Provider Contracting Specialist

Provider Contracting Specialist (Healthcare Network Development)

Location: Franklin TN (In-Office)

Were seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare this role you will identify recruit and negotiate agreements with physicians provider groups and ancillary facilities to join our PPO network.

This position is ideal for someone who enjoys relationship-building negotiation and working in a fast-paced healthcare environment with measurable goals.

What Youll Do

• Recruit and onboard healthcare providers (physicians facilities ancillary providers) into the PPO network
• Negotiate reimbursement rates and contract terms aligned with company and regulatory guidelines
• Manage contracting activities within assigned geographic regions
• Build and maintain strong relationships with provider offices and group administrators
• Support network expansion initiatives including specialty networks and client-specific projects
• Analyze proposed reimbursement rates to ensure alignment with internal guidelines
• Track progress and maintain accurate records in internal systems
• Participate in outreach campaigns via phone email and targeted initiatives
• Resolve provider contract issues and escalate as needed
• Collaborate with internal stakeholders to execute contracts efficiently

What Were Looking For

• Bachelors degree in Business Healthcare Administration Communications or a related field (or equivalent experience)
• 1 year of experience in healthcare managed care or provider contracting
• Strong communication and negotiation skills
• Ability to manage multiple priorities in a deadline-driven environment
• Analytical mindset with attention to detail
• Proficiency with Microsoft Office tools (Excel Word Outlook)
• Self-motivated adaptable and comfortable working with performance goals and metrics

What Sets You Apart

• Experience with provider network development or payer contracting
• Familiarity with workers compensation group health or liability networks
• Background in healthcare sales recruiting or provider relations

Why Join Us

• Opportunity to play a direct role in expanding a national healthcare network
• Exposure to contract negotiation and healthcare economics
• Clear path for growth into Network Development or Contracting Leadership roles
• Collaborative team-oriented environment
• Competitive compensation with performance expectations

Work Environment

• Office-based role with occasional travel for provider meetings as needed
• Fast-paced goal-oriented team environment

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.