Contract Specialist PHO

CoxHealth; United States; Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

Employer 401(k) match

Job summary

CoxHealth in Missouri seeks a Contract Specialist to review provider, workers' comp and managed care contracts. You will develop tracking systems, prepare summaries, and facilitate communications between employers, TPAs, and staff.

Candidates need a high school diploma; 3–5 years in healthcare contracting; strong MS Office and data skills; detail-oriented and able to work independently. The role emphasizes documentation and contract history maintenance.

Qualifications

• High School Diploma or Equivalent; Bachelor’s in a related field preferred.
• 3–5 years experience in healthcare, insurance, or Managed Care.
• Experience in contracting, claims processing, filing, or coding in healthcare.

Responsibilities

• Review and understand provider, workers compensation, managed care contracts.
• Develop and implement contract tracking and ranking systems; prepare summaries.
• Facilitate communication between employer groups, TPAs and staff; maintain documents.

Skills

Contract knowledge

Negotiation

Microsoft Office

Contract management

Communication

Education

High School Diploma

Bachelor's in Related Field (preferred)

Tools

Microsoft Office Suite

Database experience

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'sTop Companies to Work for in Healthcare (2025).

Benefits

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

• 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