Payer Credentialing Manager
About The Position
At Strive Rehabilitation Partners and Mental Health Houston, we are committed to delivering exceptional behavioral health and rehabilitation services across multiple care settings, including acute inpatient rehabilitation and outpatient environments. We believe that streamlined provider credentialing and payer enrollment is essential to expanding access and ensuring timely, high-quality care for the communities we serve. Join a collaborative, mission-driven team dedicated to growth, compliance, and operational excellence. Position Overview We are seeking a Credentialing Manager to oversee all aspects of payer credentialing, enrollment, and maintenance for our clinician workforce and practice entities. This role is pivotal in ensuring our providers are credentialed with commercial payers, Medicare, Medicaid, and managed care plans in Texas and other states where we operate. You will manage credentialing workflows, CAQH profiles, recredentialing cycles, and payer relationships to support revenue integrity and practice expansion.
Requirements
- 10+ years of healthcare credentialing experience, preferably in mental health, rehabilitation, or multi-specialty practices.
- Strong understanding of payer enrollment rules, CAQH management, Medicare/Medicaid processes, and commercial plans.
- Excellent organizational, communication, and follow-through abilities.
- Detail-oriented with the ability to manage multiple credentialing tracks and deadlines.
- Ability to work independently and collaboratively in a growing, multi-state practice.
Nice To Haves
- Experience with credentialing software and credentialing tracking tools preferred.
Responsibilities
- Manage end-to-end credentialing and payer enrollment for clinicians and practice entities across Mental Health Houston and Strive Rehabilitation.
- Maintain and update provider records in CAQH, NPPES, payer portals, and internal tracking systems.
- Monitor recredentialing timelines, license renewals, certifications, and compliance requirements.
- Coordinate with HR, billing/revenue cycle, clinical leadership, and external partners to ensure credentialing accuracy and timeliness.
- Proactively resolve credentialing delays or payer follow-ups to prevent reimbursement interruptions.
- Produce reports on credentialing status, progress, and outstanding items for leadership.
Benefits
- Competitive salary based on experience.
- Comprehensive benefits package for full-time employees (health, dental, vision, PTO, retirement match).
- Opportunity to work closely with leadership and shape credentialing processes as our practice grows.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
