Associate Director, Credentialing Department

Associate Director

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community.

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.