HDO Credentialing Coordinator

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🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

💵 $28 - $31 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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MedPOINT Management

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1988

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

MedPOINT Management is a California-based healthcare management services organization that supports independent practice associations (IPAs), provider networks, hospitals and contracted health plans with clinical quality, care management, administrative operations and technology solutions. For more than 32 years MPM has provided services including provider network operations, case management, utilization management, claims operations, credentialing, HEDIS/STARs quality measurement and analytics (via Cozeva), call center and financial management, and digital provider portals and resource libraries. The company emphasizes data security and compliance (SOC 2 and HITRUST e1 certifications for its EZ-CAP and Provider Web Portals) and focuses on enabling value-based care, quality improvement, and operational support for providers and payers.

📋 Description

• Manage end-to-end credentialing and re-credentialing processes for healthcare delivery organization (HDO) providers • Verify provider credentials, licenses, certifications, and work history in compliance with NCQA and regulatory standards • Maintain accurate and up-to-date provider records in credentialing databases and systems • Coordinate with hospitals, medical groups, and health plans to facilitate timely credentialing approvals • Monitor expiring credentials and proactively initiate renewal processes to ensure continuous compliance • Prepare and present credentialing files for Credentialing Committee review • Respond to provider and internal team inquiries regarding credentialing status and requirements

🎯 Requirements

• Minimum 1-2 years of experience in healthcare credentialing or medical staff services • Familiarity with NCQA, URAC, or Joint Commission credentialing standards • Experience with credentialing software and provider data management systems • Strong attention to detail with excellent organizational and time management skills • Ability to handle confidential information with discretion and professionalism • Effective written and verbal communication skills for cross-functional collaboration • Must be located in the Pacific Time zone and available during PT business hours

🏖️ Benefits

• 401(k) • 401(k) matching • Company parties • Dental insurance • Employee discounts • Health insurance • Opportunity for advancement • Paid time off • Parental leave • Savings bank • Training & development • Vision insurance • Wellness resources