Provider Contractor - Specialist

Job Description

Job Description

Description :

Provider Network Contracting Specialist

Location : Franklin, TN - Hybrid

Department : Network Development

Reports To : VP of Network Development

Want to help shape how care reaches thousands of people across the U.S.?

At Prime Health Services , we’re expanding our nationwide PPO network and looking for a Provider Network Contracting Specialist who’s confident, relationship-driven, and ready to make an impact.

In this role, you’ll connect with physicians, provider groups, and healthcare facilities to negotiate contracts that support accessible, affordable, high-quality care. You’ll analyze rates, ensure compliance, and build long-term partnerships that benefit both providers and patients.

What You’ll Do

• Reach out to providers via phone, email, or campaigns to discuss joining the Prime Health Services (PHS) PPO network.
• Negotiate contract terms, payment rates, and reimbursement structures for new and existing providers in alignment with company and regulatory guidelines.
• Manage provider contracting activity within assigned regions and specialty projects.
• Review and analyze rate data to ensure contracts meet established cost and quality benchmarks.
• Collaborate with internal teams to prepare accurate and complete contract documentation.
• Maintain organized records and progress updates in PHS’ proprietary database.
• Build and sustain positive, professional relationships with providers throughout the contracting process.
• Assist with resolving provider and client contract-related questions or escalations.

Requirements :

What We’re Looking For

Why You’ll Love Working Here

At Prime Health Services, you’ll be part of a growing team that values collaboration, creativity, and connection. We’re proud of our inclusive and engaging culture — one that celebrates wins and supports your professional growth.

We offer :

About Prime Health Services

Since 2001, Prime Health Services (PHS) has been a leader in medical cost containment and provider network development. Our nationwide PPO Network supports insurance carriers, TPAs, self-insured employers, and government entities with tailored, tech-driven solutions that deliver quality healthcare at discounted rates .

Keywords : Provider Network | Contracting | Healthcare Network | Managed Care | Provider Relations | Network Development | Value-Based Care | Provider Engagement

PId382a4cd49b7-25405-38564198