Healthcare Contracting Coordinator

Brief Description Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties. Brief Description Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties. Our careers are challenging, meaningful and rewarding. The following Job Description will also apply at Broward Pace Program sites. Job Title: Healthcare Contracting Coordinator (Florida PACE Centers) Job Summary The Contracting Health Care Coordinator will be supporting the development and maintenance of provider contracts within the FL PACE & Broward PACE Program. This role ensures that contract documentation is accurate, providers are credentialed and loaded efficiently, and all contractual relationships align with regulatory and organizational requirements. The coordinator works cross-functionally with all department within FL PACE and Broward PACE Program to maintain a high-quality provider network. Essential Job Functions Coordinates all clerical aspects of contracting process, including drafting, reviewing, emailing, execution and loading into database. Maintains contract databases and ensure all contracts are kept in an appropriate databank and are accurately entered and updated. Serves as a liaison between internal departments to ensure contracting providers are in alignment with sites’ necessities. Assists in negotiating fee schedules and contract terms with providers under the guidance of the Contract Development & Vendor Relations Manager. Monitors provider credentials on an annual basis and ensure all licensing is kept as per State and Federal regulations. Ensures all contracts comply with regulatory requirements and organizational standards. Supports and keeps the Provider Directory with all the contracted providers. Works closely with business office team to support timely and accurate provider activation. Responds to inquiries from providers regarding contract status, terms, and processes. Tracks contract renewal dates and initiate renewals in a timely manner. Education Associate or bachelor’s degree in healthcare administration, business, or a related field or combination of experience and education. Job Requirements 2+ years of experience in healthcare contracting, provider relations, or network management preferred. Licenses/Certifications N/A Abilities Required Excellent organizational skills and attention to detail Strong communication and interpersonal skills Familiarity with Medicaid, Medicare, and PACE Experience with provider networks, credentialing processes, and health care regulations (e.g., HIPAA, CMS, NCQA). Analytical thinking and basic understanding of reimbursement methodologies (FFS, capitation, value-based). Strong knowledge of healthcare provider types, managed care principles, and contract terminology. Proficiency in Microsoft Office Suite (especially Excel and Word); experience with contract management systems a plus. Ability to manage multiple tasks and deadlines in a fast-paced environment. Environment Work Conditions Normal working condition with adequate lighting and ventilation Infectious Material Exposure N/A Organizational Expectations Ensures that resident’s/patient’s rights are adhered to Demonstrates professionalism and accountability Demonstrates a caring attitude consistent with Miami Jewish EmpathicareSM toward MJH residents, patients, family members, employees, and other facility guests Demonstrates excellent communication skills Ensures confidentiality and security of patients’ medical information Identifies and utilizes appropriate channels of communication Able to speak, read and write English Able to think and act calmly to meet unusual occurrences of the job Adheres to the organization’s Mission, Vision and Values Participates in departmental activities, meetings and in-services and follows established guidelines Maintains a safe working environment The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you’ve ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more. Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. #J-18808-Ljbffr Miami Jewish Health