Provider Contractor Specialist
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Job Location:
Franklin, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
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 were expanding our nationwide PPO network and looking for a Provider Network Contracting Specialist whos confident relationship-driven and ready to make an impact.
In this role youll connect with physicians provider groups and healthcare facilities to negotiate contracts that support accessible affordable high-quality care. Youll analyze rates ensure compliance and build long-term partnerships that benefit both providers and patients.
What Youll 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.
What Were Looking For
- Education: Bachelors 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 Youll Love Working Here
At Prime Health Services youll be part of a growing team that values collaboration creativity and connection. Were 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
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Prime Health Services streamlines healthcare with advanced technology and an integrated PPO network, helping organizations reduce costs and improve efficiency.
