PROVIDER NETWORK MANAGER jobs in Montana

PROVIDER NETWORK MANAGER manages the operations of a healthcare provider network. Responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Being a PROVIDER NETWORK MANAGER recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. May be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Additionally, PROVIDER NETWORK MANAGER requires a bachelor's degree. Typically reports to top management. The PROVIDER NETWORK MANAGER 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 NETWORK MANAGER typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Provider Network Representative (Hybrid)
  • Health Care Service Corporation
  • Helena, MT FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    This position is responsible for provider Recruitment and Contracting, Education of Providers, and ongoing Provider Service. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

    JOB REQUIREMENTS:

    • Bachelor’s degree in business OR 4 years’ experience in managed care environment.
    • 2 years’ experience in a position that demonstrates leadership abilities and sound decision-making.
    • Knowledge of contracts, applications and products; claims processing systems.
    • Demonstrated proficiency in provider reimbursement methods.
    • Demonstrated ability to meet deadlines and work well under pressure.
    • Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently.
    • PC proficiency to include Microsoft Office.
    • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

    - Hybrid

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
  • 8 Days Ago

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Audit Manager - $111000/Year
  • The Job Network
  • Whitefish, MT FULL_TIME
  • Montana based public accounting firm in business since the 1940's with 7 locations throughout the state is looking to add an Audit Manager to any branch location. From financial statements to analysis...
  • 17 Days Ago

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Tax Manager - $111000/Year
  • The Job Network
  • Whitefish, MT FULL_TIME
  • Montana based public accounting firm in business since the 1940's with 7 locations throughout the state is looking to add a Tax Accountant to any branch location. Branches are located in Bozeman, Grea...
  • 19 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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Manager Provider Network Management
  • AmeriHealth Caritas
  • Palm Beach Gardens, FL
  • Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re pass...
  • 6/11/2024 12:00:00 AM

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Provider Network Manager Sr
  • Elevance Health
  • Manchester, NH
  • Anticipated End Date: 2024-07-31 Position Title: Provider Network Manager Sr Job Description: Location: NH-Manchester, M...
  • 6/10/2024 12:00:00 AM

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Manchester, NH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 6/10/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Miami, FL
  • Anticipated End Date: 2024-06-18 Position Title: Provider Network Manager Job Description: Provider Network Manager (JR1...
  • 6/9/2024 12:00:00 AM

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Provider Network Manager
  • Devoted Health
  • Cincinnati, OH
  • At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for...
  • 6/8/2024 12:00:00 AM

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Dental Provider Network Manager (Client Relations Healthcare/Dental)
  • LIBERTY Dental Plan
  • Building Brighter Futures, One Smile at a Time! LIBERTY Dental Plan is seeking an experienced Dental Provider Network Ma...
  • 6/7/2024 12:00:00 AM

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Anaheim, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 12:00:00 AM

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Glendale, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 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 NETWORK MANAGER jobs
$101,034 to $126,590

PROVIDER NETWORK MANAGER in Tucson, AZ
There are different Location Providers, which one is the most accurate? The GPS Provider or the Network Provider.
January 08, 2020
PROVIDER NETWORK MANAGER in Saint Louis, MO
Healthcare providers are continually struggling with the increasing pressure to cut down on patient costing, providing higher quality service, increased accessibility, etc.
January 10, 2020
PROVIDER NETWORK MANAGER in Norfolk, VA
5+ years of experience in a network management-related role, such as contracting or provider services.
February 05, 2020