Provider Network Director jobs in Montana

Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ 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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Women's Business Center Program Director
  • Prospera Business Network
  • Bozeman, MT FULL_TIME
  • Job Opening Montana Women’s Business Center – Program Director (full-time) Posted: April 11, 2024 Location: In Person, In Office – Bozeman, MT Salary: $55,000 to $75,000 DOE, with benefits listed Pros...
  • Just Posted

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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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Emergency Medicine Physician
  • Provider Solutions & Development
  • Polson, MT FULL_TIME
  • Providence St. Joseph Medical Center is seeking a full-time, board-certified Emergency Medicine physician to join their Level IV trauma center and critical access hospital in Polson, Montana. Here, yo...
  • 2 Days Ago

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • New Haven, CT
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Atlantic City, NJ
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Washington, DC
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Dover, DE
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Charlottesville, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Fredericksburg, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Audit Director, Payments Network (Hybrid)
  • Capital One
  • Richmond, VA
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Audit Director, Payments Network (Hybrid) Capi...
  • 6/10/2024 12:00:00 AM

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Director of Networking
  • Insight Global
  • Director of Network Services and Engineering Must be in Nashville, TN - Hybrid schedule of 3 days onsite Requirements: 1...
  • 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 Director jobs
$162,772 to $210,294

Provider Network Director in Columbus, OH
In either scenario, taking these three steps can help you determine whether a network change will genuinely lower your costs.
February 09, 2020
Provider Network Director in Portland, ME
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
December 12, 2019
Provider Network Director in Temple, TX
However, from a state regulator’s and the health plan’s perspective, the sheer number of providers in the network overall is only part of the story.
December 21, 2019