Contract Specialist PHO

CoxHealth; Missouri; On-site; USD 65,000 - 90,000; Full time

Job summary

CoxHealth is seeking a Contract Specialist to review provider, workers' compensation, managed care contracts and other agreements. You will use standard contracting documents, develop ranking and tracking systems, and prepare contract summaries and notices.

You will facilitate communication between employer groups, third-party administrators, and office staff, and assist in maintaining complex spreadsheets of financial and reimbursement data for management.

Qualifications

• Education: High School Diploma or equivalent; Bachelors preferred in a related field.
• Experience: 3–5 years in healthcare, insurance, managed care, or related fields.
• Skills: contracting, claims processing, filing, or coding in provider offices or related orgs.

Responsibilities

• Review and understand provider, workers compensation, managed care and other contracts.
• Develop and implement contract ranking/qualifying system and tracking.
• Prepare contract summaries, notices, updates, and renegotiations.
• Facilitate communication between employer groups, third party admins, and staff.
• Maintain complex spreadsheets of financial and reimbursement data; day-to-day workflow.

Skills

Contracting

Communication

Microsoft Office

Detail oriented

Education

High School Diploma or Equivalent

Bachelor's degree in a Related Field

Tools

Microsoft Office Suite

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 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).

Benefits

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

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