Credentialing & Enrollment Team Lead

Job DescriptionMeds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing & EDI. The candidate should be enthusiastic and must have a proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers are met, submit and follow‑up on submitted credentialing requests to all contracted commercial payers and government agencies, maintain the close working relationships. Basic IT skills (databases, MS Office, etc.) will be preferred.Job Responsibilities3 to 5 years of experience in credentialing departmentAt least 1 year of experience in a Supervisory RoleExperience in credentialing different specialties with major regular and private payers state‑wiseReview the approval and termination of professional provider contracts as they relate to the credentialing processEnsure accurate and timely information for re‑credentialing, data analysis, and directory generation, as well as recommending changes to the credentialing criteria and processesMaintain all credentialing and re‑credentialing policies and processes to ensure that they comply with all applicable regulationsDevelop and implement departmental goals and objectives with input from staff membersDevelop and implement departmental policies and procedures that guide and support the provision of servicesInteract with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.Job Rewards and BenefitsPaid LeavesHR BonusInflation BonusPromotionIncrementsMedical (TBD)Employee Equity Funds Program (EEFP)Saturday and Sunday OffComplementary Food (Dinner) & Tea/Green Tea (Two times)Job LocationOffice # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000Job Timing05:30 PM To 02:30 AMSpecial NoteThis job is not for fresh candidates.Job TypesContract (36 month), Full‑timeExperienceBachelor’s (Preferred)Credentialing & Enrollment + EDI: 5+ years (Preferred)LanguageFluent English (Preferred)PayRs100,000.00 – Rs150,000.00 per monthAbility To RelocateRawalpindi: Relocate before starting work (Required) #J-18808-Ljbffr