Provider Contracting Director jobs in Montana

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Senior Provider Contracting Professional
  • Humana
  • Remote, MT FULL_TIME
  • This job offer is not available in your country.

    Description

    of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, Humana ) offers competitive benefits that support whole-person well-being.

    Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.

    Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    About us

    Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it.

    These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.

    It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.

    This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

    1 day ago
  • 17 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Missoula, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60372Job DescriptionA ...
  • 2 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Great Falls, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60371Job DescriptionA ...
  • 3 Days Ago

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Nurse Practitioner - Supportive Work Culture and Great Pay/Benefits
  • Provider Healthcare
  • Billings, MT FULL_TIME
  • Job Type Full TimeSchedule Monday - Friday (8 am to 5 pm)Pay - Negotiable, depending on experiencePatients Per Day 18-20EMR System - NextGenWork Location Outpatient clinicJob ID 60370Job DescriptionA ...
  • 3 Days Ago

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Analyst, Sourcing and Contracting (Nexera)
  • Billings Clinic
  • Billings, MT FULL_TIME
  • You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the...
  • 1 Day Ago

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Chipping Distributor Operator
  • Riverside Contracting
  • , MT FULL_TIME
  • Now Hiring Chipping Oil Distributor Operator Riverside Contracting is looking to hire well-qualified employees to work on our jobs in Montana & Wyoming. To work for Riverside Contracting, you must be ...
  • 2 Days Ago

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Director (LCSW, LPC, LMFT, LADC, PsyD) - Adolescent Residential Behavioral Health
  • Hartford HealthCare
  • Mansfield Center, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters...
  • 6/12/2024 12:00:00 AM

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Director, Denial Management & Prevention - Relocation Offered!
  • MEDSTAR HEALTH
  • Baltimore, MD
  • General Summary of Position The Director, Denial Management & Prevention is responsible for directing and administering ...
  • 6/12/2024 12:00:00 AM

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EHS-RN Executive Director Cardiology Services- Full Time
  • Elliot Health
  • Manchester, NH
  • Come work at the best place to give and receive care! Job Description: About the Job: The Executive Director, Cardiology...
  • 6/12/2024 12:00:00 AM

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Medical Director, Operations
  • Blue Shield of California
  • Rancho Cordova, CA
  • Your Role The Medical Director provides clinical leadership within the Office of the CMO for Blue Shield Promise Health ...
  • 6/12/2024 12:00:00 AM

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Assistant Vice President of Clinical Operations - Relocation Offered!
  • MEDSTAR HEALTH
  • Washington, DC
  • General Summary of Position The AVP of Clinical Operations coordinates and communicates with providers, members or other...
  • 6/12/2024 12:00:00 AM

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Case Manager
  • Tempositions, Inc.
  • New York, NY
  • Description POSITION OVERVIEW We are looking for full-time Case Managers to work within a domestic violence residential ...
  • 6/12/2024 12:00:00 AM

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Care Management Director - Registered Nurse
  • Trusted Health
  • Glendale, CA
  • Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
  • 6/12/2024 12:00:00 AM

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Care Coordination (Case Management) - Registered Nurse
  • Trusted Health
  • Grass Valley, CA
  • Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
  • 6/12/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$161,870 to $233,784

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019