Managed Care Provider Relations Manager jobs in Bozeman, MT

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Government Relations Director
  • 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 maintaining and enhancing the image of Blue Cross and Blue Shield of Montana through proper channels of influence and public relations with members of the State Legislature, Congress and executive branch of government at the State and Federal level. Responsible for government relations with regulatory agencies such as Office of the Commissioner of Securities and Insurance and the Department of Health and Human Services including coordinating with Legal and various internal Compliance areas. Responsible for guiding legislative and health policy strategy with direction and oversight of external contracted lobbyists. Direct promotions through special events designed to showcase the Plan as a business and corporate citizen.

    Responsibilities include:

    *Direct and coordinate government relations in concert with the Montana Plan President. Maintain a corporate presence in coordination with divisional leadership, key decision-makers and the general public for the Plan's position on legislation in the state Legislature.
    *Maintain liaison role between the Plan, state Legislature, Governor's office, and other governmental and advocacy groups. Assist in guiding the Legislature, and other elected officials, on any decisions affecting the health insurance industry.
    *Assure that the government/public relations needs and orders of regulatory bodies, particularly Office of the Commissioner of Securities and Insurance and the Department of Health and Human Services, are met. This involves close coordination with Legal and various Compliance areas.
    *Direct Corporate promotions through the development of special events designed to showcase the leadership role of the Plan in its dual role as business and corporate citizen.
    *Comply with requests from various corporate leaders for investigation of specific matters of special interest to the Plan.
    *Direct and influence the decisions of such persons who are in positions to influence important insurance decisions made within the various State departments. The efforts of the incumbent directly contribute to securing additional and future subscribers.
    *Maintain an in-depth awareness of corporate attitudes and requirements to communicate effectively and remain thoroughly familiar with the political intricacies of the State government through proper dissemination of information from and to the State Legislature, other elected officials and State-related agencies.
    *Manage staff including but not limited to hiring, performance management, talent management, pay administration, budget, and maintain knowledge of corporate, departmental and Human Resources programs and policies.
    *Direct and provide oversight to Plan contracted lobbyists.
    *Function as the Plan liaison with HCSC Legislative and Regulatory Management (LRM) to ensure effective implementation of state legislation and regulations.
    *Conduct business in a manner consistent with corporate compliance guidelines and comply with Corporate Integrity and Ethics policies.
    *Participate in development of strategies to maintain and grow Government Accounts.
    *Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
    *Maintain complete confidentiality of company business.
    *Maintain communication with management regarding developments within areas of assigned responsibilities and perform special projects as required or requested.

    JOB REQUIREMENTS:

    * Bachelor's Degree
    * 10 or more years of experience working with Congress, government relations, congressional lobbying, and management at the federal level.
    * Knowledge of legislative process as well as understanding of health policy issues and federal health programs as they relate to the private insurance market.
    * Knowledge of the insurance industry and pertinent legislation and issues impacting the industry.
    * Demonstrated political confidence and ingenuity and skill in negotiating and influencing others.
    * Strong planning, organizational, and analytical skills.
    * Ability to achieve results under demanding time constraints and changing priorities.
    * Demonstrated ability to articulate corporate position and the business implications for numerous and wide-ranging audiences.
    * Strong interpersonal skills and oral/written communications skills.
    * Research and analytical skills to synthesize complex legislation and regulations
    * Verbal and written communications skills

    PREFERRED JOB REQUIREMENTS:

    * Direct government or political experience
    * Health care industry experience
    * Post-graduate work in Public Policy

    Please note, this role is hybrid/flex requiring in-office visibility three days per week in our Helena, MT office.

    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.

     

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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 p...
  • Just Posted

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Primary Care Provider
  • Tridant Solutions, Inc
  • Butte, MT FULL_TIME
  • Primary Care ProviderTridant Solutions Inc. is currently looking for a Primary Care Provider to service our location in Darby, MT.If work ethic, delivering results, and overcoming challenges are meani...
  • 14 Days Ago

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Home Care Provider Assistant
  • Confederated Salish and Kootenai Tribes
  • Pablo, MT FULL_TIME
  • CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD NATION PO BOX 278 PABLO MT 59855 (406) 675-2700 PERSONNEL OFFICE FAX: (406) 675-2711 WEBSITE ADDRESS: www.csktribes.org E-mail: shelley.grenier@...
  • 14 Days Ago

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Home Care Branch Manager
  • A Plus Health Care
  • Helena, MT FULL_TIME
  • To apply via text, text 4894 to .Position Summary: This position manages the daily operations and administrative functions, including recruitment, orientation, training and retention of branch and off...
  • 20 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...
  • 24 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Bozeman, MT area

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Executive Assistant
  • Big Sky Bravery
  • Bozeman, MT
  • Executive Assistant Big Sky Bravery About Us: Big Sky Bravery is a non-profit organization founded in 2015 solely dedica...
  • 4/29/2024 12:00:00 AM

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TRAVEL NURSE RN - NICU - $2,498 PER WEEK IN BOZEMAN, MT
  • Mindlance Health
  • Bozeman, MT
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/29/2024 12:00:00 AM

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Treasury Management and Payments Consultant 4 - Billings, MT
  • U.S. Bank
  • Bozeman, MT
  • At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarte...
  • 4/29/2024 12:00:00 AM

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Regional Senior Project Manager - Ground up - MidWest
  • Hays
  • Bozeman, MT
  • Your new company Our client is currently seeking to hire a high-performing Regional Senior Project Manager based in one ...
  • 4/28/2024 12:00:00 AM

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TeleSales Representative - Remote
  • InsuraTec Services Group
  • Bozeman, MT
  • TeleSales Representative- Remote Job Description: Are you a self-motivated, driven individual with a passion for sales a...
  • 4/28/2024 12:00:00 AM

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Executive Assistant
  • Big Sky Bravery
  • Bozeman, MT
  • Executive Assistant Big Sky Bravery About Us: Big Sky Bravery is a non-profit organization founded in 2015 solely dedica...
  • 4/28/2024 12:00:00 AM

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Regional Sales Lead
  • Maximus
  • Bozeman, MT
  • Description & RequirementsAre you ready to redefine success and drive unparalleled growth? Join our dynamic team as a Sa...
  • 4/28/2024 12:00:00 AM

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Director of Institutional Giving
  • American Prairie Foundation
  • Bozeman, MT
  • Job Description Job Description This job description is not designed to cover or contain a comprehensive list of activit...
  • 4/28/2024 12:00:00 AM

Bozeman is a city in and the seat of Gallatin County, Montana, United States. Located in southwest Montana, the 2010 census put Bozeman's population at 37,280 and by 2016 the population rose to 45,250, making it the fourth largest city in Montana. It is the principal city of the Bozeman, MT Micropolitan Statistical Area, consisting of all of Gallatin County with a population of 97,304. It is the largest Micropolitan Statistical Area in Montana and is the third largest of all of Montana's statistical areas. The city is named after John M. Bozeman who established the Bozeman Trail and was a foun...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$86,167 to $124,297
Bozeman, Montana area prices
were up 3.1% from a year ago

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