Provider Contracting Business Analyst

Prime Inc.
Franklin, TN, United States
about 1 month ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Job source

Tech stack

Microsoft Word Microsoft Excel Data Analysis Microsoft Outlook Microsoft Office Pivot Tables Microsoft PowerPoint Microsoft SharePoint Tools for Reporting

Job description

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., * 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

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!, * 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.

Benefits & conditions

Pulled from the full job description

  • Health insurance
  • Paid time off
  • Vision insurance
  • Health savings account
  • Dental insurance
  • Life insurance
  • Disability insurance, * 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 the company

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.

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