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Provider Contractor - Specialist

Prime Health Services

Franklin, TN

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JOB DETAILS
SKILLS
Analysis Skills, Benchmarking, Campaigns, Communication Skills, Contract Management, Contract Negotiation, Cost Control, Customer Support/Service, Data Analysis, Dental Insurance, Documentation, Gaming, Government, Healthcare, Healthcare Administration, Healthcare Providers, Healthcare Quality, Incentive Programs, Insurance, Maintain Compliance, Managed Care, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Organizational Skills, Preferred Provider Organization (PPO), Presentation/Verbal Skills, Problem Solving Skills, Provider Contracting, Provider Relations, Record Keeping, Regulations, Reimbursement, Team Player, Time Management, United States Public Health Service, Vision Plan, Writing Skills
LOCATION
Franklin, TN
POSTED
2 days ago
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 




PIf95c5aeeff1e-25401-38564198

About the Company

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Prime Health Services