Associate Director, Credentialing Department (New York)
Essen Medical Associates, New York, New York, United States, 10261
Overview
At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
The Associate Director provides strategic and operational leadership over all aspects of provider credentialing, payer enrollment, licensing, and privileging. This role ensures compliance with federal, state, and payer regulations while supporting provider onboarding, Credentialing Committee preparation, and multi-state operations.
Responsibilities
Lead end-to-end credentialing and payer enrollment for providers and groups across multiple states, including Medicare, Medicaid, commercial plans, and delegated enrollments. Oversee licensing, re-licensing, and hospital, ASC, and nursing home privileging processes. Collaborate closely with Organizational Leadership, Compliance, Contracting, and Revenue Cycle Management to resolve complex issues and align credentialing efforts with organizational goals. Ensure final preparation for Credentialing Committee review, at least twice a month. Manage payer enrollment expectations, timelines, and communications, ensuring timely submissions and approvals. Align with strategic partners to coordinate multi-state credentialing initiatives and optimize provider participation. Supervise, mentor, and develop the credentialing team, promoting efficiency and adherence to SLAs. Collaborate with internal stakeholders-including Compliance, Contracting, and Revenue Cycle Management-to resolve complex issues and optimize processes. Drive process improvements, policy updates, and compliance initiatives to support organizational growth and regulatory requirements.
Qualifications
Qualifications :
Proven experience in provider credentialing, payer enrollment, privileging, licensing, and malpractice management. Strong leadership, organizational, and problem-solving skills. Knowledge of federal and state regulations, hospital/ASC privileging, and CLIA certification requirements. Excellent communication and collaboration skills with internal teams, providers, and external partners.
Work Experience:
Minimum of one year in a healthcare setting: providing medical credentialing assistance Preferred:
Strongly Preferred NAMSS certifications include Certified Provider Credentialing Specialist (CPCS), Certified Professional Medical Services Management (CPMSM), or Certified Provider Enrollment Specialist (CPES). Experience in a multi-specialty medical group or large healthcare organization Process improvement or workflow optimization experience Knowledge, Skills, Abilities and Other Characteristics:
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors. Proficient with MS Office (outlook, word, excel, power point, access) Excellent organizational and time-management skills. Excellent verbal and written communication skills. Ability to analyze, interprets and draws inferences from research findings, and prepares reports. Working knowledge of clinical operations and procedures. Informational research skills. Ability to use independent judgment to manage and impart confidential information. Database management skills including querying, reporting, and document generation. Ability to make administrative/procedural decisions and judgments
Physical Demands: The
physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Work Environment : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position Type and Expected Hours to Work:
Full-Time Position
Monday through Friday from 9:00 a.m. to 5:30 p.m. - 40 hours work week
Travel:
No travel is expected or required for this position.
Supervisor Responsibility:
As described above.
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
The Associate Director provides strategic and operational leadership over all aspects of provider credentialing, payer enrollment, licensing, and privileging. This role ensures compliance with federal, state, and payer regulations while supporting provider onboarding, Credentialing Committee preparation, and multi-state operations.
Responsibilities
Lead end-to-end credentialing and payer enrollment for providers and groups across multiple states, including Medicare, Medicaid, commercial plans, and delegated enrollments. Oversee licensing, re-licensing, and hospital, ASC, and nursing home privileging processes. Collaborate closely with Organizational Leadership, Compliance, Contracting, and Revenue Cycle Management to resolve complex issues and align credentialing efforts with organizational goals. Ensure final preparation for Credentialing Committee review, at least twice a month. Manage payer enrollment expectations, timelines, and communications, ensuring timely submissions and approvals. Align with strategic partners to coordinate multi-state credentialing initiatives and optimize provider participation. Supervise, mentor, and develop the credentialing team, promoting efficiency and adherence to SLAs. Collaborate with internal stakeholders-including Compliance, Contracting, and Revenue Cycle Management-to resolve complex issues and optimize processes. Drive process improvements, policy updates, and compliance initiatives to support organizational growth and regulatory requirements.
Qualifications
Qualifications :
Proven experience in provider credentialing, payer enrollment, privileging, licensing, and malpractice management. Strong leadership, organizational, and problem-solving skills. Knowledge of federal and state regulations, hospital/ASC privileging, and CLIA certification requirements. Excellent communication and collaboration skills with internal teams, providers, and external partners.
Work Experience:
Minimum of one year in a healthcare setting: providing medical credentialing assistance Preferred:
Strongly Preferred NAMSS certifications include Certified Provider Credentialing Specialist (CPCS), Certified Professional Medical Services Management (CPMSM), or Certified Provider Enrollment Specialist (CPES). Experience in a multi-specialty medical group or large healthcare organization Process improvement or workflow optimization experience Knowledge, Skills, Abilities and Other Characteristics:
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors. Proficient with MS Office (outlook, word, excel, power point, access) Excellent organizational and time-management skills. Excellent verbal and written communication skills. Ability to analyze, interprets and draws inferences from research findings, and prepares reports. Working knowledge of clinical operations and procedures. Informational research skills. Ability to use independent judgment to manage and impart confidential information. Database management skills including querying, reporting, and document generation. Ability to make administrative/procedural decisions and judgments
Physical Demands: The
physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Work Environment : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Position Type and Expected Hours to Work:
Full-Time Position
Monday through Friday from 9:00 a.m. to 5:30 p.m. - 40 hours work week
Travel:
No travel is expected or required for this position.
Supervisor Responsibility:
As described above.
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.