Contract Specialist PHO

CoxHealth; Springfield (MO); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Retirement with Employer Match

Job summary

CoxHealth is a leading Missouri healthcare system seeking a Contract Specialist to review provider, workers’ compensation, and managed care contracts. You will develop ranking and tracking processes, prepare summaries, and ensure smooth communication among employer groups, third party admins, and clinic staff.

The role emphasizes attention to detail, independent work, and experience with complex contract data.

Qualifications

• High School Diploma or Equivalent required.
• 3–5 years in healthcare, insurance, or managed care environments preferred.
• Proficient in Microsoft Office applications; strong data management skills.

Responsibilities

• Review and understand provider, workers' compensation, managed care contracts.
• Develop contract ranking/qualifying and tracking systems.
• Prepare contract summaries, notices, and updates; troubleshoot contracts.

Skills

Contracts knowledge

Microsoft Office

Communication

Education

High School Diploma or equivalent

Bachelors in a related field (preferred)

Tools

Database experience

Job description

Facility:Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802Department:1722 CoxHealth NetworkScheduled Weekly Hours:40Hours:8:00 AM - 5:00 PMWork 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)For a comprehensive list of benefits, please click here: Benefits | CoxHealthJob 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