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Remote Credentialing Manager Jobs in Michigan (NOW HIRING)

The Manager of Credentialing Operations has direct responsibility for managing the internal ... The opportunity for remote work may be possible for all jobs posted by the Univera Healthcare ...

The Manager of Credentialing Operations has direct responsibility for managing the internal ... There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition ...

The Manager of Credentialing Operations has direct responsibility for managing the internal ... There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition ...

Monitors/Manages application queue to establish equal distribution of workload. Notifies leadership of any disparate in balance of work. * Possess knowledge of credential process, workflows to ...

Active license to practice law with strong academic credentials. * Current or prior experience at a top-tier US law firm, with exposure to varied practice areas. * Proven abilities in legal analysis ...

Active license to practice law with strong academic credentials. * Current or prior experience at a top-tier US law firm, with exposure to varied practice areas. * Proven abilities in legal analysis ...

Active license to practice law with strong academic credentials. * Current or prior experience at a top-tier US law firm, with exposure to varied practice areas. * Proven abilities in legal analysis ...

Active license to practice law with strong academic credentials. * Current or prior experience at a top-tier US law firm, with exposure to varied practice areas. * Proven abilities in legal analysis ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Comfort managing a consistent outpatient caseload * Strong clinical judgment, communication skills ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Comfort managing a consistent outpatient caseload * Strong clinical judgment, communication skills ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Comfort managing a consistent outpatient caseload * Strong clinical judgment, communication skills ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Comfort managing a consistent outpatient caseload * Strong clinical judgment, communication skills ...

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Remote Credentialing Manager information

What is the difference between Remote Credentialing Manager vs Remote Credentialing Specialist?

AspectRemote Credentialing ManagerRemote Credentialing Specialist
Required CredentialsTypically requires a healthcare administration or related certification, with experience in credentialing processesOften requires similar certifications, with a focus on credentialing procedures and healthcare compliance
Work EnvironmentOversees teams, manages credentialing workflows, and collaborates with healthcare providers remotelyPerforms credentialing tasks, verifies provider credentials, and maintains records remotely
Employer & Industry UsageUsed in healthcare organizations, hospitals, and credentialing companiesCommon in healthcare staffing agencies, hospitals, and credentialing firms

The Remote Credentialing Manager typically oversees the credentialing process, manages teams, and ensures compliance, requiring leadership skills. The Remote Credentialing Specialist focuses on executing credentialing tasks, verifying provider credentials, and maintaining records. Both roles require healthcare credentialing knowledge but differ mainly in responsibility level and scope.

What skills and qualifications are needed to be a remote credentialing manager?

To thrive as a Remote Credentialing Manager, you need expertise in healthcare credentialing, compliance regulations, and a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software systems (such as CAQH, VerityStream, or MD-Staff) and knowledge of accreditation standards are typically required. Strong attention to detail, organizational skills, and effective communication help manage sensitive information and coordinate with providers and healthcare organizations. These abilities ensure accuracy, regulatory compliance, and efficient onboarding of healthcare professionals in a remote environment.

What does a remote credentialing manager do?

A Remote Credentialing Manager oversees the process of verifying and maintaining the qualifications, licenses, and certifications of healthcare providers from a remote location. They ensure that all providers meet the necessary requirements to work at their organization and comply with regulatory standards. Responsibilities often include managing credentialing databases, coordinating with providers and regulatory bodies, and ensuring timely renewals and compliance. Working remotely, they use digital tools to facilitate communication and document management.

How does a remote credentialing manager collaborate with healthcare providers and internal teams?

As a Remote Credentialing Manager, you will regularly coordinate with healthcare providers, compliance staff, and administrative teams through virtual meetings, emails, and credentialing software platforms. Effective communication is essential to gather necessary documentation, clarify requirements, and resolve any discrepancies. Managing multiple deadlines and ensuring all stakeholders are aligned can be challenging, but leveraging digital tools and maintaining organized workflows helps streamline the process. Your ability to foster collaborative relationships remotely is key to ensuring providers are credentialed accurately and on schedule.
What are the most commonly searched types of Remote Credentialing jobs in Michigan? The most popular types of Remote Credentialing jobs in Michigan are:
What cities in Michigan are hiring for Remote Credentialing Manager jobs? Cities in Michigan with the most Remote Credentialing Manager job openings:
Infographic showing various Remote Credentialing Manager job openings in Michigan as of August 2026, with employment types broken down into 83% Full Time, 6% Part Time, and 11% Contract. Highlights an 100% Remote job distribution.

Full-time Payer Credentialing Manager - Remote (US)

Theoria Medical

Novi, MI โ€ข Remote

Full-time

Posted 15 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
Key Responsibilities
  • 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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