Healthcare Contracting Specialist

3 days ago


Franklin, Tennessee, United States Prime Health Service Inc Full time
About the Role

We are seeking an experienced Healthcare Contracting Specialist to join our team at Prime Health Services Inc. This is a key role in identifying, recruiting, and negotiating contracts with individual physicians, provider groups, ancillary facilities, and other medical provider groups to join our PPO network.

Job Summary

The ideal candidate will have a strong background in managed care contracting, excellent communication skills, and the ability to work effectively in a collaborative environment.

This role offers a competitive salary of $65,000 - $90,000 per year, depending on experience, plus benefits including medical insurance, dental insurance, vision insurance, short-term and long-term disability, group term life insurance, and a 401(k) plan.

Key Responsibilities
  • Negotiate payment rates and payment terms for new and existing contracts within corporate requirements, including terms and conditions associated with state or federal guidelines.
  • Perform data analytics of proposed rates to ensure contracts for new and existing providers align with defined contracting guidelines.
  • Manage and oversee assigned contracting tasks for specified geographic regions.
  • Establish and maintain productive professional relationships with the provider community.
Requirements
  • Bachelor's degree in Communications/Business or related field of study from an accredited college or university, or equivalent experience required.
  • Minimum 2+ years of direct/indirect experience and/or proven contracting performance.
  • Managed care contracting experience and/or healthcare experience preferred.
Benefits

Our company offers a range of benefits to support your physical and mental well-being, including:

  • Medical insurance (high deductible plan with an HSA)
  • Dental insurance
  • Vision insurance
  • Short-term and long-term disability paid by the company
  • Group term life paid by the company
  • PTO - 160 hours (4 weeks) with the ability to roll over 40 hours and cash out 40 hours at the end of the year
  • Fitbit program with monetary rewards
  • Employee recognition programs with monetary rewards
  • Corporate office amenities - specialty coffee machines, assorted tea options, smoothie bar, collaborative workspaces, fruit provided by company and an onsite market


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