Provider Contractor - Specialist at Prime Health Services

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.

• 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.

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).

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

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 

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