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© All Rights Reserved. ApplyBlast.com
Prime Providers
The Medicare Specialist researches, maintains, and updates methodologies for Medicare payment systems to implement within Prime Health Services' product suite. This role involves understanding NCCI/MUE billing edits, deciphering complex legal and regulatory sources, and collaborating with compliance colleagues on reimbursement rules. The specialist also drafts documentation for payment procedures, develops rules in proprietary software, and performs testing to ensure accuracy.
Headquarters
Franklin, Tennessee, United States
Company Size
51-200 employees
Founded
2001
Prime Health Services is a U.S.-based managed-care company that operates national PPO provider networks and delivers technology-enabled solutions for payers, TPAs, employers, and health plans. It provides network development and management, claims cost-containment and repricing, provider data/credentialing services, and analytics-driven platforms to streamline access and reduce healthcare spend. The company emphasizes proprietary technology, robust provider contracting, and scalable operations to improve transparency, access, and measurable savings. Clients rely on Prime for integrated network services and operational support across commercial and self-funded plans.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Prime Providers.
Prime Providers didn’t post a salary, so this is our estimate from similar listings.