Provider Contracting Business Analyst

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.