Provider Contracting Business Analyst
Prime Health Services, Inc. · Franklin, Tennessee, United States
Insurance · 201-500 employees
About the role
The Provider Contracting Business Analyst will manage contracting processes, maintain tracking systems, and analyze data trends to support network development. They will also collaborate with internal departments to ensure compliance and provide training for contracting staff.
What they look for
Requirements
Candidates must hold a bachelor's degree in healthcare administration, business, or a related field. Proficiency in Microsoft Office, particularly advanced Excel skills, and prior experience in healthcare are preferred.
Benefits
Full description
Description
Join Our Team as a Provider Contracting Business Analyst!
Are you detail-oriented, analytical, and passionate about improving processes? Do you thrive in a collaborative environment where your work directly impacts organizational success? If so, Prime Health Services (PHS) wants YOU on our team!
As a Provider Contracting Business Analyst, you’ll manage contracting reports, analyze data trends, and support the VP of Network Development in optimizing provider contracting processes. You’ll play a key role in maintaining accurate data, developing reporting tools, and ensuring compliance with company policies—all while collaborating with multiple departments.
What You’ll Do
- Manage all aspects of contracting processes and assist in developing department resource documents.
- Oversee maintenance of the Master Tracker and other tracking systems for accurate reporting.
- Maintain contractor metrics and departmental scorecards.
- Communicate updates, changes, and process improvements to the contracting team.
- Research and secure current reimbursement data for all products and provider types.
- Develop reporting data detailing Provider Contracting trends weekly, monthly, and quarterly.
- Assist with onboarding and training new contracting employees.
- Maintain contracting data on company drives and SharePoint.
- Collaborate with VP of Network Development, Compliance, and HR to ensure training materials are current.
Requirements
What We’re Looking For
- Education: Bachelor’s degree in healthcare administration, business, or related field.
- Experience: Prior work experience in healthcare and knowledge of healthcare regulations/policies preferred.
- Technical Skills: • Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
- Advanced Excel skills (including Pivot tables).
- Familiarity with contract management software preferred.
- Competencies: • Strong organizational and time management skills.
- Ability to work collaboratively and manage a demanding workload.
- Critical thinking and analytical skills.
- Excellent communication skills (verbal and written).
- Professional, customer-focused demeanor.
Why You'll Love Working at PHS
- Medical Insurance (high-deductible plan with HSA)
- Dental and Vision Insurance
- Company-paid short-term & long-term disability
- Company-paid group term life insurance
- Generous PTO policy
- Employee recognition programs
- Corporate office amenities
- Frequent employee events
About Prime Health Services Prime Health Services (PHS) is a national medical cost containment company specializing in customized PPO network solutions. Since 2001, we’ve partnered with insurance carriers, TPAs, self-insured groups, and government entities to deliver high-quality healthcare access at discounted rates. Our technology-driven approach allows us to provide fast, flexible, and dependable service to our clients while supporting a collaborative, employee-focused workplace.