangements are subject to management approval and may be adjusted or discontinued at ...
Economist (Economic Analyst 9-P11)
Lansing, MI · On-site +1
$24.92 - $40.51/hr
... Accreditation (CHEA). A scanned or electronic copy is acceptable, provided it contains the elements ... Remote work arrangements are subject to management approval and may be adjusted or discontinued at ...
Outpatient Professional Coder - Full time - Detroit
Detroit, MI · Remote
$18.50 - $24.75/hr
... accreditation guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: Identifies all diagnostic and ... May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M ...
Outpatient Professional Coder - Full time - Detroit
Detroit, MI · Remote
$18.50 - $24.75/hr
... accreditation guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: Identifies all diagnostic and ... May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Experience with UM NCQA or URAC certification/accreditation * Experience with leading and managing ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Experience with UM NCQA or URAC certification/accreditation * Experience with leading and managing ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...
Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
... and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D ... Strong organizational and time management skills required to effectively prioritize work. * Ability ...
Remote Accreditation Manager information
What are the most commonly searched types of Remote Accreditation jobs in Michigan?
The most popular types of Remote Accreditation jobs in Michigan are:
What are popular job titles related to Remote Accreditation Manager jobs in Michigan?
For Remote Accreditation Manager jobs in Michigan, the most frequently searched job titles are:
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Cities in Michigan with the most Remote Accreditation Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 16 days ago
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
- 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.
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#LI-JD1#IND
#TSA2
About Theoria Medical
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Novi, MI, US
Year founded
2019