HDO Credentialing Coordinator, MedPOINT Management
Posted on September 18th, 2025
Salary Range: $28-$31/ hr
Summary
Responsible for collaborating with CVO, credentialing TMs and provider network operation contracting team to coordinate, monitor and maintain the credentialing and re-credentialing process for Health Delivery Organizations (HDOs).
Duties and Responsibilities
- Coordinates all activities related to network HDO credentialing including, but not limited to application completeness and maintenance for HDOs.
- Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
- Ensures that all facilities meet standards related to quality improvement programs and personnel issues.
- Verifies that providers are accredited by an appropriate accrediting agency before submission for HDO credentialing and recredentialing processes.
- Oversees preparation of HDO credentialing/recredentialing files for completion and presentation to MedPOINT’s (MPM) Credentialing Committee.
- Responds to inquiries from health plans and potential HDO locations; interfaces with internal and external customers on day-to-day credentialing issues as they arise.
- Optimizes efficiencies with document generation and reporting.
- Establish Health Delivery Organization (HDO) material timelines and ensure that proper documents are received.
- Participates in MPM credentialing committee meetings (monthly and ad hoc).
- Collects and verifies quarterly provider rosters from HDOS.
- Assists with P & P development in accordance with NCQA guidelines for HDO credentialing.
- Contributes information to any corrective action plans related to HDOs.
- Assists with non-HDO credentialing functions as requested by leadership as time permits.
- Performs miscellaneous job-related duties as assigned and requested.
- Adhere to MedPOINT Management’s core values: Accountability, Community, Celebration, Integrity, Innovation & Collaboration.
Minimum Job Requirements
- High School Diploma or GED.
- Minimum of one year experience with hospital medical staff, health plan or managed care credentialing experience including HDO processing.
- NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing one of these certifications highly preferred.
- Proficiency with Microsoft Office products, primarily Work and Excel 2013 or higher.
- Knowledge of all aspects of credentialing including HDO Credentialing.
- EZ-CAP, Gemini GI and/or symplr a plus.
Skill and Abilities
- Excellent presentation and analytical skills.
- Strong written and verbal communication skills.
- Ability to analyze, interpret and prepare reports.
- Ability to multitask in very busy environment.
Interested candidates can send you resumes to nkhan@medpointmanagement.com or apply on their website - HDO Credentialing Coordinator - MedPOINT Management