Coordinator Jobs

About The Position

Requirements

• Associate or bachelor’s degree in healthcare administration, Public Health, Social Sciences, Business, or a related field.
• Minimum of 2 years in an administrative or coordination role, ideally within healthcare, social services, or a managed care environment.
• Authorized to work in the U.S.
• Ability to work in-person in New York City (NY) for at least 3 days or more per week.
• Ability to travel to other Rising Ground sites (if required).

Nice To Haves

• Prior experience with insurance payer credentialing or provider contracting is highly preferred.
• Bilingual preferred (English/Spanish)

Responsibilities

• Serve as the primary administrative point of contact for coordinating and processing a variety of client services for (e.g., nutrition, cooking supplies) for Medicaid-eligible members as defined by the Social Care Network.
• Assist with the administrative intake process, including organizing and verifying documentation to confirm member eligibility for specific support programs under Medicaid guidelines.
• Accurately process and track service authorizations, ensuring all services are properly documented, authorized, and aligned with managed care and state requirements before service delivery.
• Communicate effectively with service providers, Social Care Navigators, and third parties to initiate, modify, or terminate services based on member needs and program requirements.
• Assist in maintaining and updating provider credentialing files, including licenses, certifications, NPI numbers, Medicaid enrollment, and insurance affiliation.
• Support payer contracting activities by collecting, reviewing, and organizing documentations required by Managed Care Organizations, Medicaid, and other insurance entities.
• Ensure all providers and contracted partners meet payer participation standards and compliance criteria prior to onboarding or continued service delivery.
• Track and coordinate re-credentialing and contracting status to ensure readiness for audits and billing submission.
• Serve as an administrative contact with insurance plans to address contracting, credentialing, or roster discrepancies.
• Maintain meticulous, accurate and up-to-date administrative records for all assigned members and their service plans.
• Conduct regular administrative checks for case files to ensure compliance, proper documentation signatures, timely service reviews, and adherence to all regulatory and quality standards.
• Generate routine and ad-hoc reports on service utilization, coordination timelines, contracting status, and compliance metrics for management reviews.
• Function as an integral part of a collaborative team, including HealthCare Navigators and Administrators, to share information, identify service gaps, and ensure seamless continuum for care for members.
• Participate in team meetings, case conferences, and supervision sessions to discuss complex cases and operational improvements.
• Proactively identify and recommend improvements to administrative and credentialing processes to enhance efficiency and effectiveness.
• Clearly communicate service coordination decisions, authorizations, and documentations requirements to all relevant parties.
• Provide professional, timely administrative support to all stakeholders, including members, providers payers and government agencies.

Benefits

• 11 Paid Holidays
• Paid Sick Time
• Paid Vacation
• Paid Personal days
• Medical -3 plan options
• Dental - 2 plan options
• Vision - 1 plan option