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Provider Contract Jobs in Tennessee (NOW HIRING)

L3Harris Technologies

Principal, Contracts

Nashville, TN · On-site

... provide strategic business, contractual, and risk mitigation guidance across the full contract lifecycle for DCS, international commercial contracts. This individual will lead cross-functional teams ...

L3HHCM20

Principal, Contracts

Nashville, TN · On-site +1

$86K - $115K/yr

... provide strategic business, contractual, and risk mitigation guidance across the full contract lifecycle for DCS, international commercial contracts. This individual will lead cross-functional teams ...

Hatch

Contracts Coordinator

Nashville, TN

... provide contract coordination services following corporate guidelines, procedures, Vale values, principles and policies. Additionally, the Site Contracts Coordinator will be responsible for the ...

Hatch

Contracts Coordinator

Nashville, TN

... provide contract coordination services following corporate guidelines, procedures, Vale values, principles and policies. Additionally, the Site Contracts Coordinator will be responsible for the ...

Hatch

Contracts Coordinator

Nashville, TN · On-site

... provide contract coordination services following corporate guidelines, procedures, Vale values, principles and policies. Additionally, the Site Contracts Coordinator will be responsible for the ...

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All JobsProvider Contract JobsProvider Contract Jobs in Tennessee

Provider Contract information

What is a provider contract?

A provider contract is a formal agreement between a healthcare provider, such as a doctor or hospital, and a health insurance company or managed care organization. This contract outlines the terms under which the provider will deliver medical services to insured members, including reimbursement rates, covered services, and billing procedures. Provider contracts help ensure that patients receive agreed-upon care at predetermined costs and establish the responsibilities of both the provider and the insurer. These agreements are essential for maintaining a network of healthcare professionals who serve plan members.

What is the difference between Provider Contract vs Medical Billing Specialist?

AspectProvider ContractMedical Billing Specialist
CredentialsTypically requires healthcare administration, legal, or business certificationsRequires coding, billing, and healthcare reimbursement certifications
Work EnvironmentHealthcare facilities, insurance companies, or legal officesMedical offices, billing companies, or healthcare providers
Industry UsageUsed in healthcare contracting, negotiations, and legal agreementsUsed in processing insurance claims and patient billing

While Provider Contract specialists focus on creating and managing agreements between healthcare providers and payers, Medical Billing Specialists handle the coding and submission of claims for reimbursement. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What are some common challenges faced by professionals in provider contract roles, and how can they be addressed?

Professionals in provider contract roles often encounter challenges such as navigating complex regulatory requirements, ensuring contract compliance, and balancing the interests of both healthcare providers and payers. Additionally, they may need to negotiate terms that are both competitive and sustainable for their organization. These challenges can be addressed by staying up-to-date with industry regulations, developing strong negotiation and communication skills, and fostering collaborative relationships with internal legal, compliance, and finance teams.

What are the key skills and qualifications needed to thrive as a provider contract specialist, and why are they important?

To excel as a Provider Contract Specialist, you need strong analytical abilities, knowledge of healthcare regulations, contract negotiation skills, and typically a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, healthcare reimbursement systems, and proficiency in Microsoft Office are commonly required. Excellent attention to detail, communication, and relationship-building skills help you collaborate effectively with providers and internal stakeholders. These competencies ensure accurate contract execution, regulatory compliance, and mutually beneficial agreements in a complex healthcare environment.
What are the most commonly searched types of Provider jobs in Tennessee? The most popular types of Provider jobs in Tennessee are:
Provider Contract jobs near you

Provider Contracting Specialist

Prime Health Services, Inc.

Franklin, TN

Other

Re-posted 19 days ago

Job description

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 escalate 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.

Apply