Provider Network Specialist jobs in Montana

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related 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.

    #LI - 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.

     

  • 2 Months Ago

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Provider Enrollment Specialist
  • billingsclinic
  • Billings, MT FULL_TIME
  • The Provider Enrollment Specialist is required to work independently with minimal supervision, and is responsible for the accurate and up-to-date enrollment of all health care providers, midlevels, an...
  • 27 Days Ago

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Provider Enrollment Specialist
  • Billings Clinic Health System
  • Billings, MT OTHER
  • The Provider Enrollment Specialist is required to work independently with minimal supervision, and is responsible for the accurate and up-to-date enrollment of all health care providers, midlevels, an...
  • 22 Days Ago

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Network Security Specialist
  • Triplenet Technologies, Inc.
  • Great Falls, MT FULL_TIME
  • You’ll find a supportive environment, a focus on teamwork and a steadfast commitment to compassionate care. Has been recognized as one of the 150 Great Places to Work in Healthcare. When you join, we ...
  • 22 Days Ago

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Customer Service Specialist - $18.5/hr
  • The Job Network
  • Kalispell, MT FULL_TIME
  • Customer Service SpecialistA group of property and casualty insurance industry experts based in Kalispell Montana is hiring a Customer Service Specialist. They are a customer-centric company with grea...
  • 2 Days Ago

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Community health specialist
  • Clark Fork Valley Hospital & Family Medicine Network
  • Plains, MT FULL_TIME
  • SUMMARY The Community Health Improvement Specialist will work cooperatively with other departments to promote Health Education to the SandersCounty community. Health education is the development of in...
  • 1 Day Ago

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Network Engineer
  • Apex Systems
  • Sumter, SC
  • Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
  • 6/2/2024 12:00:00 AM

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Engineering - Network Engineer Mid
  • Pyramid Consulting, Inc
  • Enon, OH
  • Immediate need for a talented Engineering - Network Engineer Mid. This is a 12+ Months Contract opportunity with long-te...
  • 6/1/2024 12:00:00 AM

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Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered)
  • Sharp Decisions
  • Graham, NC
  • Title : Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered) Contract duration : 1...
  • 5/31/2024 12:00:00 AM

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Provider Network Specialist II
  • Centene Corporation
  • Tucson, AZ
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
  • 5/31/2024 12:00:00 AM

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Sr. Specialist Network Engineer
  • IT
  • Phoenix, AZ
  • Nestlé Information Technology is the digital arm of the world’s largest nutrition, health, and wellness company. With 15...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • Raytheon Technologies
  • Sterling, VA
  • Date Posted: 2024-02-06 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • R+L Carriers
  • Ypsilanti, MI
  • Job Description Essential Duties and Responsibilities: Maintains a high level of proficiency in network, wireless, and n...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • The University of Vermont Health Network
  • South Burlington, VT
  • This positions requires the applicant to work onsite in South Burlington, Vermont. This is not a remote opportunity. Sta...
  • 5/29/2024 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 Specialist jobs
$54,731 to $81,824

Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019