Healthcare Compliance Specialist

1 week ago


Islamabad, Islamabad, Pakistan Pyramids Global (Pvt) Ltd. Full time

We're looking for a skilled Healthcare Compliance Specialist to join our team at Pyramids Global (Pvt) Ltd. As a key member of our credentialing department, you will be responsible for ensuring compliance with regulatory requirements and developing internal processes to improve efficiency.

About the Role:

This is a full-time, permanent evening shift (5:00 PM – 2:00 AM) role based at our Islamabad/Rawalpindi office.

Responsibilities:
  1. Develop and implement internal credentialing processes to improve efficiency and compliance.
  2. Collaborate with regulatory agencies, insurance providers, and healthcare partners to ensure compliance.
  3. Maintain up-to-date records of provider licenses, credentials, and insurance contracts.
  4. Train and develop team members to enhance performance and adherence to best practices.
  5. Provide detailed reports on credentialing statuses, expirations, and compliance metrics.
Requirements:
  1. Bachelor's degree (HEC recognized) – A CPCS certification is a plus.
  2. 3+ years of experience in medical credentialing, privileging, and compliance management.
  3. Proven leadership skills with experience managing and mentoring teams.
  4. Strong understanding of healthcare regulations, payer enrollment, and credentialing workflows.
  5. Proficiency in EMR systems, credentialing databases, and Microsoft Office (Excel & Word).
  6. Exceptional organizational and communication skills with a strong attention to detail.


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