Contract Resolution Specialist

CoxHealth; Missouri; Hybrid; USD 55,000 - 70,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

Retirement with employer match

Job summary

CoxHealth is seeking a Contract Resolution Specialist to support its vast network, ensuring contract terms are applied accurately and staff are trained on agreements. The role requires navigating complex payor contracts and staying current with regulatory changes to protect revenue integrity.

Travel locally as needed; a strong understanding of managed care and CoxHealth contracts will help ensure smooth operations for hospitals and clinics across southwest Missouri.

Qualifications

• High school diploma or equivalent required.
• 3-5 years experience in provider office, healthcare billing, healthcare insurance and/or Managed Care.
• Knowledge of complex multi-provider payor contracts and compliance standards.
• Experience in provider relations or physicians office management preferred.

Responsibilities

• Contract resolution and alignment with provider contracts.
• Interpret and communicate policy changes related to contracts and payors.
• Educate network providers on contract terms and requirements.

Skills

Analytical thinking

Contract interpretation

Communication skills

Attention to detail

Project management

Education

High School Diploma or Equivalent

Bachelor's in Related Field

Tools

MS Office

Job description

Facility: Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802 Department: 1722 CoxHealth Network Scheduled Weekly Hours: 40 Hours: 8:00-5:00 Work Shift: Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence: Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant‑A Insights Group. Acknowledged by Forbes as one of the Best Employers for New Grads. Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

Benefits Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week). For a comprehensive list of benefits, click here: Benefits | CoxHealth.

Job Description

The Contract Resolution Specialist primary function will be to assist network providers with any contractual issues. The Contract Resolution Specialist will also act as a trainer/educator of all CoxHealth Network contracts to the network providers and their staff. They must be a self-starter and work with minimal supervision. Some local travel is required along with organizing and hosting meetings when required. They will possess an in‑depth working knowledge of managed care plans and CoxHealth contracts and how they pertain to successful operations of a hospital/provider’s office. The responsibility of this position impacts the revenue cycle for approximately 40% of the provider’s business. They must understand the legality of the messenger process CoxHealth Network uses for independent providers. They must be able to analyze and communicate contractual terms and their requirements to the provider. They will perform initial and recredentialing on‑site reviews and chart audits for providers, as needed.

Responsibilities

• Contract resolution
• Delivery and interpretation of policy and procedure changes as it relates to specific contracts
• Communication of regulatory changes as it relates to the insurance industry as needed
• Researching new technology with respect to payors medical necessity and coverage
• Maintains contacts and provides educational information to network, tertiary/affiliate PHO networks that impact over 3000 providers/facilities
• Able to organize, prioritize and multi‑task to execute projects and day to day work flow

Education

• Required: High School Diploma or Equivalent
• Preferred: Bachelors in a Related Field

Experience

• Required: 3-5 Years experience working in the provider office, healthcare billing, healthcare insurance and/or Managed Care industry.
• Preferred: Previous experience in provider relations and/or physicians office management.

Skills

• Ability to understand complex multi‑provider payor contract agreements and determine compliance standards are being adhered to.

Licensure/Certification/Registration

• N/A

Company Culture

We don’t just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non‑clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients. OUR MISSION To improve the health of the communities we serve. OUR VISION To be the best for those who need us. OUR VALUES Safety, compassion, respect, and integrity. CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.