Director of Credentialing

Overview

Director of Credentialing – Naph Care is seeking to hire a Director of Credentialing to join our team at our Corporate Headquarters located in Birmingham, AL
.

This is an on-site position in Birmingham, AL.

The Director of Credentialing is responsible for the overall leadership, management, and strategic direction of the credentialing and privileging process across the organization. This role ensures that all healthcare providers practicing within correctional facilities (prisons and jails) meet applicable state, federal, and contractual requirements, as well as internal standards of excellence. The Director will oversee provider credentialing, recredentialing, privileging, and compliance monitoring to ensure uninterrupted access to high-quality healthcare services.

• Leadership & Oversight
• Direct and manage the credentialing department, including staff supervision, training, and performance management.
• Develop and implement credentialing policies, procedures, and workflows in alignment with NCCHC, state medical boards, and contractual requirements.
• Credentialing & Privileging
• Oversee initial credentialing, recredentialing, and privileging for physicians, nurse practitioners, physician assistants, pharmacists, behavioral health providers, and other licensed staff.
• Ensure timely and accurate processing of provider applications, verifications, and committee approvals to support recruitment and onboarding.
• Partner with Medical Directors and corporate leadership to maintain up-to-date provider rosters and ensure compliance with supervisory and collaborative agreement requirements across states.
• Regulatory & Contractual Compliance
• Monitor compliance with federal and state regulations governing provider credentialing in correctional settings.
• Maintain readiness for audits by government agencies, accrediting bodies, and correctional system partners.
• Ensure adherence to payer credentialing and managed care requirements, when applicable.
• Collaboration & Communication
• Serve as the primary liaison between Operations, HR, Recruiting, and Clinical leadership regarding credentialing status and timelines.
• Provide clear reporting on credentialing metrics, risk areas, and provider readiness to support staffing in facilities.
• Support site-level Medical Directors in understanding credentialing requirements and managing collaborative agreements.
• Quality & Process Improvement
• Evaluate credentialing processes for efficiency, compliance, and best practices; lead continuous improvement initiatives.
• Leverage credentialing software systems to track applications, expirables, and reporting requirements.
• Implement consistent credentialing standards across multiple states and facilities.

• Bachelor’s degree in Healthcare Administration, Nursing, or related field required;
  Master’s degree preferred.
• Minimum of 7-10 years of experience in credentialing, with at least 3-5 years in a leadership role.
• CPCS or CPMSM certification preferred.
• Strong knowledge of NCCHC, as well as state-specific licensing requirements.
• Experience with correctional healthcare strongly preferred.
• Excellent organizational, communication, and leadership skills.
• Ability to work collaboratively with cross-functional teams and manage multiple priorities in a fast-paced environment.

Naph Care is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.

• Health, dental & vision insurance that starts day one
• Prescriptions free of charge through our health plan, beginning day one
• Lowest Cost Benefits
• Employee Assistance Program (EAP) services
• 401K and Roth with company contribution that starts day one
• Tuition Assistance
• Referral bonuses
• Term life insurance at no cost to the employee
• Generous paid time off & paid holidays
• Free continuing education and CMEs

Equal Opportunity

Employer:

disability/veteran

If you would like to speak with me to learn more about this position and Naph Care, please first apply directly to the position to initiate the application process and I'll be in touch.