
Credentialing Operations Manager
7 days ago
We are seeking an experienced Credentialing Operations Manager to oversee and optimize credentialing processes while ensuring compliance with regulatory and accrediting bodies.
This is a full-time, permanent evening shift role based in Islamabad/Rawalpindi.
Responsibilities:
- Lead and mentor the credentialing team, ensuring accuracy and compliance in all processes.
- Oversee credentialing, privileging, and licensing workflows to maintain provider eligibility.
- Ensure compliance with regulatory and accrediting institutions.
- Implement and refine internal credentialing processes to improve efficiency and compliance.
- Maintain up-to-date records of provider licenses, credentials, and insurance contracts.
- Act as the point of contact for regulatory agencies, insurance providers, and healthcare partners.
- Train and develop team members to enhance performance and adherence to best practices.
- Provide detailed reports on credentialing statuses, expirations, and compliance metrics.
Requirements:
- Bachelor's degree (HEC recognized) – A CPCS certification is a plus.
- 3+ years of experience in medical credentialing, privileging, and compliance management.
- Proven leadership skills with experience managing and mentoring teams.
- Strong understanding of healthcare regulations, payer enrollment, and credentialing workflows.
- Proficiency in EMR systems, credentialing databases, and Microsoft Office (Excel & Word).
- Exceptional organizational and communication skills with a strong attention to detail.
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