Provider Contracting Specialist
Prime Health Service Inc
About this position Description: 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
$50k
...pride and gratitude for serving the needs of the public. The Contracts Specialist is responsible for a wide variety of contracting duties,... ...issuer. Responsible for assisting with Grant Compliance by providing payment information to the grant administrator regarding...SuggestedContract workFor contractorsFor subcontractorWork at office$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- ...impact the world. As part of Detection and Measurement, Aids to Navigation, including Flash, Sabik Marine and Sealite, are leading providers of lighting and navigational aids for the marine, obstruction, and airfield end markets. Offering the broadest portfolio of...Suggested
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$44.2k - $65k
...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,...Contract workWork at officeRelocation packageFlexible hours- ...other discounts, perks and more What We're Looking For: The Contract Administrator, working in close cooperation with the Contract... ...Maintain tracking database to closely monitor and provide relevant updates concerning all contracts, which generally includes...Contract workWork at officeLocal areaFlexible hours
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$19.08 - $21.84 per hour
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...Reimbursement Specialist Brief description The Reimbursement Specialist ensures accurate and compliant reimbursement processes... ...and reimbursement discrepancies. Reviews information provided by payers regarding the reimbursement for goods and services,...Hourly payWork at office- EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading... ...last eleven years. Position Summary The Revenue Specialist - Veteran's Administration acts as the liaison between key...Flexible hours
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$24 - $26 per hour
...Accounts Payable Specialist Franklin, TN | 100% Onsite (Monday-Friday) | Contract-to-Hire Soni's client is seeking an experienced Accounts Payable Specialist... ...and assist with escheatment processes Provide exceptional customer service to internal and external...Permanent employmentContract workRemote workMonday to Friday$725 per month
...benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and...Hourly payFull timeTemporary workPart timeFlexible hours$725 per month
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$25 - $29 per hour
...regulations, wherein the company operates. The target pay range for this position is $25.00-$29.00 an hour. What you'll do: • Provides training, creates and updates Policy & Procedures, and reviews control reports to ensure overall quality and performance of the...Extra incomeWork experience placementWork from home$50 - $55 per hour
...A security services provider based in Tennessee seeks an Executive Protection Agent responsible for ensuring client safety and conducting threat assessments. Candidates must have at least 5 years in law enforcement or military and possess relevant certifications. The...Hourly payFlexible hours- ...Assists Category Manager/ Category Specialist in day-to-day tasks; Obtains supplier... ...carriers as dictated how services were contracted; Works in conjunction with Category... ...Disclaimer: Prinova is committed to providing equal opportunities without regard to race...Temporary workWork experience placement
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