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

Mendry

DCSP Hub · Hub 02

Role

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Enrollment

The gateway between provider and payer.

CAQH

ProView · DirectAssure

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Provider Network Standards

CMS PECOS

Federal Enrollment

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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… Reading 06 Payer Enrollment Specialist A Payer Enrollment Specialist handles enrollment across multiple payers simultaneously — VA… Up Next 07 CAQH Profile Manager A CAQH Profile Manager maintains the CAQH ProView profiles that serve as… Series 08 Primary Source Verification (PSV) Specialist A Primary Source Verification (PSV) Specialist verifies provider credentials directly from issuing… Series 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

Provider Network Coordinator

A Provider Network Coordinator builds and maintains the geographic and specialty composition of a payer’s provider network — analyzing network adequacy, identifying gaps in coverage, recruiting providers to fill gaps, and ensuring the network meets state and federal access standards. The work is strategic. The work is analytical. And it is the role where understanding what veterans, military families, and CHAMPVA-eligible patients need from a community care network gets translated into the practical work of building that network.

How This Work Happens

Provider network coordinator 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

Provider Network Coordinators analyze coverage. Every state, every payer, and every program has network adequacy standards — how many primary care providers per 100,000 covered lives, how far patients must travel to reach a specialist, how many providers must offer specific services. The Coordinator measures actual network composition against these standards.

When gaps are identified, the Coordinator recruits providers to fill them. Recruitment runs on geographic strategy (where is the gap?), specialty focus (what type of provider is needed?), and contract negotiation (what terms will attract qualified providers?). The Coordinator works with Provider Enrollment to onboard recruited providers and with Provider Relations to retain them.

The role increasingly matters for federal payer programs. VA Community Care Network depends on adequate provider networks in every veteran community. TRICARE depends on adequate networks around military installations. CHAMPVA depends on adequate networks for families of disabled veterans. Coordinators serving these programs translate veteran population data into network development priorities.

The Honest Description

The Provider Network Coordinator role rewards strategic thinking and the ability to translate data into action. Members who do well in this work enjoy analyzing geographic and specialty gaps, take pride in building networks that actually serve their populations, and find satisfaction in solving access problems through targeted provider recruitment.

The Core Activities

1

Analyze network adequacy

Measure current network composition against regulatory and contractual adequacy standards. Identify gaps in coverage by geography, specialty, and capacity.

2

Develop network expansion strategy

Prioritize gap-filling. Decide which gaps to address first based on impact, urgency, and available resources. Build a recruitment plan.

3

Recruit providers to fill identified gaps

Outreach to qualified providers in target geographies and specialties. Explain network participation benefits. Coordinate the recruitment-to-enrollment handoff.

4

Manage provider retention

Monitor provider satisfaction with network participation. Identify retention risks. Coordinate with Provider Relations to address issues before providers leave.

5

Report network performance

Build dashboards showing network adequacy, recruitment progress, and retention metrics. Present to payer or practice leadership. Recommend strategic adjustments based on what the data shows.

Where This Role Appears in the Field

In a health system or hospital network

Health system network coordinators manage referral networks and affiliated provider relationships. Senior strategic roles within system development teams.

In a payer or credentialing services company

Payers (Optum, TriWest, commercial plans) hire network coordinators directly. Service companies also offer network coordination as a strategic service.

As an independent contractor

Practices and health systems expanding into new markets or new service lines hire independent coordinators on project basis to design and execute network expansion. Strong remote-work potential.

Federal Payer Workflow

VA CCN, TRICARE & CHAMPVA Credentialing

VA Community Care Network coordination requires understanding how Optum and TriWest build and maintain their regional networks. Coordinators working in this space need to understand veteran population distribution, VA medical center locations, drive-time and access standards specific to VA CCN, and the regulatory framework that governs CCN network adequacy.

TRICARE network coordination centers on military installations and active-duty family residence patterns. Coordinators serving TRICARE networks need to understand military community geography and the specialty needs that arise from military lifestyle (frequent moves, deployments, multi-generational care for retirees).

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 Provider Network Coordinator

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

Step

Build foundational enrollment or relations experience

Most network coordinators come from senior enrollment, provider relations, or healthcare strategy backgrounds with 5+ years of experience. The strategic perspective requires having seen networks at the operational level first.

Step

Develop analytical and GIS skills

Network adequacy analysis requires data analysis skills. Some coordinators add training in healthcare analytics, geographic information systems (GIS), or population health analytics.

Step

Set up your business

Step

Get professional liability insurance

Errors and omissions coverage. Network strategy decisions affect provider participation and patient access, so coverage matters.

Step

Sign HIPAA Business Associate Agreements

Every client signs a BAA. Network coordination involves access to provider and operational information.

Step

Find your first client

Payers or health systems entering new markets or new lines of business are natural first clients. Strategic engagements typically run 3 to 12 months.

Step

List in the Mendry DCSP Network

Position yourself around strategic network development — this is consulting-tier specialty work.

Step

Build your book of business

Network coordinator consulting often runs on project engagement models with 1 to 3 active engagements at any time. The work is deep and strategic.

Education & Experience Pathways

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

Senior enrollment or relations transitions

Senior Provider Enrollment Specialists or Provider Relations Representatives with 5+ years of experience often grow into network coordination as they develop strategic perspective.

Healthcare strategy backgrounds

Healthcare strategy consultants, MBAs with health system experience, and population health analysts bring complementary analytical skills.

Military MOS adjacent paths

Military planning and strategy roles translate well — Operations officers, Intelligence Analysts (35F, 1N0X1), senior NCO leadership in operational planning. The discipline of translating strategic objectives into geographic execution is universal.

The Skill That Distinguishes Strong Specialists

Provider Network Coordinators who grow fastest are the ones who become deep experts in one specific population — VA CCN networks in one specific region, TRICARE networks around specific installations, or commercial networks in specific state markets. Generalist network knowledge matters less than depth in a defined area where you become the recognized expert.

The Realities of the Work

The Provider Network Coordinator role is strategic, analytical work with project-driven rhythm. Some weeks focus on data analysis. Some focus on recruitment outreach. Some focus on stakeholder presentations. The variety is high.

It is remote-work friendly for analytical work but typically involves periodic on-site time with payer leadership or for in-market recruitment. Compensation is at the senior consulting level because the role requires strategic judgment and demonstrated outcomes.

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 and Health Services Managers

BLS data covering senior healthcare operations and strategy roles.

bls.gov/ooh/management/medical-and-health-services-managers.htm

MGMA Compensation Survey

MGMA compensation data for senior healthcare strategy and operations roles.

mgma.com

AHIP — America's Health Insurance Plans

AHIP publishes research and compensation data for payer-side roles including network development.

ahip.org

Indeed & Glassdoor — Real-Time Market Data

Active market data for network coordinator and network development positions.

indeed.com · glassdoor.com (search "provider network coordinator")

How to Know If This Role Fits You

The Provider Network Coordinator role is a good fit for members who like strategic analytical work, enjoy translating data into action, and find satisfaction in solving access problems through network design. Members who can hold both the geographic-strategic view and the operational-practical view at the same time. It is not for members who prefer file-level individual contribution work. But for the right person, especially with strong veteran-population knowledge, it is one of the most impactful roles in community care network development.

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.