MedPOINT Management
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.
Internal Audit Credentialing Specialist
Job not on LinkedIn
🔥 51 minutes ago
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MedPOINT Management
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.
đź“‹ Description
• Conduct thorough internal audits of credentialing files to ensure compliance with regulatory standards • Review and verify the credentials of healthcare providers and facilities • Maintain accurate and up-to-date records in the credentialing database • Collaborate with cross-functional teams to streamline the credentialing process • Identify areas for improvement and recommend solutions to enhance operational efficiency • Prepare detailed reports on audit findings and present to management • Assist in training staff on credentialing policies and procedures • Stay current with industry trends and regulatory changes affecting credentialing
🎯 Requirements
• Bachelor's degree in healthcare administration, business, or related field • 2+ years of experience in credentialing or auditing within the healthcare industry • Strong understanding of credentialing standards and regulatory requirements • Excellent attention to detail and organizational skills • Proficient in Microsoft Office Suite and credentialing software • Ability to work independently and manage multiple tasks effectively • Strong communication skills, both written and verbal • Professional certification in credentialing (CPCS or CPMSM) is a plus
🏖️ Benefits
• 401(k) • 401(k) matching • Company parties • Dental insurance • Employee discounts • Free food & snacks • Health insurance • Opportunity for advancement • Paid time off • Parental leave • Savings bank • Training & development • Vision insurance • Wellness resources
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