POSITION SUMMARY:
The Corporate Contract Administrator manages and negotiates out-of-network single case agreements to support access and reimbursement for non-contracted patient care. This position ensures agreements are executed in a timely, accurate manner and in collaboration with internal and external stakeholders as well as working on making the turn around time to treating patients quicker with the use of Letters of Agreements and becoming par providers.
JOB SPECIFIC RESPONSIBILITIES:
• Negotiate and secure SCAs with commercial, Medicaid, and out-of-state payors in a timely and accurate manner, ensuring agreements support both patient access and financial sustainability.
• Negotiate and secure LOAs and payer agreements in a timely and accurate manner to prevent delays in patient access and revenue recognition.
• Proactively work to increase LOA volume and streamline approval turnaround times.
• Track agreement lifecycles to prevent funding gaps and ensure continuity of coverage.
• Assist Director in developing strategies to bring additional payers or programs in-network.
• Provide support during payer negotiations, including gathering data, benchmarking rates, and preparing contract documentation.
• Partner with CEOs, clinical leadership, Utilization Review, and Finance to align service scope, reimbursement terms, and prior authorization requirements.
• Maintain proactive communication with payer case managers and contracting representatives to expedite agreements and resolve issues pre- and post-admission.
• Maintain accurate records of all agreements, negotiations, and outcomes to support transparency, audit readiness, and leadership oversight.
• Ensure compliance with credentialing and payer requirements to guarantee enforceable agreements.
• Collaborate with internal stakeholders—including CEOs, clinical leadership, Utilization Review, and Finance—to align service scope, reimbursement rates, and authorization requirements.
• Support departmental initiatives and projects assigned by the Director of Network Management.
POSITION QUALIFICATIONS:
EDUCATION:
• Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
EXPERIENCE:
• 2+ years of experience in healthcare contracting, payer relations, or revenue cycle operations.
• Prior experience negotiating SCAs or managing out-of-network payor arrangements preferred.
Skills:
• Strong negotiation and problem-solving abilities.
• Excellent communication and interpersonal skills for payer and internal collaboration.
• High attention to detail and organizational skills.
• Proficient in Microsoft Office, payer portals, and EMR systems.
INTERPERSONAL RELATIONSHIPS
The Corporate Contract Administrator must maintain professionalism, persistence, and diplomacy when engaging with payors and internal stakeholders. Collaboration and timely communication are essential to support patient access and financial performance.
Embody the personal talents of Genuineness, Ownership, Positivity, Teamwork, Innovation, and Compassion for working with our patients. This position serves as a member of the overall team and is required to maintain a positive attitude towards all team members, patients, residents, visitors, contractors, vendors, and others. This position must also function as a positive supporter of the company and facility policies and procedures following the management team's lead and the administrative team—excellent verbal and written communication skills with exceptional attention to detail. The individual must be a self-starter, with critical thinking skills and teaching skills.
PHYSICAL DEMANDS/WORK ENVIRONMENT
The physical demands and work environment described herein are representative of those that generally must be met by an employee to perform the essential functions of this job successfully:
• Regular use of computer, phone, and office equipment.
• Specific vision requirements for screen-based work.
• Minimal lifting required.
• Regular attendance and punctuality required.
• This position primarily involves standing, walking, twisting, reaching, bending/stooping, pushing, pulling, and lifting to transfer patients daily.
• This position requires using the arm, leg, and back muscles frequently and for extended periods and involves both hands and legs regularly.
• This position requires regular work with equipment and movable parts.
• This position requires work with hands in water and occasionally with or near chemicals.
• Must be able to continuously deal effectively with stress created by residents, multiple tasks, noises, interruptions, and work cooperatively as part of the health care team while maintaining a pleasant attitude.
• Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.