Provider Contractor - Specialist

Prime Health Services • Franklin, TN

4d • Hybrid

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.

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).

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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 51-100 employees