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COCoxhealth logo

Coxhealth

CoxHealth Plans, United States of America

Medical Resource Specialist.

REMOTE
Facility: CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807 Department: 1754 CHP Medical Department Scheduled Weekly Hours: 40 Hours: 8a-5p 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 Medical Resource Specialist (MRS) is responsible for performing the administrative duties associated with services required by the Nurse Reviewer (NR) for the utilization process and other department procedures. The MRS role serves as a liaison between Cox HealthPlans (CHP), providers, and the member to ensure that requests have been processed in an accurate and timely manner. The role functions to promote effective utilization of product lines in accordance with the plan provisions and department guidelines while minimizing unfavorable expenditures. Note: The Medical Department requires its entire staff to carry out their duties in an accurate, timely, and professional manner.Education: ▪ Required: High School Diploma or Equivalent Required Experience: ▪ Preferred: 3-5 Years Related Experience Skills: ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter, highly motivated, and ability to work on multiple tasks with multiple deadlines ▪ Fluent in all typical office software programs (Word, Excel, and PowerPoint) ▪ Excellent typing skills ▪ Knowledge of basic medical terminology ▪ Strong phone skills ▪ Excellent organizational skills Licensure/Certification/Registration: ▪ N/A Looking for Physician Opportunities? Please follow this link. Are you ready to make a meaningful impact in your community? At CoxHealth, we don’t just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non-clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients. OUR MISSION To improve the health of the communities we serve. OUR VISION To be the best for those who need us. OUR VALUES Safety, compassion, respect, and integrity. Join our Talent Network and our recruitment team will get in touch if there's a role that seems like a good match. CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.
Pay
Not stated
Where
CoxHealth Plans, United States of America
Work
Remote
Type
Not stated
Posted
26 Oct, 2026
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