Provider Contracting Specialist
Prime Health Services, Inc.
About this position Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We’re seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In 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 You’ll 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 elevate as needed Collaborate with internal stakeholders to execute contracts efficiently Requirements: What We’re Looking For Bachelor’s 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 . #J-18808-Ljbffr Prime Health Services
$44.2k - $65k
...the toxic money culture for good.Our Mission: Ramsey Solutions provides biblically based, commonsense education and empowerment that... ...curriculum can reach more students. The person in this role manages contracts and legal documents, works closely with the legal team,...SuggestedContract workWork at officeRelocation packageFlexible hours- EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading... ...years. Position Summary The Provider Enrollment Specialist, Medicaid, has primary responsibility for oversight and...SuggestedFlexible hours
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$91.7k - $163.7k
...United StatesSalary: $91,700 - $163,700/yearJob Area: Network Contracting & PricingCompany: UnitedHealth GroupAt UnitedHealthcare, we're... ...for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial...SuggestedMinimum wageFull timeContract workWork experience placementLocal areaRemote work- 92F - Petroleum Supply Specialist - New Cash Bonus Job Overview: You will be instrumental... ...petroleum-based products. Your position provides an opportunity for honing technical... ...successful completion of first term contract, you are guaranteed up to 5 interviews with...SuggestedContract workPart timeImmediate startRelocation packageFlexible hours
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$49.2k - $86.25k
.... We call this commitment Chamberlain Care®—our dedication to providing students with the tools and resources to succeed while immersed... ...Collaborating with academic partners, faculty and staff, the Specialist provides strategies and academic reinforcement to students throughout...Full timeWork at officeWorldwideFlexible hours- OverviewNow Hiring: Contract Account ManagerRemote in USAFull Time: Monday - FridayOur Benefits: Comprehensive Medical, Dental, & Vision... ...treatment for opioid use disorder (OUD). As the leading provider of medication-assisted treatment (MAT) in the nation, we care for...Contract workTemporary workLocal area
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$147.3k - $245.5k
Senior Director, Resource Planning & Operations AnalyticsJob SummaryThe Senior Director, Resource Planning & Operations Analytics provides enterprise leadership for the integrated resource management function, encompassing Workforce Management and Operations Analytics....Full timeTemporary workLocal areaWork from home- Job Description:NOTE: Fidelity will not provide immigration sponsorship for this positionTo be eligible for consideration of this role... ...sites: Franklin and Nashville - West End.The RoleAs a Trading Specialist, you will support investors with a broad range of trading,...Full timeRemote work
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- ...EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-... ...for the last eleven years. Position Summary The Revenue Specialist, Medicaid ensures proper submission and adjudication of all claims...Flexible hours
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$70k - $150k
...stability. As a thriving Nashville team with over 100 closings this year, we are proud to be transitioning into a Zillow Preferred team, providing you with genuine opportunities and leadership to elevate your career. Here, achieving at least one closing per month is our...Full time- ...Program Specialist 1 PMOLocation(s): Franklin, TNJob Schedule: Full-time – Hybrid - in office Monday-ThursdayEducation Requirement: Bachelor... ...a manner consistent with these laws.It is Nissan's policy to provide Equal Employment Opportunity (EEO) to all persons regardless...Permanent employmentFull timeWork at officeLocal area
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$25.25 per hour
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- ...for $1M+ savings opportunitiesManage full contract lifecycle: draft, redline, negotiate T&... ...Health is a leading multispecialty provider of in-home, evidence-based care for the... ...employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology...Contract workFlexible hours
- ...NexGen Contracting Overview NexGen Contracting, the self-perform arm of Gray, is based in Franklin, TN, and specializes in executing... ...start to finish. Gray is a fully integrated, global service provider deeply rooted in engineering, design, and construction, along...For subcontractorWork at office
$725 per month
...Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short... ...Procurement processes to ensure that suppliers are selected and, or contracts executed that meet the needs of Brookdale communities and...Hourly payFull timeContract workTemporary workPart timeLocal areaFlexible hoursShift workNight shiftAfternoon shift- ...movement of goods worldwide. As a global third-party logistics provider (3PL), we power A Better Way to Deliver for the world's top... ...Flowcharts, policies, and proceduresMaintain knowledge of Purchasing contracts, purchasing processes-Workflows and best practicesProcess...Worldwide
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