ZipRecruiter

Log In

1

Ncqa Jobs in Alabama (NOW HIRING)

GDIT

Medicaid Claims Operations Manager

Montgomery, AL · Hybrid

Oversee and coordinate NCQA CVO efforts and all supporting efforts. * Manages and optimizes customer and key stakeholder relationships, including escalations and developing processes to facilitate ...

New

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to ...

next page

Showing results 1-20

All JobsNcqa JobsNcqa Jobs in Alabama

Ncqa information

See Alabama salary details

$24.5K

$110.8K

$280.3K

How much do ncqa jobs pay per year?

As of Aug 8, 2026, the average yearly pay for ncqa in Alabama is $110,830.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,329.00 and $116,706.00 per year, depending on experience, location, and employer.

What skills and qualifications are needed for an NCQA position?

To thrive in an NCQA (National Committee for Quality Assurance) role, candidates typically need a strong background in healthcare quality assurance, data analysis, and knowledge of accreditation standards, often supported by a degree in healthcare administration or a related field. Familiarity with quality measurement tools, reporting systems like HEDIS, and NCQA accreditation processes or certifications is highly valued. Strong attention to detail, organizational skills, and the ability to communicate effectively with multidisciplinary teams set exceptional candidates apart. These skills are essential to ensure compliance, improve care quality, and navigate the complex requirements of healthcare accreditation.

Is NCQA a good place to work?

NCQA (National Committee for Quality Assurance) is a reputable organization known for its focus on healthcare quality standards. Employees often cite a professional work environment, opportunities for growth, and the importance of certifications and compliance in their roles. As with any organization, individual experiences may vary based on position and department.

What are the common responsibilities of an NCQA professional?

Professionals in NCQA roles are typically responsible for overseeing compliance with accreditation standards, conducting audits and quality assessments, and preparing documentation for NCQA reviews. They often collaborate with clinical and administrative staff to implement process improvements and ensure data accuracy in quality reporting systems such as HEDIS. Regular responsibilities may also include training teams on best practices, staying updated on changing quality standards, and leading initiatives to drive higher healthcare quality outcomes. This position offers meaningful opportunities to impact patient care and opens pathways to advanced roles in healthcare quality management.

What is an NCQA?

An NCQA job typically involves working with healthcare organizations to ensure compliance with the National Committee for Quality Assurance (NCQA) standards. Professionals in these roles help organizations achieve accreditation or certification by implementing quality improvement processes, conducting audits, and analyzing data. Common NCQA-related positions include quality assurance specialists, accreditation consultants, and analysts who focus on managed care, population health, and performance measurement. These roles require knowledge of NCQA guidelines, healthcare regulations, and data analysis to support quality improvement initiatives.

What are the most commonly searched types of Ncqa jobs in Alabama? The most popular types of Ncqa jobs in Alabama are:
What are popular job titles related to Ncqa jobs in Alabama? For Ncqa jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Ncqa jobs in Alabama look for? The top searched job categories for Ncqa jobs in Alabama are:
Ncqa jobs near you
Infographic showing various Ncqa job openings in Alabama as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, and 5% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $110,830 per year, or $53.3 per hour.

Director of Credentialing

American Family Care

Birmingham, AL • On-site

Full-time

Re-posted 16 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

View All American Family Care Bloomfield Jobs

Apply