Senior Credentialing Coordinator - Essen Health Care : Job Details

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 womens 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!

Position Title: Senior Credentialing Coordinator

Job summary: Are you a credentialing pro with a passion for precision and process? Ready to lead impactful work that keeps healthcare running smoothly?

Were looking for a Senior Credentialing Coordinatorto take charge of our Payor Enrollment process and help drive efficiency, compliance, and excellence across our growing provider network.

Were looking for someone who:

• Brings deep expertise in provider credentialing and payor enrollment
• Thrives in a fast-paced, deadline-driven environment
• Has proven leadership skills, including working with remote or offshore teams
• Is highly organized, detail-obsessed, and mission-aligned

If youre ready to lead with impact and be part of a dynamic, purpose-driven organizationwe want to hear from you!

• Team Leadership & Oversight

  • Supervise credentialing team activities, set priorities, assign tasks, and ensure timely completion of provider and facility credentialing across all payor types.
  • Manage offshore credentialing teams, ensuring quality, productivity, and workflow consistency.
  • Train, mentor, and evaluate team members; conduct performance reviews and ensure adherence to credentialing standards.
  • Deliver ongoing training and support for staff, including new hire onboarding.

  Credentialing Operations

  • Oversee accurate and timely processing of initial and re-credentialing applications.
  • Manage end-to-end payor enrollment processes, including Medicare, Medicaid, commercial plans, Civil Surgeon designation, Workers Compensation, and revalidations.
  • Lead facility credentialing efforts, including CAQH maintenance, hospital affiliations, and accreditation.
  • Monitor credentialing pipelines, ensure SLAs are met, and resolve escalated or complex issues or complex issues promptly.
  • Collaborate cross-functionally with internal teams such as Contracting, Compliance, and Revenue Cycle Management (RCM) to resolve credentialing and enrollment challenges.
  • Work closely with RCM teams to ensure accurate credentialing that supports clean claim submissions and timely reimbursements.

  Compliance & Quality Assurance

  • Ensure compliance with regulatory and payor-specific standards (e.g., NCQA & CMS).
  • Conduct credentialing audits and implement process improvements to drive accuracy and efficiency.

  Reporting & Communication

  • Act as the primary point of contact for credentialing-related inquiries from internal and external stakeholders.
  • Provide regular updates and reporting on credentialing metrics, timelines, and compliance performance to leadership.

• College degree in healthcare administration, business, or a related field (or equivalent experience)
• 4+ years of experience in healthcare credentialing, including provider and facility credentialing across multiple payors (Medicare, Medicaid, commercial, Civil Surgeon, Workers Comp, Hospital Privileging, and other duties as assigned )
• 2+ years of supervisory or team leadership experience, including managing offshore or remote teams
• Strong knowledge of payor enrollment processes, regulatory compliance (e.g., NCQA, CMS), and credentialing best practices
• Proficiency with credentialing software/systems (e.g., CAQH, PECOS, Availity) and Excel or reporting tools
• Exceptional attention to detail, organizational skills, and ability to manage multiple deadlines
• Strong interpersonal and communication skills to effectively work with internal teams, external stakeholders, and leadership

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) a plus
• Experience in a multi-specialty medical group or large healthcare organization
• Familiarity with accreditation requirements and audits
• Process improvement or workflow optimization experience

Work Schedule & Environment:

• Full-time position with standard business hours; additional hours may be required based on operational needs.
• In-person, 5 days a week.
• Salary- 67k-70k

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.