Contract Specialist PHO

Skaggs Community Hospital Association; United States; Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

Retirement with employer match

Job summary

CoxHealth Network in Missouri is seeking a Contract Specialist to review and manage provider, workers' compensation, and managed care contracts. You will develop and implement contract ranking/qualifying systems, tracking mechanisms, and summaries to ensure smooth execution and renewals.

The role requires 3–5 years in healthcare contracting, a High School Diploma or equivalent (Bachelor’s preferred), and strong MS Office skills.

Qualifications

• Must have 3–5 years experience in healthcare, insurance and/or Managed Care.
• High School Diploma or Equivalent required; Bachelor's degree preferred.
• Proficient in Microsoft programs; database experience preferred.

Responsibilities

• Review and understand provider, workers compensation, managed care and other contracts.
• Develop and implement contract ranking/qualifying system and tracking system.
• Prepare contract summaries, payor notices and updates; contract troubleshooting.
• Maintain communication between employer groups, TPAs, and office staff.
• Maintain complex spreadsheets of financial and reimbursement data for management.
• Organize, prioritize and multi-task to execute projects and day-to-day work flow.

Skills

Contracts knowledge

Contracting experience

Microsoft Office

Communication

Problem solving

Decision making

Education

High School Diploma or Equivalent

Bachelor's degree preferred

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