Medical Credentialing Lead

2 weeks ago


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

Pyramids Global (Pvt) Ltd. is seeking an experienced Medical Credentialing Lead to join our team. As a key member of our credentialing department, you will be responsible for overseeing credentialing processes and ensuring compliance with regulatory requirements.

About the Job:

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

Key Responsibilities:
  1. Lead and mentor the credentialing team to ensure accurate and compliant processes.
  2. Develop and implement internal credentialing processes to improve efficiency and compliance.
  3. Maintain up-to-date records of provider licenses, credentials, and insurance contracts.
  4. Collaborate with regulatory agencies, insurance providers, and healthcare partners.
  5. Train and develop team members to enhance performance and adherence to best practices.
  6. 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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