Senior Credentialing Lead: Drive Ops & Compliance

ADP, Inc.; City of White Plains (NY); On-site; USD 55,000 - 65,000; Full time

Job summary

ADP, Inc. is seeking a Sr. Credentialing Lead in White Plains, NY. This leadership role oversees end-to-end credentialing operations, enforces standardized workflows, and drives KPI attainment to ensure timely, accurate enrollments.

The role focuses on data integrity, client satisfaction, and regulatory compliance, managing a team to deliver high-quality credentialing services across multiple payers and accounts.

Qualifications

• Associates Degree required.
• Bachelor’s Degree in Healthcare Administration, Business Administration, or related field preferred.
• CPCS certification preferred.

Responsibilities

• Own and drive all credentialing workflows across clients and payers.
• Oversee full lifecycle from intake through approval.
• Enforce standardized workflows across all specialists.
• Identify bottlenecks and implement process improvements.
• Ensure payer specific requirements are met on first submission.
• Oversee completion of EFT, ERA, and EDI enrollments.
• Track enrollment status from submission through approval.
• Maintain accurate records of confirmations and effective dates.
• Partner with billing and revenue cycle teams to prevent delays.
• Implement tracking systems to eliminate revenue impact from enrollment gaps.
• Lead daily and weekly production meetings.
• Train, mentor, and develop team members.
• Provide weekly status reports with actionable insights.
• Manage escalations and resolve issues proactively.

Skills

CAQH

NPPES

PECOS

payer enrollment processes

multi state credentialing requirements

Strong attention to detail

Education

Associates Degree

Bachelor’s Degree in Healthcare Administration, Business Administration, or related field preferred

CPCS certification preferred

Job description

ADP, Inc. is seeking a Sr. Credentialing Lead in White Plains, NY. This leadership role oversees end-to-end credentialing operations, enforces standardized workflows, and drives KPI attainment to ensure timely, accurate enrollments.

The role focuses on data integrity, client satisfaction, and regulatory compliance, managing a team to deliver high-quality credentialing services across multiple payers and accounts.