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Provider Contractor - Specialist
Provider Contractor - SpecialistPrime Health Services • Franklin, Tennessee, United States, 37064
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Provider Contractor - Specialist

Provider Contractor - Specialist

Prime Health Services • Franklin, Tennessee, United States, 37064
30+ days ago
Job type
  • Full-time
  • Quick Apply
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

  • Education : Bachelor’s degree in Communications, Business, Healthcare Administration, or related field — or equivalent experience.
  • Experience : 1+ year in managed care contracting, healthcare network development, or provider relations.
  • Excellent written and verbal communication skills.
  • Strong time management, organizational, and problem-solving abilities.
  • Comfortable working in a collaborative, fast-paced, and deadline-driven environment.
  • Flexible, proactive, and self-motivated with a customer service mindset.
  • Proficient in Microsoft Office Suite (Excel, Word, Outlook).

    • 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 :

  • Medical, Dental, and Vision Insurance
  • Company-paid Short-Term Disability, Long-Term Disability, and Group Term Life Insurance
  • 160 hours (4 weeks) of PTO with rollover and cash-out options
  • 401K with employer contributions
  • Fitbit wellness program with monetary rewards
  • Employee recognition and incentive programs
  • A collaborative, fun workplace — from coffee bars and smoothie stations to potlucks, gaming tournaments, and even a company carnival

    • 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

    PIb24e1751105e-26276-38564198

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    Provider Specialist • Franklin, Tennessee, United States, 37064