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Credentialing Manager Jobs in Alabama (NOW HIRING)

Armada Ltd

Credentialing Specialists

Birmingham, AL · On-site

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Armada Ltd

View, manage, and check daily appointments in time trade scheduling tool * Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

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All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Alabama

Credentialing Manager information

See Alabama salary details

$39.4K

$77.1K

$119.2K

How much do credentialing manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for credentialing manager in Alabama is $77,071.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $85,700.00 per year, depending on experience, location, and employer.

What does a credentialing manager do?

A credentialing manager monitors the credential status of employees and ensuring they are recertified when necessary. As a credentialing manager, your job duties involve maintaining a database of employee certifications and renewal dates, confirming that employee credentials match the requirements of their job, and helping employees renew their credentials on time by finding test dates and locations. Credentialing managers are most commonly found in the health care industry. Qualifications to become a medical credentialing manager include a bachelor’s degree in human resources, business, or a related field, and industry experience.

What is the difference between Credentialing Manager vs Credentialing Specialist?

AspectCredentialing ManagerCredentialing Specialist
ResponsibilitiesOversees entire credentialing process, manages teams, develops policiesPerforms credentialing tasks, verifies credentials, maintains records
Required CredentialsTypically requires experience in healthcare administration, certifications like Certified Provider Credentialing Specialist (CPCS)Often requires similar certifications, entry to mid-level experience
Work EnvironmentManagement level, strategic planning, team supervisionOperational, detail-oriented, administrative tasks
Industry UsageUsed across healthcare organizations, hospitals, clinicsCommonly found in healthcare facilities, physician practices

The Credentialing Manager focuses on overseeing the entire credentialing process, managing teams, and developing policies, while the Credentialing Specialist handles day-to-day credential verification and record maintenance. Both roles require relevant certifications and healthcare industry experience, but the manager role involves more strategic oversight.

What are some common challenges a credentialing manager faces when maintaining compliance with changing regulations?

Credentialing Managers often encounter the challenge of staying updated with frequently changing industry regulations and payer requirements, which can vary by state and organization. Ensuring that all provider files are consistently accurate and compliant requires diligent monitoring, regular audits, and ongoing staff training. Additionally, coordinating with multiple departments and external agencies to gather necessary documentation while meeting tight deadlines can be demanding. Proactively implementing process improvements and leveraging credentialing software can help manage these complexities effectively.

What is a credentialing manager?

Credentialing Managers are professionals responsible for overseeing the process of verifying the qualifications, licenses, and background of healthcare providers before they are allowed to work with patients or participate in insurance networks. They ensure that all providers meet regulatory and organizational standards, and maintain up-to-date records for compliance purposes. Credentialing Managers often work in hospitals, healthcare organizations, or insurance companies, collaborating with medical staff, administrators, and external agencies to manage and streamline the credentialing process.

What are the key skills and qualifications needed to thrive as a credentialing manager?

To thrive as a Credentialing Manager, you need thorough knowledge of healthcare credentialing processes, compliance standards, and experience with provider enrollment, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software systems like CACTUS or Verity, and understanding of regulatory requirements such as NCQA or The Joint Commission, are typically expected. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this position. These competencies ensure accurate and efficient management of provider credentials, minimize compliance risks, and maintain quality standards within healthcare organizations.
More about Credentialing Manager jobs
What are the most commonly searched types of Credentialing jobs in Alabama? The most popular types of Credentialing jobs in Alabama are:
What are popular job titles related to Credentialing Manager jobs in Alabama? For Credentialing Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Credentialing Manager jobs in Alabama look for? The top searched job categories for Credentialing Manager jobs in Alabama are:
What cities in Alabama are hiring for Credentialing Manager jobs? Cities in Alabama with the most Credentialing Manager job openings:
Credentialing Manager jobs near you
Infographic showing various Credentialing Manager job openings in Alabama as of July 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $77,071 per year, or $37.1 per hour.

Director of Credentialing

American Family Care

Birmingham, AL • On-site

Full-time

Re-posted 13 days ago

Job description

The Director of Credentialing is responsible for leading, managing, and enhancing the organization's credentialing, privileging, provider enrollment, and payer enrollment operations across all clinics and care delivery sites. This role ensures full compliance with regulatory, accreditation, and payer requirements while driving operational excellence, process innovation, and a positive provider experience.
The Director oversees credentialing staff, manages key external vendor relationships, maintains exceptional standards of accuracy and timeliness, and serves as the organization's primary expert on credentialing policies, workflows, and industry standards.
Key Responsibilities
Leadership and Management
  • Provide strategic leadership for all credentialing, recredentialing, privileging, and provider enrollment activities.
  • Build, lead, and mentor a high-performing credentialing team with appropriate staffing, training, accountability, and performance management.
  • Develop and implement departmental goals, SOPs, KPIs, and quality assurance measures.
  • Facilitate training, ongoing education, and change management as credentialing systems and requirements evolve.

Credentialing and Privileging Operations
  • Oversee verification of licensure, education, training, certifications, work history, malpractice coverage, and professional references.
  • Establish proactive workflows for managing all expirable items, including license, certification, and insurance renewals.
  • Ensure accurate management of provider files, credentialing data, and documentation within credentialing software platforms.
  • Direct the privileging process in collaboration with medical leadership, department chiefs, and compliance teams.
  • Provide credentialing support for committee meetings, audits, board reviews, and documentation needs.

Regulatory Compliance
  • Ensure compliance with all federal, state, and local regulatory bodies including CMS, The Joint Commission, NCQA, URAC, and commercial payer standards.
  • Maintain up-to-date knowledge of regulatory changes and lead revisions to policies, procedures, and workflows accordingly.
  • Conduct and oversee internal audits to ensure readiness for accreditation surveys and external reviews.

Provider Enrollment
  • Oversee timely and accurate submission of enrollment applications with Medicare, Medicaid, and commercial payers.
  • Track and manage enrollments, revalidations, payer updates, and expirables to prevent reimbursement delays or claim denials.
  • Partner with Revenue Cycle and Managed Care to resolve enrollment-related claim issues and streamline payer setup workflows.

Vendor Relationship Management
  • Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence.
  • Evaluate vendor capabilities, negotiate service agreements, monitor KPIs, and drive accountability for accuracy and turnaround times.
  • Lead transitions, implementations, or optimization projects involving outsourced credentialing or enrollment partners.

Process Improvement and Technology
  • Continuously evaluate and enhance credentialing workflows to reduce turnaround times, improve accuracy, and support scalability.
  • Lead implementation or optimization of credentialing software, automation tools, and data-management technologies.
  • Develop and oversee dashboard reporting for KPIs, productivity, turnaround time, expirables, enrollment status, and quality metrics.
  • Collaborate with IT, Managed Care, Compliance, and Operations on cross-functional systems and technology initiatives.

Relationship and Communication Management
  • Serve as the primary organizational contact for providers, clinical leaders, health plans, and regulatory bodies regarding credentialing matters.
  • Promote a provider-centric experience through timely communication, streamlined processes, and exceptional service standards.
  • Collaborate with HR, Legal, Compliance, Managed Care, and Clinical Operations on onboarding and cross-functional initiatives.
  • Deliver clear, concise presentations to executive leadership, including reporting on credentialing performance, risks, and mitigation strategies.
  • Prepare and present executive-ready materials including slide decks, dashboards, and credentialing summaries for operational and leadership reviews.

Qualifications
Required
  • Bachelor's degree in healthcare administration, business, or related field.
  • 7 or more years of credentialing experience in a healthcare organization, MSO, medical group, ASC, or hospital.
  • 3 or more years of leadership or management experience.
  • Strong working knowledge of CMS, Joint Commission, NCQA, URAC, and payer credentialing and enrollment requirements.
  • Proficiency with credentialing software systems, provider databases, and digital document management.
  • Experience in multi-site or multi-state healthcare delivery organizations, or MSOs.

Preferred
  • Master's degree in healthcare administration, business administration, or related field.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).
  • Proficiency with CredentialStream/Verity preferred.
  • Experience implementing credentialing software or leading large-scale credentialing process redesign.

Key Competencies
  • Exceptional attention to detail and commitment to data accuracy
  • Strong analytical, organizational, and project management abilities
  • Excellent written, verbal, and presentation development skills
  • Ability to lead teams through change and build scalable credentialing infrastructure
  • High integrity, discretion, and commitment to confidentiality
  • Ability to work cross-functionally and influence without formal authority
  • Strong relationship management and customer service orientation
American Family Care Bloomfield logo

About American Family Care Bloomfield

Sourced by ZipRecruiter

It is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. All AFC clinics are designed, equipped, and staffed to provide accessible primary care, urgent care, minor emergency treatment, and occupational medicine. We are considered pioneers in non-emergency room urgent care, with a majority of our patients coming in, receiving care, and returning home in one hour’s time on average.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Bloomfield, NJ, US

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