Director of Credentialing & Payer Enrollment

Essen Medical Associates; New York (NY); On-site; USD 90,000 - 130,000; Full time

Job summary

Essen Medical Associates is seeking an Associate Director for strategic and operational leadership in provider credentialing and payer enrollment. In this full-time role, you'll ensure compliance with federal and state regulations while managing the credentialing team's performance.

Successful candidates must have proven experience and effective leadership skills, alongside certifications in medical credentialing. Join us to support our mission of delivering high-quality healthcare.

Qualifications

• Proven experience in provider credentialing, payer enrollment, privileging, and licensing.
• Minimum of one year in a healthcare setting providing medical credentialing assistance.
• Familiarity with federal and state regulations regarding healthcare operations.

Responsibilities

• Lead end-to-end credentialing and payer enrollment for providers across multiple states.
• Collaborate with leadership and compliance teams to resolve issues effectively.
• Supervise and develop the credentialing team to enhance efficiency.

Skills

Provider credentialing

Payer enrollment

Licensing

Strong leadership

Problem-solving

Excellent communication

Interpersonal skills

Database management

Education

Certified Provider Credentialing Specialist (CPCS)

Certified Professional Medical Services Management (CPMSM)

Certified Provider Enrollment Specialist (CPES)

Tools

MS Office (Outlook, Word, Excel, PowerPoint, Access)

Job description

Essen Medical Associates is seeking an Associate Director for strategic and operational leadership in provider credentialing and payer enrollment. In this full-time role, you'll ensure compliance with federal and state regulations while managing the credentialing team's performance.

Successful candidates must have proven experience and effective leadership skills, alongside certifications in medical credentialing. Join us to support our mission of delivering high-quality healthcare.