Contract Manager - Sunset Building

Facility: · Sunset Building: 2230 West Sunset Street, Springfield, Missouri, United States of America, 65807 · Department: · 1722 CoxHealth NetworkScheduled Weekly Hours: · 40Hours: · 8:00 AM – 5:00 PMWork Shift: · Day Shift (United States of America)CoxHealth is a leading healt ...

Job description

Facility:

Sunset Building: 2230 West Sunset Street, Springfield, Missouri, United States of America, 65807

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 by Newsweek.
• Recognized as a Greatest Workplace for Women in both 2023 and 2024.
• Listed as one of the Greatest Workplaces for Diversity in 2024.
• Acknowledged by Forbes as one of the Best Employers for New Grads.
• Ranked among the Best Employers by State for Missouri.​
• Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

Benefits

• Medical, Vision, Dental, Retirement Plan with employer match, and many more
• For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description:

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. This position is responsible for organizing, preparing and analyzing financial and other data for improved business intelligence. Develop a managed care contract reimbursement tracking system. Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process. Primary manager of contract management system; serves as payor customer service liaison; manage/supervise staff; analyzes healthcare laws and their effects on existing CoxHealth Network "CHN" policies, procedures and managed care contracts. Able to organize, prioritize and multi-task to execute projects and day to day work flow.Education:
Required: A Bachelor's Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience
Experience:
Required: 3 years' experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field
Skills:
Must have effective negotiating skills and above average knowledge of the current managed care environment. Local market knowledge preferred
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
key, memory typewriter and copier
Knowledge of Excel, Word, Access and Power Point software applications
Licensure/Certification/Registration:
N/A