Mendry · Florida 501(c)(3) Nonprofit · Veteran-Built & Independent

Mendry

DCSP Hub · Hub 02

Role

of 09

Enrollment

The gateway between provider and payer.

CAQH

ProView · DirectAssure

NCQA

Provider Network Standards

CMS PECOS

Federal Enrollment

STATE MEDICAID

State-Specific Enrollment

01 Provider Enrollment Specialist A Provider Enrollment Specialist onboards credentialed providers into payer networks — submitting… Series 02 Provider Enrollment Coordinator A Provider Enrollment Coordinator manages enrollment workflow across multiple providers, multiple payers,… Series 03 Provider Data Specialist A Provider Data Specialist maintains the accuracy of provider information across every… Series 04 Provider Relations Representative A Provider Relations Representative serves as the bridge between practices and the… Series 05 Provider Network Coordinator A Provider Network Coordinator builds and maintains the geographic and specialty composition… Series 06 Payer Enrollment Specialist A Payer Enrollment Specialist handles enrollment across multiple payers simultaneously — VA… Series 07 CAQH Profile Manager A CAQH Profile Manager maintains the CAQH ProView profiles that serve as… Reading 08 Primary Source Verification (PSV) Specialist A Primary Source Verification (PSV) Specialist verifies provider credentials directly from issuing… Up Next 09 State Medicaid Enrollment Specialist A State Medicaid Enrollment Specialist navigates state-specific Medicaid programs and the Managed… Series

DCSP Hub · Enrollment

Role

of 09

CAQH Profile Manager

A CAQH Profile Manager maintains the CAQH ProView profiles that serve as the single source of credentialing truth for hundreds of payers across the United States. The Council for Affordable Quality Healthcare (CAQH) operates the universal credentialing database that practically every commercial payer and many federal payers use to pull provider credentialing data. A well-maintained CAQH profile dramatically simplifies multi-payer enrollment. A poorly maintained one creates enrollment delays across every payer that pulls from it.

How This Work Happens

CAQH profile manager work happens in three places: as a hospital or health-system employee, as a contractor working through a credentialing services company, or as an independent business owner. This page covers all three so you can choose the path that fits your life.

Mendry supports the third path. We are a Florida 501(c)(3) membership platform full of opportunities — not an employer, not a placement agency. We list independent professionals so the practices that need them can find them. Your business. Your contracts. Your rates. Your decisions.

MEMBER ACKNOWLEDGMENT

Membership in Mendry’s DCSP Network is built on these understandings about your business.

Fifteen points. Read carefully. This is the agreement.

You set your own rates. Mendry does not suggest, publish, recommend, or facilitate the sharing of rate information between members.

You bill your own clients and collect your own payment. Mendry does not invoice, collect, hold, distribute, or process payment between you and your clients.

You hold and maintain current professional liability and errors-and-omissions insurance appropriate to your specialty. Mendry does not insure you, indemnify you, or provide coverage of any kind.

You handle your own taxes as an independent business. Mendry does not withhold, report, file, or remit taxes for you. You are responsible for federal, state, and local tax obligations including estimated quarterly payments.

You sign your own contracts directly with your clients. Mendry is never a party to, signatory of, or guarantor of your client agreements, and Mendry does not negotiate, review, or approve your contract terms.

When your work touches Protected Health Information (PHI), you execute a Business Associate Agreement (BAA) directly with each client before beginning work. Mendry is never a party to your BAAs, and Mendry’s website never touches, stores, or transmits PHI.

You hold and maintain all federal, state, and local business licenses, registrations, and certifications your business and work require. Mendry does not verify licenses on your behalf or vouch for your licensure status.

You complete the continuing education your credential requires and maintain current documentation. Mendry does not track CE on your behalf, report CE to credentialing bodies, or guarantee that your CE meets any specific requirement.

You carry full professional responsibility for the quality, accuracy, and timeliness of your work product. Errors, omissions, missed deadlines, and quality disputes are between you and your client. Mendry does not mediate, intervene, indemnify, or carry any liability for your work.

You market your own business and represent yourself accurately to clients. You do not represent yourself as employed by, certified by, endorsed by, or operating under the authority of Mendry. You may accurately state that you are a listed member of the Mendry DCSP Network.

Your professional relationships are with your DCP clients. You do not have a direct service relationship with veterans through Mendry, and Mendry does not refer veterans to you as patients or clients.

You maintain your own client records, working files, and business records on systems and tools you control. Mendry does not host, back up, store, or have access to your client files or business data.

Your membership in the DCSP Network is conditional on maintaining current credentials, insurance, licenses, and good standing. Mendry may suspend or terminate your directory listing if these standards lapse.

Your membership fee pays for your listing and the educational resources Mendry provides. It does not buy referrals, leads, work, or placement, and is not refundable based on the work you do or do not receive.

You are a member of an independent professional directory. You are not an employee, contractor, agent, partner, joint venturer, or representative of Mendry. Mendry does not direct, supervise, control, schedule, or assign your work.

What This Really Means

The same fifteen points — explained the way a friend would explain them.

01 You decide what to charge.

You research what other professionals in your specialty charge. You look at job boards. You ask peers. You decide what your work is worth, and you tell your clients that number. Mendry does not tell you what to charge. We do not share rate information. That keeps us out of antitrust trouble and keeps you free to price your work the way you choose.

02 You send the bill. You collect the money.

Every month, you send your client an invoice. The client pays you directly — usually by ACH bank transfer or check. Mendry does not touch the money. We never see your invoices. We never collect for you. Money flows from client to you. Period.

03 You buy your own insurance.

Professional liability insurance protects you if a client says your work cost them money. Errors and omissions insurance protects you if you make a mistake in your work product. Every working DCSP needs both. You shop for it. You pay for it. You keep it current. Mendry does not insure you, and the directory does not list you as covered by us.

04 You pay your own taxes — four times a year.

As an independent business, you pay estimated taxes every quarter — April, June, September, and January. You file a Schedule C with your tax return. Mendry does not withhold anything. We do not report your income to the IRS. You are responsible for tracking your income, your expenses, and your tax payments. A bookkeeper or CPA pays for itself.

05 You sign your own contracts.

Every client gives you a contract — sometimes called a Master Service Agreement or a Statement of Work. You read it. You sign it. If something looks off, you take it to your own attorney. Mendry does not read your contracts, does not negotiate them, and is not a party to them.

06 You sign a BAA with every client before you start.

When your work touches information about real patients — their names, dates of birth, diagnoses — that information is called PHI. Before any client lets you near their patient information, you sign a Business Associate Agreement. Every client. Every time. Mendry’s website never touches PHI — we educate you about it, that’s it.

07 You hold your own business licenses.

Some states require a business license to operate. Some cities require a local one. You research what your state and city require, and you hold whatever licenses apply. Mendry does not verify your licenses for you — the verification badge on your directory profile reflects what you upload, not what we check with the state.

08 You keep your credentials and CE current.

Your professional credential needs continuing education hours to stay active. You complete the CE. You track the hours. You report them to your credentialing body. Mendry does not report for you and does not guarantee your CE is enough — that’s between you and your credentialing body.

09 You own the quality of your work.

If you make a mistake in your work, the client may lose money. They may ask you to fix it. They may charge you for the loss. Your insurance and your reputation handle this — not Mendry. Build clean files. Communicate well. Hit your deadlines.

10 You market yourself accurately.

You can tell clients: “I am a listed member of the Mendry DCSP Network.” That is accurate. You cannot tell clients: “I work for Mendry” or “Mendry certified me.” Stick to “listed member of the directory.”

11 Your clients are DCP practices. Veterans are not your clients.

You serve the doctor’s practice or the clinic — the DCP. The veteran is the DCP’s patient, not yours. Mendry does not refer veterans to you. The chain goes: Mendry lists DCPs. DCPs hire DCSPs. DCSPs serve DCPs. You are two steps removed from the patient, which is exactly where you should be.

12 You keep your own records.

Your client files, your invoices, your work product, your tax records — all of it lives on systems you control. Mendry does not host your work. We do not back up your data. Use cloud backup. Treat your business like a real business.

13 Your directory listing is conditional, not permanent.

If your credential lapses, your listing pauses. If your insurance expires, your listing pauses. Membership is a standing — you maintain it by keeping everything current. We send you reminders before things lapse. The directory only works if every member listed is actually current.

14 Your membership fee pays for listing — not for leads.

Mendry does not promise you work. The fee you pay covers your spot in the directory and the educational resources we publish. Whether you win the work after that depends on you — your profile, your responsiveness, your rates, your references. Membership is an opportunity, not a guarantee.

15 You are a member. We are a platform. That is the whole relationship.

Mendry does not employ you. We do not contract with you. We do not represent you. We list you. You operate your business. The line between us is clean and clear — and the clean line is what protects both of us.

What This Role Involves

CAQH Profile Managers build and maintain provider profiles in CAQH ProView. Every profile contains hundreds of data fields covering education, training, licensure, board certification, work history, malpractice history, hospital affiliations, professional liability insurance, and current practice information. The Manager ensures every field is current, accurate, and consistent with primary source documentation.

CAQH requires re-attestation every 120 days. Each attestation requires the provider to verify that the profile information remains current. The Manager coordinates re-attestations across all providers, ensures profile updates are made before attestation, and prevents profiles from going inactive due to missed re-attestation deadlines.

CAQH DirectAssure is the supplementary product that lets payers and provider directories pull provider data directly from CAQH for No Surprises Act compliance. Managers who handle DirectAssure subscriptions and verifications add value beyond core CAQH ProView maintenance.

The Honest Description

The CAQH Profile Manager role rewards systematic data discipline and the patience to maintain hundreds of data fields accurately over time. Members who do well in this work enjoy the structured nature of CAQH ProView, take pride in profiles that pass payer reviews cleanly, and find satisfaction in being the trusted CAQH expert for their client practices.

The Core Activities

1

Build provider CAQH ProView profiles

Create initial profiles for new providers. Populate every required field. Upload supporting documentation. Submit for initial verification.

2

Maintain profiles between attestations

Update profiles when credentials change, work history evolves, or practice information shifts. Keep documentation current.

3

Coordinate quarterly re-attestation

Notify providers of upcoming attestation deadlines. Verify profile accuracy. Coordinate the attestation submission. Prevent profile inactivation.

4

Manage payer access permissions

Authorize specific payers to pull data from the provider’s CAQH profile. Manage data sharing preferences. Track which payers are actively using the profile.

5

Handle DirectAssure verifications

Respond to DirectAssure verification requests within required timelines. Maintain provider directory accuracy across payers that use DirectAssure.

Where This Role Appears in the Field

In a hospital medical staff office

Hospital CAQH managers maintain profiles for medical staff. Often part of a broader credentialing role rather than dedicated CAQH-only work.

In a credentialing services company

Service companies offer CAQH profile management as a service line. Strong remote-work potential.

As an independent contractor

Solo and small group practices needing CAQH profile management but without dedicated credentialing staff hire independent managers. Highly scalable independent work because CAQH maintenance is predictable.

Federal Payer Workflow

VA CCN, TRICARE & CHAMPVA Credentialing

VA Community Care Network and CAQH — Optum and TriWest both pull data from CAQH profiles for VA CCN providers. A well-maintained CAQH profile accelerates VA CCN enrollment significantly. CAQH Profile Managers serving practices in VA CCN need to ensure profiles meet both general payer standards and VA CCN-specific data requirements.

TRICARE and CHAMPVA CAQH usage varies by region and program. TRICARE regional managed care contractors typically pull from CAQH. CHAMPVA enrollment may or may not depending on workflow. Managers who understand each federal payer’s CAQH integration become more valuable to practices serving military and veteran families.

The two-hat reality. In a two-hat practice, this work runs on two parallel tracks at once — VA Community Care credentialing and claims under federal authority, and state medical cannabis practitioner participation under state authority. The two tracks never share a workflow, but they share a deadline: a lapse on either side stops payment and access on both. Members who can hold both tracks steady at the same time are the ones two-hat practices keep.

Your Roadmap to becoming an independent CAQH Profile Manager

This is the step-by-step path. Follow each step in order.

Step

Build foundational CAQH knowledge

CAQH offers training resources through caqh.org. The CAQH Specialist certification track is increasingly recognized in the industry.

Step

Develop healthcare credentialing context

Understanding what each CAQH data field means and where the source documentation comes from requires general credentialing knowledge.

Step

Set up your business

Step

Get professional liability insurance

Errors and omissions coverage. CAQH profile errors can cascade across multiple payers, so coverage matters.

Step

Sign HIPAA Business Associate Agreements

Every client signs a BAA. CAQH work involves provider personal information.

Step

Find your first client

Solo and small group practices struggling with CAQH maintenance are natural first clients. Telehealth practices with multi-state providers are another strong entry point.

Step

List in the Mendry DCSP Network

Position yourself specifically around CAQH expertise — this is recognized specialty knowledge that practices actively search for.

Step

Build your book of business

CAQH managers scale well because profile maintenance is recurring and predictable. Managing 10 to 20 provider profiles part-time is realistic; full-time work can support 30 to 50 profiles.

Education & Experience Pathways

Members exploring this role typically come into the work through one of these learning paths:

Credentialing professional transitions

Experienced Credentialing Specialists and Coordinators who specialize in CAQH workflow develop natural transition paths into dedicated CAQH management.

Medical office administration backgrounds

Medical office administrators with attention to detail and systematic data discipline can build CAQH expertise with focused training.

Military MOS adjacent paths

Military administrative roles with systematic data responsibilities translate well — 42A (Human Resources Specialist with data management focus), 4A0X1 (Air Force Health Services Management), HM (Navy Hospital Corpsman with administrative experience).

The Skill That Distinguishes Strong Specialists

CAQH Profile Managers who grow fastest are the ones who build systems for tracking attestation calendars across multiple providers and clients. Manual calendar tracking does not scale. A manager who builds a tracker that catches every approaching attestation 30 days in advance prevents the inactivations that erode client trust.

The Realities of the Work

The CAQH Profile Manager role is detailed data maintenance work with predictable rhythm. Quarterly attestation cycles drive the calendar. Daily work focuses on profile updates, documentation uploads, and verification responses.

It is highly remote-work friendly. All CAQH work happens through CAQH ProView itself, accessible from any secure workstation. The role is particularly well-suited to flexible scheduling and part-time independent work.

Income — Research the Range

Mendry does not publish specific income figures because numbers vary based on credential, geographic market, employment type, specialty focus, and experience. Here are the authoritative sources to research current income data:

BLS — Medical Records Specialists

BLS occupational data covering CAQH and credentialing data work.

bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm

CAQH — Industry Publications

CAQH publishes industry research and standards for provider data and credentialing.

caqh.org

FlexJobs & Upwork — Independent Contractor Rates

Strong demand for CAQH specialty work on independent contractor platforms.

flexjobs.com · upwork.com (search "CAQH")

Indeed & Glassdoor — Real-Time Market Data

Active market data for CAQH-specific positions.

indeed.com · glassdoor.com (search "CAQH")

How to Know If This Role Fits You

The CAQH Profile Manager role is a good fit for members who like systematic data work and the rhythm of recurring attestation cycles. Members who can manage hundreds of data fields accurately across multiple providers. Members who enjoy the structured nature of CAQH ProView and want a specialty that scales predictably. It is not for members who want variety in their daily work. But for the right person, especially those interested in part-time flexible independent work, it is one of the most accessible specialty paths in credentialing.

About this content. Mendry is a Florida 501(c)(3) nonprofit membership platform. This page is educational and does not constitute medical, legal, financial, or placement advice. Enrollment requirements, payer policies, and network standards vary by payer, state, and accreditation body. Always confirm current requirements with the relevant payer or authority before making professional decisions. Mendry does not employ, place, refer, or supervise enrollment professionals. All members listed in the DCSP Network operate their own independent businesses, set their own rates, sign their own contracts, and carry their own insurance. Mendry does not provide treatment, prescribe or sell cannabis, complete state forms, or collect PHI. Emergency: 911 · Veterans Crisis Line: 988 (Press 1) · Text 838255.

Your Specialty. Your Business. Your Network.

Mendry lists independent credentialing professionals so the two-hat practices that need them can find them. Your business, your rates, your clients, your decisions — we provide the visibility and the platform.