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Entry Level Provider Network Development Jobs in Tennessee

Apex Systems

Network Analyst

Brentwood, TN · Hybrid

$45 - $55/hr

Job#: 3034664 The Network Analyst plays a critical role in ensuring the organization's computer ... In terms of professional development, Everforth Apex hosts an on-demand training program, provides ...

Magnolia Acquisitions Inc

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Client Representative - Entry Level Sales

Seymour, TN · On-site

$60K - $80K/yr

Participate in ongoing training focused on leadership, communication, and business development ... No prior experience required - we provide full training! What We Offer at Magnolia Acquisitions:

Magnolia Acquisitions Inc

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Client Representative - Entry Level Sales

Seymour, TN · On-site

$60K - $80K/yr

Participate in ongoing training focused on leadership, communication, and business development ... No prior experience required - we provide full training! What We Offer at Magnolia Acquisitions:

Aga Khan Development Network

$59.90K - $80.90K/yr

... provide a rich opportunity for both teachers and students alike to grow both professionally and personally. The first Aga Khan Academy opened in Mombasa, Kenya in 2003. This was followed by an ...

Titan Logic

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Entry Level Marketing

Nashville, TN · On-site

$37K - $55K/yr

Provide daily feedback to your team lead and weekly reports to the account manager on all KPIs ... Travel for networking events every 2-3 months * Lead monthly presentations to track team progress

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Entry Level Provider Network Development information

What are the key skills and qualifications needed to thrive as an Entry Level Provider Network Development professional, and why are they important?

To thrive as an Entry Level Provider Network Development professional, you need a basic understanding of healthcare systems, strong analytical skills, and a bachelor's degree in healthcare administration, business, or a related field. Familiarity with provider management software, claims processing systems, and proficiency in Microsoft Excel are commonly required technical competencies. Strong interpersonal communication, negotiation skills, and attention to detail help you build relationships with providers and manage contracts effectively. These skills are crucial for ensuring robust provider networks, supporting organizational goals, and maintaining compliance with regulatory requirements.

What are some common challenges faced by entry level professionals in provider network development, and how can they overcome them?

Entry level professionals in provider network development often face challenges such as building relationships with healthcare providers, navigating complex insurance regulations, and quickly learning industry terminology. To overcome these hurdles, it helps to proactively seek mentorship from experienced colleagues, attend trainings or workshops, and regularly review internal documentation and industry guidelines. Strong communication skills and a willingness to ask questions can also make it easier to collaborate with team members and external partners, leading to greater confidence and success in the role.

What is an Entry Level Provider Network Development role?

An Entry Level Provider Network Development role involves assisting in building and maintaining relationships between healthcare providers and health insurance companies. Professionals in this position help with tasks such as recruiting new providers, ensuring contract compliance, and gathering necessary documentation. They support the network team by performing data entry, preparing reports, and communicating with providers to resolve any issues. This role serves as a foundation for understanding the healthcare network process and often provides opportunities for career growth within the industry.

What is the difference between Entry Level Provider Network Development vs Entry Level Provider Relations Coordinator?

AspectEntry Level Provider Network DevelopmentEntry Level Provider Relations Coordinator
CredentialsTypically requires a bachelor's degree in healthcare, business, or related fieldSimilar educational background, often with healthcare or business focus
Work EnvironmentFocuses on building and managing provider networks, analyzing data, and strategic planningCenters on maintaining provider relationships, communication, and resolving provider issues
Employer & Industry UsageUsed in health insurance companies, managed care organizations, and healthcare networksCommon in insurance companies, healthcare providers, and provider organizations

While both roles involve healthcare provider interactions, Entry Level Provider Network Development emphasizes network expansion and strategic planning, whereas Entry Level Provider Relations Coordinator focuses on maintaining provider relationships and communication. Both roles require similar educational backgrounds and are vital in healthcare organizations, but they differ in daily responsibilities and focus areas.

What are the most commonly searched types of Provider Network Development jobs in Tennessee? The most popular types of Provider Network Development jobs in Tennessee are:
What cities in Tennessee are hiring for Entry Level Provider Network Development jobs? Cities in Tennessee with the most Entry Level Provider Network Development job openings:
Entry Level Provider Network Development jobs near you
Provider Contractor - Specialist

Provider Contractor - Specialist

Prime Health Services

Franklin, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Job Type
Full-time
Description
Provider Network Contracting Specialist
Location: Franklin, TN
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.
What You'll Do
  • 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.

Requirements
What We're Looking For
  • 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).

Why You'll Love Working Here
At Prime Health Services, you'll be part of a growing team that values collaboration, creativity, and connection. We're proud of our inclusive and engaging culture - one that celebrates wins and supports your professional growth.
We offer:
  • 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

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.
Keywords: Provider Network Contracting Healthcare Network Managed Care Provider Relations Network Development Value-Based Care Provider Engagement

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