Provider Contractor - Specialist

Remote Full-time
About the position 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. 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. Requirements • 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). 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 Apply tot his job
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