Director of Payer Credentialing

Location: Houston, TX

Job Type: Full-time

Work Schedule: Onsite

Psych Plus is one of the largest private psychiatry and behavioral health organizations in the U.S., providing comprehensive mental health services through psychiatry, therapy, and innovative treatment programs.

We are seeking an experienced Director of Payer Credentialing & Provider Enrollment 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.
• Ensure compliance with payer requirements and applicable credentialing standards.
• Partner with RCM, billing, providers, and operational teams to resolve payer-related issues.
• Track credentialing and enrollment metrics, deadlines, and provider participation.
• Lead, train, and support credentialing/enrollment team members.

• Strong experience in healthcare provider credentialing and payer enrollment.
• Strong experience with commercial payers, Medicare, and/or Medicaid.
• Hands-on experience with CAQH and payer enrollment portals.
• Strong understanding of credentialing, re-credentialing, provider enrollment, and payer requirements.
• Experience managing provider records, applications, expirables, and enrollment documentation.
• Strong leadership, organizational, and problem-solving skills.
• Ability to manage multiple priorities and meet strict deadlines.
• Willingness and ability to work onsite in Houston, TX.

• Experience leading a credentialing or provider enrollment department.
• Knowledge of NCQA credentialing standards.
• Experience with credentialing software and healthcare information systems.
• 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.