Associate Director, Credentialing Department

Essen Medical Associates • New York, NY

3d

About The Position

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.

Requirements

• Must hold a valid Notary Public commission in the State of New York.
• 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.
• Bachelor’s Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred
• High School Diploma Required
• Minimum of at least six months in a healthcare setting: providing clerical support or medical credentialing assistance
• 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

Nice To Haves

• 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

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 once 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees