Provider Network Specialist jobs in Helena, MT

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 Corp.
  • 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. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.
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Advanced Practice Provider (PMHNP/ FNP)
  • Turnwell Mental Health Network, Inc.
  • Missoula, MT FULL_TIME
  • Montana Psychiatry & Brain Health Center ("Montana Psychiatry"), a leading provider of psychiatric services, is seeking an Advanced Practice Provider (Nurse Practitioner ) who will be responsible for ...
  • 15 Days Ago

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Nurse Practitioner Heart Failure Cardiology
  • Provider Solutions & Development
  • Missoula, MT OTHER
  • Providence Heart Institute of Montana is seeking a full-time nurse practitioner or physician assistant to join their newly established heart failure team. At Providence Heart Institute, our cardiovasc...
  • 20 Days Ago

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Cardiothoracic Surgeon
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Join the Providence Heart Institute of Montana as a full time board-certified Cardiothoracic Surgeon and Medical Director of Cardiothoracic Surgery. This is a globally recognized joint Surgical/Cardio...
  • 1 Day Ago

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Internal Medicine Physician
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group Internal Medicine clinic is seeking a full-time, board-certified/board-eligible Internal Medicine physician to join its team in Missoula, Montana. This is an outpatient only r...
  • 1 Day Ago

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Endocrinologist
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group - Western Montana is seeking a full-time board-certified or board-eligible Endocrinologist to join a dedicated team providing care to the community of Missoula. In this role, ...
  • 2 Days Ago

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0 Provider Network Specialist jobs found in Helena, MT area

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Senior Engineer, Information Security
  • Cardinal Health
  • Helena, MT
  • Cardinal Health Senior Engineer, Information Security Helena , Montana Apply Now Senior Engineer Purple Team Working tog...
  • 4/24/2024 12:00:00 AM

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Network Engineer III | Cloud WAN| Terraform
  • Wolters Kluwer
  • Helena, MT
  • The Global Business Services (GBS) Network Management team oversees and supports Wolters Kluwers Enterprise Network, spa...
  • 4/23/2024 12:00:00 AM

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Agile Program Manager (Remote)
  • Govcio
  • Helena, MT
  • GovCIO Agile Program Manager (Remote) Helena , Montana Apply Now GovCIO is currently hiring for a Agile Program Manager ...
  • 4/23/2024 12:00:00 AM

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Sr Director, IT Infrastructure & Operations- Remote US
  • Situsamc
  • Helena, MT
  • SitusAMC Sr Director, IT Infrastructure & Operations- Remote US Helena , Montana Apply Now SitusAMC is where the best an...
  • 4/23/2024 12:00:00 AM

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Senior Manager - IT Service Delivery, Digital Systems
  • Marriott
  • Helena, MT
  • Marriott Senior Manager - IT Service Delivery, Digital Systems Helena , Montana Apply Now Schedule Full-TimeLocated Remo...
  • 4/23/2024 12:00:00 AM

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Sr. Telecommunications Design Engineer (Phoenix, AZ)
  • Jacobs
  • Helena, MT
  • Jacobs Sr. Telecommunications Design Engineer (Phoenix, AZ) Helena , Montana Apply Now Our People & Places Solutions bus...
  • 4/23/2024 12:00:00 AM

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ASG Solutions Architect - AWS
  • Shi
  • Helena, MT
  • SHI ASG Solutions Architect - AWS Helena , Montana Apply Now The ASG Solutions Architect Cloud will provide customer-fac...
  • 4/23/2024 12:00:00 AM

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Infrastructure Engineer - Incident Response Team (Split Shift Sat-Wed)
  • Marriott
  • Helena, MT
  • Job Number24036887Job CategoryInformation TechnologyLocationMarriott International HQ, 7750 Wisconsin Avenue, Bethesda, ...
  • 4/23/2024 12:00:00 AM

Helena (/ˈhɛlɪnə/) is the state capital of the U.S. state of Montana and the county seat of Lewis and Clark County. Helena was founded as a gold camp during the Montana gold rush, and was established in 1864. Over $3.6 billion of gold was extracted in the city limits over a duration of two decades, making it one of the wealthiest cities in the United States by the late nineteenth century. The concentration of wealth contributed to the city's prominent, elaborate Victorian architecture. At the 2010 census Helena's population was 28,190, making it the fifth least populous state capital in the Un...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$50,806 to $75,956
Helena, Montana area prices
were up 3.1% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020