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Remote Credentialing Manager Jobs in Tennessee (NOW HIRING)

Revel Staffing

IT Support Supervisor

Memphis, TN · Remote

$80K - $115K/hr

Active HIPAA compliance credential/training * Strong working knowledge of IT workflows, healthcare ... Experience leading teams, managing priorities, and supporting remote employees * Strong ...

New

Talkiatry

Remote Therapist - Tennessee

Knoxville, TN · Remote

$70K - $90K/yr

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

Talkiatry

Remote Therapist - Tennessee

Memphis, TN · Remote

$70K - $90K/yr

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

Talkiatry

Remote Therapist - Tennessee

Chattanooga, TN · Remote

$70K - $90K/yr

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

AMSURG

Project Mgr, Strategic Initiatives

Nashville, TN · Remote

PROJECT MANAGER, STRATEGIC INITIATIVES REMOTE Company Overview: AMSURG is an independent leader in ... credentialing, billing, and reimbursement processes. * Collaborate with project leads and subject ...

Amsurg

Project Mgr, Strategic Initiatives

Nashville, TN · Remote

PROJECT MANAGER, STRATEGIC INITIATIVES REMOTE Company Overview: AMSURG is an independent leader in ... credentialing, billing, and reimbursement processes. * Collaborate with project leads and subject ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

... management or related field required. (RHIT or RHIA credentialed individuals encouraged ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

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All JobsCredentialing JobsRemote Credentialing Manager JobsRemote Credentialing Manager Jobs in Tennessee

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 Tennessee? The most popular types of Remote Credentialing jobs in Tennessee are:
What are popular job titles related to Remote Credentialing Manager jobs in Tennessee? For Remote Credentialing Manager jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Credentialing Manager jobs in Tennessee look for? The top searched job categories for Remote Credentialing Manager jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Credentialing Manager jobs? Cities in Tennessee with the most Remote Credentialing Manager job openings:
Remote Credentialing Manager jobs near you
Infographic showing various Remote Credentialing Manager job openings in Tennessee 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.

Manager of Managed Care Operations - Hybrid / Remote

Surgery Partners

Brentwood, TN • On-site, Remote

$84K - $112K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Surgery Partners rating

7.7

Company rating: 7.7 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

  • Hybrid based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday for candidates in Nashville and surrounding areas.
  • Remote option available for candidates outside of surrounding areas.

DUTIES AND RESPONSIBILITIES
  • Develops and executes payer negotiation and contracting strategies for assigned ambulatory surgery centers (ASCs) and physician groups based on market opportunities, reimbursement goals, and organizational value proposition.
  • Leads and manages payer contract negotiations, renewals, amendments, and ongoing agreement administration for commercial, managed Medicare, managed Medicaid, workers' compensation, exchange, and other payer products.
  • Partners with facility, operational, and physician leadership to implement payer strategies, address contracting challenges, and align reimbursement initiatives with facility financial and operational objectives.
  • Works to achieve facility-specific reimbursement and budget goals through effective negotiation, contract optimization, and targeted market positioning.
  • Analyzes payer contracts, reimbursement methodologies, and financial models to support negotiations, identify revenue opportunities, and ensure alignment with projected financial outcomes.
  • Collaborates with revenue cycle, business office, and analytics teams to investigate and resolve complex payer issues, including underpayments, overpayments, credentialing concerns, and contract discrepancies.
  • Monitors post-implementation contract performance to validate payer compliance, reimbursement accuracy, and consistency with modeled contract expectations.
  • Ensures timely and accurate implementation of negotiated contract terms, automatic renewal escalators, contract system updates, and payer reimbursement changes. Maintains strong working relationships with payer representatives, provider relations contacts, and internal stakeholders including executives, CEOs/CFOs, administrators, and physician group leaders.
  • Communicates negotiation strategies, contract status, reimbursement opportunities, and renewal timelines to internal leadership through routine updates, presentations, and operational reviews.
  • Provides subject matter expertise and education to internal teams regarding payer trends, market developments, reimbursement changes, contract issues, and new payer products.
  • Supports business development and strategic growth initiatives by advising on market reimbursement trends, charge strategies, fair market rates for new services, and ad hoc reporting needs.

QUALIFICATIONS
EDUCATION
  • Bachelors degree required in business, technology or healthcare related field

EXPERIENCE
  • Minimum of 3 years of experience in managed care environment
  • 2+ years of negotiation or provider relations experience between providers and major commercial payors in markets in the U.S. and or experience in contract analysis for ASC services.
  • Experience with ASC reimbursement methodologies.
  • Experience working with clinically integrated networks, ACO's, or other population health initiatives a plus.
  • Experience working with payors and billing office staff to resolve payment discrepancies.

LICENSE(S)/CERTIFICATION(S)
  • None.

KNOWLEDGE/SKILLS/ABILITIES
  • Reasonable understanding of healthcare CPT coding and billing.
  • Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
  • Moderate knowledge of Excel and/or ability to expand knowledge quickly.
  • Solid understanding of payer contract reimbursement methodologies and application of payor policies on reimbursement expected under existing and future agreements.
  • Strong writing skills and ability to communicate effectively in order to negotiate key terms of payor agreements.
  • Understanding of healthcare industry trends in payor negotiations including contract language, product development trends, pay for performance programs, bundled payment programs, etc.
  • Understanding of provider reimbursement methodologies from Medicare, and knowledge of how Medicare reimbursement is updated from time to time.
  • Must be self-motivated and able to work independently. Inquisitive nature and interest in sharing knowledge among team members.
  • Must be able to provide timely written and verbal communication of complex negotiations to internal leadership.
  • Experience managing multiple projects and negotiations with varying teams and deadlines.
  • Strong communication skills necessary.
  • Team orientation toward success.

CORE COMPETENCIES
  • N/A

WORKING CONDITIONS
PHYSICAL REQUIREMENTS
  • Physical Requirements Occasionally 0 - 33% Frequently 34 - 66% Constant 67 - 100%
  • Talk / Hear X
  • See X
  • Stand X
  • Sit X

Hazards and Atmospheric Conditions
  • Conditions Selected
  • Normal Office Surroundings X

COMPETENCIES
Agility
  • Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
  • Manages Uncertainty: Comfortable when things are in flux; readily shifts approach or behavior to fit changing circumstances.

Bias to Action
  • Action Oriented: Propensity to act or decide and move forward with a logical approach; can decide and act without having the total picture.
  • Delivering Results: Strives for high levels of achievement; maintains a clear and steady focus on meeting goals, despite obstacles; is resilient when encountering setbacks.

Customer Focus
  • Identifying with Customers: Understanding who the external and internal customers are and what they value.

Managing Complexity
  • Essence: Extracts the core meaning out of complex situations; can separate the important from the noise when problem solving; hunts for the root cause of successes and failures.
  • Manages Conflict: Can hammer out tough agreements and settle disputes equitably. Stays positive, constructive, and respectful, even in disagreements or conflicts.

Capability Building
  • Helps Others Succeed: Steps aside and lets others shine; serves as a mentor and coach; helps others apply their strengths and shore up on their weaknesses.

Interpersonal Impact
  • People Smart: Reads people well: can articulate the qualities, perspectives, strengths, and weaknesses of others.
  • Influence: Even without direct authority finds common ground and win/win solutions; gaining alignment on the path forward.

Strategic Vision
  • Inspires Others: Creates common purpose/shared mind-set; raises other's confidence to tackle challenges; promotes high level of energy and excitement.
  • Visioning: Can anticipate future consequences and trends; articulately paints credible pictures of possibilities and likelihoods.

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
*No Recruiters Please
Disclaimer:
  • Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

#100
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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