Contract Manager

CoxHealthSpringfield, MO
Onsite

About The Position

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 numerous honors for workplace excellence, including being named one of Modern Healthcare’s Best Places to work five times, and recognized by Newsweek and Plant-A Insights Group for various Greatest Workplaces awards. Forbes has acknowledged CoxHealth as one of the Best Employers for New Grads, and Healthcare Innovation has listed them among the Top Companies to Work for in Healthcare (2025). This position is responsible for organizing, preparing, and analyzing financial and other data for improved business intelligence. The role involves developing a managed care contract reimbursement tracking system and overseeing policies and procedures for the contracting and provider reimbursement process. The Contract Manager will be the primary manager of the contract management system, serve as a payor customer service liaison, manage/supervise staff, and analyze healthcare laws and their effects on existing CoxHealth Network (CHN) policies, procedures, and managed care contracts. The ability to organize, prioritize, and multi-task to execute projects and daily workflow is essential.

Requirements

  • A Bachelor’s Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience
  • 3 years’ experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field
  • Effective negotiating skills
  • Above average knowledge of the current managed care environment
  • Working knowledge of healthcare industry
  • Proficient in developing and an in depth understanding of financial and utilization reports used to monitor contract performance and identify payer trends
  • Ability to understand complex hospital/payor contract agreements and determine compliance standards are being adhered to
  • Ability to think critically and objectively in high pressure situations
  • Strong interpersonal and analytical skills
  • Strong oral and written communication skills
  • Extraordinary attention to detail
  • Experience in developing policies & procedures producing efficiency
  • Familiarity with common office equipment to include PC, fax machine, multi phone lines, copier and scanner
  • 10-key, memory typewriter and copier
  • Knowledge of Excel, Word, Access and Power Point software applications

Nice To Haves

  • Local market knowledge preferred

Responsibilities

  • Negotiate a multitude of contract documents, including, but not limited to, Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation and employer group contracts.
  • Utilize standard contracting documents in these relationships.
  • Develop and implement contract ranking/qualifying system.
  • Develop and implement contract-tracking system.
  • Prepare contract summaries and updates.
  • Contract troubleshooting.
  • Organize, prepare, and analyze financial and other data for improved business intelligence.
  • Develop a managed care contract reimbursement tracking system.
  • Develop and oversee policies and procedures for the contracting and provider reimbursement process.
  • Serve as primary manager of contract management system.
  • Serve as payor customer service liaison.
  • Manage/supervise staff.
  • Analyze healthcare laws and their effects on existing CoxHealth Network “CHN” policies, procedures and managed care contracts.
  • Organize, prioritize and multi-task to execute projects and day to day work flow.

Benefits

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