Corporate Contract Administrator

Nexus Health Systems; Houston (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Nexus Health Systems seeks a Corporate Contract Administrator to manage and negotiate out-of-network single case agreements, LOAs, and payer contracts to improve access and reimbursement. You will collaborate with executives, clinical leadership, and finance to align service scope and authorization requirements.

The role requires 2+ years in healthcare contracting, strong negotiation, and detailed record-keeping, with a focus on timely execution and audit readiness.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field preferred.
• 2+ years of experience in healthcare contracting, payer relations, or revenue cycle operations.

Responsibilities

• Negotiate and secure SCAs with commercial, Medicaid, and out-of-state payors to support access and financial sustainability.
• Negotiate and secure LOAs and payer agreements to prevent delays in patient access and revenue recognition.
• Assist with facility credentialing needs such as application, follow-up, and finalization.
• Proactively 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 data gathering, 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 and audit readiness.
• Ensure compliance with credentialing and payer requirements to guarantee enforceable agreements.
• Collaborate with internal stakeholders to align service scope, reimbursement rates, and authorization requirements.
• Support departmental initiatives and projects assigned by the Director of Network Management.

Skills

Negotiation

Communication

Attention to detail

Problem-solving

Education

Bachelor's degree in Healthcare Administration, Business, or related field

Tools

Microsoft Office

Payer portals

EMR systems

Job description

JOB TITLE: Corporate Contract Administrator

REPORTS TO: Director of Network Management

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.
• Assist with facility credentialing needs such as application, follow‑up, and finalization.
• 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.
• Understanding of payor credentialing process

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.

PHYSICAL DEMANDS / WORK ENVIRONMENT

• Regular use of computer, phone, and office equipment.
• Specific vision requirements for screen‑based work.
• Minimal lifting required.
• Regular attendance and punctuality required.