Strategic Relationships Business Analyst at Prime Health Services, Inc.

Franklin, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Mar, 26

Salary

0.0

Posted On

06 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Analytical Skills, Attention To Detail, Organizational Skills, Time Management, Customer Service, Communication Skills, Presentation Skills, Critical Thinking, CRM Software Proficiency, Business Intelligence Tools, Microsoft Office Suite, A/R Processes, A/P Processes, Provider Reimbursement Methodologies, Claims Data Analysis

Industry

Insurance

Description

Description Join Our Team as a Strategic Relationships Business Analyst! Do you thrive on building strong partnerships and ensuring operational excellence? Are you detail-oriented, analytical, and ready to make an impact in a fast-paced healthcare environment? If so, Prime Health Services (PHS) wants YOU on our team! As a Strategic Relationships Business Analyst, you’ll provide administrative, operational, and analytical support for our PPO network subcontracts and strategic partner relationships. You’ll work closely with the Vice President of Strategic Relationships to maintain compliance, optimize processes, and deliver exceptional service to our partners. What You’ll Do Manage day-to-day administration of PPO sub-networks and partner relationships. Maintain accurate contract details and relationship data in CRM systems. Coordinate network disruptions, provider updates, and related communications. Generate utilization reports and ad hoc analyses for sub-networks and partners. Monitor delegated credentialing requirements and ensure compliance. Organize and track security and compliance documentation (SOC reports, HITRUST, etc.). Support reconciliation of A/R and A/P related to network administration. Assist in preparing materials for partner meetings, audits, and strategic reviews. Recommend process improvements to optimize efficiency. Requirements What We’re Looking For Education: Bachelor’s degree in business administration, healthcare administration, marketing, or related field (Master’s preferred). Experience: Prior experience as a Business Development Analyst or similar role in healthcare technology or related industry. Technical Skills: Proficiency in CRM software (Salesforce, Dynamics). Business intelligence tools and Microsoft Office Suite. Basic understanding of A/R and A/P processes. Familiarity with provider reimbursement methodologies and claims/bill data analysis. Competencies: Strong critical thinking and analytical skills. Detail-oriented with excellent organizational and time management abilities. Ability to work collaboratively and manage a demanding workload. Strong customer service orientation and professional demeanor. Excellent communication and presentation skills. Ability to handle sensitive/confidential partner interactions. Why You'll Love Working at PHS Benefits 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: 160 hours (4 weeks) annually, with rollover and cash-out options Fitbit program with monetary rewards Employee recognition programs Corporate office amenities including: Specialty coffee machines Smoothie bar Assorted teas Fruit provided by the company Collaborative workspaces Onsite market Frequent employee events: potlucks, contests, video game tournaments, Mental Health Awareness Month activities, company carnival, and more! 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.

Responsibilities

The Strategic Relationships Business Analyst will manage the administration of PPO sub-networks and partner relationships while ensuring compliance and optimizing processes. They will also generate reports, monitor credentialing requirements, and assist in preparing materials for meetings and audits.