Jackson Health System

Snapshot

Large academic health system based in Miami, FL; Medallion prospect — contract red lines in progress as of 2026-04-20; demo/meeting with managed care + credentialing leadership scheduled 2026-04-28.

Profile

• Major health system in Miami, FL; main campus is a large multi-building complex; newer River Landing office location also in use.
• Expanding ambulatory footprint — multiple new locations in pipeline requiring facility enrollment on an ongoing basis.
• CEO transition underway as of April 2026: incoming CEO has been at Jackson for 15+ years, stepping into the role internally.
• Managed care team is ~10 people total, split across hospital (facility credentialing/contracting) and pro fee (physician credentialing/enrollment) sides.

Key Contacts

Customer — Angie Prietofelix (angie.prietofelix@jhsmiami.org); Ileana Alvarez, Corporate Credentialing (credentialing providers for internal Jackson access/privileges); Barbara, Chief Experience Officer (formerly over managed care team); John Harkins, Managed Care team lead; Sergio, Managed Care — pro fee provider credentialing/enrollment; Viviana, Managed Care — pro fee. Medallion — Brendan Cherry, Enterprise Account Executive (brendan.cherry@medallion.co); Noah, Lead Solutions Consultant (noah@medallion.co).

Active Work

Recurring cadences

• Demo/presentation meeting with managed care + credentialing leadership scheduled 2026-04-28 (Tuesday); attendees include Ileana Alvarez, Sergio, Viviana, Barbara, Miriam, Talisa, potentially John Harkins and Ashwin.

Open Issues & Requests

Operational pain

• No centralized system for tracking new location openings; teams sometimes receive <10 days notice before a new location goes live (e.g., “opening May 1, today is April 20”) — creates credentialing and enrollment rush risk.
• Facility enrollment for new diagnostic center stalled with 1–2 payers due to taxonomy issues; those payers have not yet enrolled the location.
• Enrollment/disenrollment is done monthly as providers onboard/offboard; process is largely manual and paper-heavy.
• Angie anticipates she will remain the central data-funnel contact even after Medallion goes live, due to lack of internal centralization.
• MPI (Medicare/Medicaid) credentialing is handled by Angie’s team first; managed care team can only begin their enrollment work once MPI is complete — opportunity for a more integrated workflow.
• Some payers decline to enroll the ED group; specifics unclear to Angie, but flagged as a known pain point for the managed care team.

Decisions & Commitments

• 2026-04-20 — Brendan Cherry: meeting prep call with Angie to understand managed care team structure and priorities ahead of 2026-04-28 demo; Angie’s advice: keep the demo simple — emphasize centralized forms, just provide address/location and Medallion handles the rest.
• 2026-04-20 — Brendan Cherry: contract red lines in progress; hoping to receive red-lined agreement back from JHS this week (week of 2026-04-20).

Source History

• 2026-04-20 — Ashwin (prior credentialing contact, based in New York) no longer primary — moved out of Key Contacts.
• 2026-04-20 — Angie