Healthcare Contracts Paralegal

This is a hybrid position located in St. Petersburg, Florida. Must be local to the Tampa Bay area and able to work on-site at our corporate location in St. Petersburg at least 3 days a week.

Basic Skills:

GA Foods is hiring an experienced Healthcare Contracts Paralegal to join our team at our headquarters in St. Petersburg, FL. The ideal candidate will have a strong healthcare background. Prior experience with Managed credentialing and managing customer contract files. Great for employees who enjoy working steadily to ensure accuracy while making a significant contribution to a team. The position reports directly to the Chief Compliance Officer.

General Purpose of Job:

The Healthcare Contracts Paralegal is responsible for the review, administration, coordination, preparation, compilation, delivery, and file maintenance of agreements with state Medicaid and Med-waiver programs, Managed Care Organizations, OAA-funded (Older Americans Act) programs, Child Nutrition and other Senior/At-Risk business. Will serve as Administrator and point of contact with key stakeholders on customer agreements, audits, and requests for proposals.

Essential Duties:

• Completes and maintains all state Medicaid and Med-waiver program enrollments, certifications, and revalidations.
• Completes and maintains all enrollments, certifications, and revalidations for all managed care contracts.
• Assists with the administration of all contracts, Master Service Agreements, Provider Service Agreements, Amendments, Addendums, and SOWs.
• Ensures new contracts and renewals are executed timely, and accurately with notary authorization, as applicable.
• Monitors and maintains all State Medicaid enrollment and certifications are accurate and up to date.
• Monitors and notifies the Sales Team 90 to 120 days in advance of the expiration of all MCO Contracts, Provider Service Agreements, and SOWs to ensure contracts/SOWs do not lapse.
• Reviews Managed Care RFPs to ensure accuracy and completeness of RFP packet before submission to customers
• Orders certificates of insurance and maintain all current insurance policy information
• Ensures distribution of fully executed agreements to all departments, as needed.
• Maintains library of Contract compliance policies, processes, Medicaid and MCO provider manuals and other internal documents for credentialing and provider enrollment
• Assists with all payor audits and monitor audit findings
• Participates in the implementation of new agreements
• Participant in a corporate compliance team
• Other duties as assigned by management

Degree, Certifications:

• Bachelor's Degree in a related field or equivalent combination of education and 3-5 years of healthcare contract experience
• Paralegal certification, or an additional 3-5 years of health care contract experience
• Florida Notary

Preferred Skills & Experience:

• Healthcare Contract experience - required
• Strong organizational skills, communication skills, and attention to detail
• Prior experience with legal and regulatory terminology and requirements regarding contracts and RFPs
• Advanced Computer Skills: MS Office Suite (Word, Excel, Outlook, PowerPoint), PDF editor

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer.

Diversity and Inclusion:

We believe in diversity of thought and bringing together other traits and characteristics that make an individual bring a unique experience to GA Foods. We strive to foster an inclusive environment where behaviors and social norms ensure people are welcome.

Equal Opportunity Statement:

We offer 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.