Director of Credentialing

NaphCare 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 provider credentialing processes 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 initial credentialing, on-going credentialing monitoring, peer reviews, collaborative practice agreements, and compliance monitoring to ensure uninterrupted access to high-quality healthcare services.

The Director of Credentialing is responsible for:

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 and Data Management
• Oversee credentialing processes for physicians, nurse practitioners, physician assistants, psychologists and dentists.
• Ensure timely and accurate processing of provider applications, verifications, 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.

• Manage licenses, DEA and NPDB expirables and actions via MDStaff.

• Regulatory & Contractual Compliance
• Maintain readiness for audits by government agencies, accrediting bodies, and correctional system partners by managing the credentialing software system.
• 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.

Experience/ Requirements/ Qualifications/ Skills:

• • Bachelor's degree in Healthcare Administration, Nursing, or related field required; Master's degree preferred.
  • Minimum of 7-10 years of experience in credentialing or healthcare data management, with at least 3-5 years in a leadership role.
  • Proven data management experience required.
  • CPCS or CPMSM certification preferred.
  • Multistate provider license knowledge preferred.
  • MDStaff experience preferred.
  • Strong knowledge of regulatory agencies such as NCCHC and TJC, as well as state-specific licensing requirements preferred.
  • 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.

Why Join NaphCare?

NaphCare 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.

NaphCare Benefits for Full-Time Employees Include:

• 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

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

Equal Opportunity Employer: disability/veteran