Contract Specialist PHO

CoxHealth; Kansas City (MO); Presencial; USD 60.000 - 90.000; Jornada completa

Descripción de la vacante

CoxHealth is seeking a Contract Specialist to review provider, workers' compensation, managed care contracts and to develop tracking systems. You will prepare summaries, notices, and updates while coordinating between employer groups, third party administrators and clinic staff.

This role requires 3-5 years in healthcare/insurance/managed care, strong contract experience, and the ability to work independently with minimal supervision in a day-shift setting.

Formación

• 3-5 years of experience in the healthcare, insurance, legal or Managed Care industries.
• Proficiency with contract processes, claims, filing or coding in healthcare or related settings.
• Proficient with Microsoft Office; database experience desired.
• Ability to communicate effectively with different levels of management.
• Ability to maintain professionalism in challenging situations.
• Ability to make routine decisions per departmental policies.

Responsabilidades

• Review and understand provider, workers' compensation, managed care contracts; use standard contracting documents.
• Develop and implement contract ranking/qualifying system and tracking system.
• Prepare contract summaries, payor notices and updates; assist in contract amendments/addenda.
• Facilitate communication between employer groups, third party administrators, and office staff.
• Maintain standard contracting documents and manage complex spreadsheets of financial data.
• Organize, prioritize, and multi-task to execute projects and day-to-day workflow.
• Interpret employer group and payer benefits; work independently with minimal supervision.

Conocimientos

Contracts knowledge

Contracting experience

Microsoft Office

Effective communication

Professional demeanor

Decision making

Educación

High School Diploma or Equivalent

Bachelor's degree in a related field

Descripción del empleo

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 AM - 5:00 PM

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).

BenefitsMedical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)

Job Description:The Contract Specialist must review and understand provider, workers compensation, managed care and other contracts; utilize standard contracting documents; develop and implement contract ranking/qualifying system; develop and implement contract tracking system; prepare contract summaries, payor notices and updates; contract troubleshooting; research projects. Must be detail-oriented and keep a history of communication and processes as they pertain to the contracting process. Responsible for tracking and ensuring execution, renewal and renegotiation of all applicable contracts, amendments, and addendums. Responsible for facilitating communication between employer groups, third party administrators, and office staff. Assists in development of new documents as appropriate; maintains standard contracting documents in contractual relationships. Assists in maintaining complex spreadsheets of financial and reimbursement data for management. Able to organize, prioritize and multi-task to execute projects and day to day work flow. Proficient in interpreting employer group and other payer benefits. Able to work independently with minimal supervision.

Education

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

Experience

• Required: 3-5 Years experience working in the healthcare industry, insurance, legal and/or Managed Care industry.

Skills

• Working knowledge of contracts.
• Experience in contracting, claims processing, filing, or coding in a provider office and/or clinic, legal, or insurance organization.
• Proficient in all Microsoft programs, database experience preferred.
• Ability to communicate effectively with different levels of management.
• Ability to handle difficult situations professionally.
• Ability to make routine decisions in accordance with departmental policies and procedures.

Licensure/Certification/Registration

• N/A