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CoxHealth · 18 hours ago

Contract Specialist PHO

United States

Full-time, Contract

Remote

Mid Level

3+ years exp

CoxHealth is a leading healthcare system serving 25 counties across Southwest Missouri and Northern Arkansas, and they are seeking a Contract Specialist. The role involves reviewing and managing various contracts, ensuring execution and renewal processes, and facilitating communication between stakeholders in the contracting process.

Oncology

Responsibilities

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

Track and ensure execution, renewal and renegotiation of all applicable contracts, amendments, and addendums

Facilitate communication between employer groups, third party administrators, and office staff

Assist in development of new documents as appropriate

Maintain standard contracting documents in contractual relationships

Assist in maintaining complex spreadsheets of financial and reimbursement data for management

Organize, prioritize and multi-task to execute projects and day to day work flow

Proficient in interpreting employer group and other payer benefits

Work independently with minimal supervision

Qualification

Contract managementHealthcare industry experienceClaims processingMicrosoft programs proficiencyProfessionalism in difficult situationsEffective communicationDecision making