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Essen Health Care · 1 day ago

Associate Director, Credentialing Department

Bronx, NY

Full-time

Onsite

New Grad, Entry, Mid, Senior Level, Lead/Staff

0+ years exp

Essen Health Care is the largest privately held multispecialty medical group in the Bronx, providing compassionate and accessible medical care to vulnerable populations. The Associate Director is responsible for strategic and operational leadership in provider credentialing, payer enrollment, licensing, and privileging, ensuring compliance with regulations while supporting provider onboarding and multi-state operations.

Health CareMedical

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

Qualification

Provider credentialingPayer enrollmentLicensingPrivilegingFederalState regulationsProcess improvementDatabase managementMS Office proficiencyLeadership skillsOrganizational skillsProblem-solving skillsCommunication skillsInterpersonal skills

Required

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

High School Diploma Required

Minimum of at least six months in a healthcare setting providing clerical support or medical credentialing assistance

Bachelor's Degree in a Health-Related Discipline Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred

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

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

Company

Essen Health Care

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Essen Health Care is a premiere healthcare network in New York with over 400 providers across Manhattan, Bronx, Queens, Staten Island, Long Island and Westchester County.

Founded in 1999

Bronx, New York, USA

501-1000 employees