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 HereAt 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 InsuranceCompany-paid Short-Term Disability, Long-Term Disability, and Group Term Life Insurance160 hours (4 weeks) of PTO with rollover and cash-out options401K with employer contributionsFitbit wellness program with monetary rewardsEmployee recognition and incentive programsA collaborative, fun workplace - from coffee bars and smoothie stations to potlucks, gaming tournaments, and even a company carnival About Prime Health ServicesSince 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.
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