Senior Manager, Credentialing & Malpractice

Company 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 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!

Position Title: Senior Manager, Credentialing & Malpractice

Job Summary: The Senior Manager of Credentialing & Malpractice will oversee all aspects of the credentialing, re-credentialing, and malpractice coverage processes for clinical providers within a large outpatient healthcare organization. This individual will ensure compliance with all regulatory, payer, and organizational standards, while supporting the timely onboarding and privileging of healthcare professionals. This role requires strong leadership, attention to detail, and a deep understanding of healthcare regulations and risk management practices.

• Lead and manage the end-to-end credentialing and re-credentialing processes for all clinical staff, ensuring timely and accurate processing.
• Oversee the malpractice coverage process, including initial enrollment, renewals, claims tracking, and communication with insurance carriers.
• Maintain up-to-date knowledge of NCQA, CMS, NYS Department of Health, and other applicable regulations.
• Collaborate with HR, legal, compliance, and medical leadership to ensure smooth provider onboarding and ongoing credentialing maintenance.
• Develop and implement policies and procedures to ensure compliance and operational efficiency.
• Manage and maintain credentialing software systems and databases; ensure data integrity and reporting accuracy.
• Serve as the liaison between the organization and external entities such as health plans, insurance carriers, and credentialing verification organizations.
• Monitor and report key metrics related to credentialing timelines, expirables, and malpractice coverage.
• Train and supervise credentialing staff, providing coaching, support, and performance evaluations.
• Address and resolve any discrepancies, delays, or issues related to credentialing or malpractice.

• Bachelor’s degree required; Master’s degree in healthcare administration, public health, or related field preferred
• Minimum of 5–7 years of experience in credentialing and/or malpractice in a healthcare setting
• At least 2–3 years of experience in a supervisory or management role
• Strong understanding of credentialing regulations, payer requirements, and risk management
• Experience with credentialing software (e.g., PARCS, MedTrainer, or similar systems)
• Excellent organizational, communication, and leadership skills
• Ability to manage multiple priorities in a fast-paced environment
• Knowledge of outpatient clinical workflows and provider onboarding preferred
• CHC (Certified in Healthcare Credentialing) or similar certification is a plus

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. Essen Health Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.