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Prime Health Services, Inc. · 8 hours ago

Provider Contractor - Specialist

Franklin, Tennessee

Full-time

Hybrid

Entry Level

1+ years exp

Prime Health Services is a leader in medical cost containment and provider network development, and they are seeking a Provider Network Contracting Specialist. In this role, you will negotiate contracts with healthcare providers and ensure compliance while building long-term partnerships that support accessible and affordable care.

Alternative MedicineHealth CareInsuranceMedical

Responsibilities

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

Qualification

Managed care contractingHealthcare network developmentProvider relationsContract negotiationMicrosoft Office SuiteCustomer service mindsetCommunication skillsTime managementOrganizational skillsProblem-solving abilities

Required

Bachelor's degree in Communications, Business, Healthcare Administration, or related field — or equivalent 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)

Benefits

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

Company

Prime Health Services, Inc.

Prime Health Services is a leading national Preferred Provider Organization (PPO) network offering innovative, technology-driven cost containment solutions.

Founded in 1996

Brentwood, Tennessee, USA

201-500 employees