Provider Network Growth Specialist

Prime Health Services

Franklin (TN)

On-site

USD 60,000 - 90,000

Full time

3 days ago
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Job summary

Prime Health Services is seeking a Provider Contracting Specialist to expand our national PPO network. You will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join the network.

The role emphasizes relationship-building, strategic negotiation, and performance-driven results in a fast-paced healthcare environment. Office-based with travel as needed.

Qualifications

  • Bachelor's degree in Business, Healthcare Administration, Communications, or related field.

Responsibilities

  • 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

Skills

Communication
Negotiation
Relationship-building
Analytical mindset
Multi-tasking

Education

Bachelor's degree

Tools

Excel
Word
Outlook

Job description

Prime Health Services is seeking a Provider Contracting Specialist to expand our national PPO network. You will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join the network.

The role emphasizes relationship-building, strategic negotiation, and performance-driven results in a fast-paced healthcare environment. Office-based with travel as needed.

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