Director of Credentialing
PsychPlus - Houston, TX
Hiring: Director of Credentialing Company: PsychPlus Location: Houston, TX Job Posted Time: 2026-09-16 21:03:44 Employment Type: Full-time Target Skills & Keywords : CAQH, Credentialing, Medicaid, Medicare, Provider Enrollment, Revenue Cycle Management About the job Required Skills: •We are seeking an experienced to lead our provider credentialing and payer enrollment operations. This role will ensure providers are properly credentialed, enrolled, and maintained with commercial and government payers while supporting compliance, timely reimbursement, and operational efficiency. •Lead and oversee provider credentialing, re-credentialing, and payer enrollment. •Manage provider enrollment with commercial insurance, Medicare, and Medicaid. •Ensure accurate and timely submission of credentialing and enrollment applications. •Maintain provider records, expirables, and enrollment information. •Manage CAQH profiles and payer enrollment portals. •Monitor enrollment timelines and resolve credentialing or enrollment issues. •Develop and improve credentialing and enrollment processes and workflows. Qualifications: •Strong experience in healthcare provider credentialing and payer enrollment. •Strong experience with commercial payers, Medicare, and/or Medicaid. •Applied hands-on capability in CAQH and payer enrollment portals. •In-depth knowledge of credentialing, re-credentialing, provider enrollment, and payer requirements. •Strong leadership, organizational, and problem-solving skills. •Demonstrated capacity to manage multiple priorities and meet strict deadlines. •Willingness and ability to work onsite in Houston, TX. •Knowledge of NCQA credentialing standards. •Bachelor’s degree in Healthcare Administration, Business, or a related field. •Join a rapidly growing mental health organization focused on expanding access to quality behavioral healthcare. You’ll have the opportunity to build and improve processes while working with a growing team dedicated to better patient and provider experiences. Compensation: •$80,000 - $105,000 / year Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!