Transaction Processor Claim Resolution MMC GroupTransaction Processor Claim ResolutionHelena, MTThroughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. As a Transaction Processing Associate on the Claims Resolution Team, you'll be responsible for accurately entering and reviewing claim data to ensure integrity, compliance, and timely resolution.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMT$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Medical Claims Resolution Analyst - Remote Montana Gainwell Technologies LLCMedical Claims Resolution Analyst - Remote MontanaMTRemote$35,000–$50,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $35,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Medical Claims Resolution Analyst - Remote US Gainwell Technologies LLCMedical Claims Resolution Analyst - Remote USMTRemote$35,000–$50,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $35,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Field Property Claims Adjuster - Montana Farmers Group, Inc.Field Property Claims Adjuster - MontanaGreat Falls, MTRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWBillings, MTRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerBillings, MTRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEHelena, MTRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEHelena, MTRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Workers Compensation Claims Adjuster - MT/ID GallagherSenior Workers Compensation Claims Adjuster - MT/IDMissoula, MontanaRemoteFull timeAbout you : Ideal candidates for this position will have: • Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files • Jurisdictional Experience: MT, ID • Active Adjusters' licenses : MT, ID As a key member of our experienced Claims Adjuster team, you will: The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.
Senior Workers Compensation Claims Adjuster - MT GallagherSenior Workers Compensation Claims Adjuster - MTMissoula, MontanaRemoteFull timeHow you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminBillings, MTRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystBillings, MTRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
NewCommunication Effectiveness Trainer - Allstate Claims University Allstate Insurance CompanyCommunication Effectiveness Trainer - Allstate Claims UniversityMT$62,100–$105,300 / yearCoaching, Coaching, Coaching Techniques, Collaboration, Collaborative Development, Communication, Communication Strategy Development, Cultural Awareness, Design, Development Communication, Empathic Communication, Facilitating Learning, Facilitation, Indian Culture, Instructional Design, Leadership, Learning and Development (L&D), Learning Effectiveness, Learning Materials Development, Negotiation, Objection Handling, Performance Management (PM), Project Coordination, Project Planning, Results-Oriented {+ 7 more}. Develops, designs and delivers learning offerings that are aligned to business and enterprise strategy; Ensures talent management practices are understood and supported consistently within learning offerings; Drive adoption of skills-based culture to empower and develop meaningful business-relevant skills through design and delivery of learning.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBillings, MTRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterMTRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageMT$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterMT$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterMT$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterMT$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterMT$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Multi-Line Claims Adjuster - Montana Provencher & Company, LLCMulti-Line Claims Adjuster - MontanaHelena, MTWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Senior Claims Specialist I - Workers Compensation - Central Region Liberty Mutual Holding Company IncSenior Claims Specialist I - Workers Compensation - Central RegionMissoula, MTRemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Liability Claims Adjuster Hub International LtdLiability Claims AdjusterBozeman, MT$80,000–$90,000 / yearPOSITION SUMMARY: We're hiring an experienced Liability Desk Adjuster to handle third-party claims end-to-end-coverage, liability evaluation, damages assessment, negotiation, and resolution. COMPANY OVERVIEW: Proper Insurance is a specialty property & casualty program manager (MGA) focused on short-term rental risks (e.g., Airbnb, VRBO).
Liability Claims Adjuster Hub International InsuranceLiability Claims AdjusterBozeman, MontanaWe’re hiring an experienced Liability Desk Adjuster to handle third-party claims end-to-end—coverage, liability evaluation, damages assessment, negotiation, and resolution. Evaluate bodily injury and property damage exposures (specials/general damages, future meds, wage loss); validate causation.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteMTRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
NewSenior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteMTRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionBillings, MT$59,059.65–$90,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesMT$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
Insurance Coordinator Oral Surgery PartnersInsurance CoordinatorKalispell, MontanaThe role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers. This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations.
Healthcare Data Entry Specialist - Remote US Gainwell Technologies LLCHealthcare Data Entry Specialist - Remote USMTRemote$35,000–$50,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. As a Healthcare Data Entry Specialist - Remote US at Gainwell, you will play a critical role in supporting healthcare operations by accurately entering, reviewing, and validating claims-related information.
Administrative Assistant Montana GovernmentAdministrative AssistantHavre, MTThe Montana Veteran Affairs Division (MVAD) is seeking a detail-oriented and highly organized Administrative Assistant 2 to provide clerical and administrative support to Veteran Service Officers (VSOs) in the delivery of services to veterans and their dependents. The Montana Veteran Affairs Division (MVAD) is dedicated to serving Montana's veterans and their families by connecting them with earned federal and state benefits, managing the State Veterans Cemeteries, and providing outreach and advocacy across the state.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIMTCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Auditor/Investigator I Qlarant Quality Solutions IncAuditor/Investigator IMTCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
NewMedicare Part B Operations Coordinator, Revenue Cycle CVS Health CorpMedicare Part B Operations Coordinator, Revenue CycleMT$17–$34.15 / hourThis role helps ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission, including manual intervention through prescriber outreach and documentation review. As a Medicare Part B Operations Coordinator, you will support the Revenue Cycle Medicare Part B Team in efforts to reduce bad debt, mitigate legal risk and ensure compliance with all federal, state, and CVS Health requirements.
NewSales Leader Summit Business GroupSales LeaderBillings, MontanaYou'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts.
Sales Consultant Summit Business GroupSales ConsultantBozeman, MontanaWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Sales Representative Summit Business GroupSales RepresentativeButte, MontanaUnlike traditional office-based roles, you will spend the majority of your day out in the field, cold calling using our Custom Salesforce CRM, building rapport with potential clients, and delivering compelling product presentations. Because your primary goal is to establish connections with business owners and key decision-makers at small and medium-sized businesses within your sales territory through in-person sales calls, the hours that you work should/will reflect times when these businesses are open.
Insurance Sales Representative Summit Business GroupInsurance Sales RepresentativeBelgrade, MontanaWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Auto & HE Appraiser - 1099 - Bozeman, MT CCMS & AssociatesAuto & HE Appraiser - 1099 - Bozeman, MTBozeman, MTAs a 1099 independent contractor, you will play a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. CCMS & Associates is seeking experienced Auto & Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.
Auto & HE Appraiser - 1099 - Billings, MT CCMS & AssociatesAuto & HE Appraiser - 1099 - Billings, MTBillings, MTAs a 1099 independent contractor, you will play a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. CCMS & Associates is seeking experienced Auto and Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.
Disability Case Manager Telus CorpDisability Case ManagerMTRemoteOur Absence and Disability Management business helps employers achieve improved health and productivity outcomes with services focused on absence reporting, proactive case management and effective return-to-work support for a variety of employee health risks or conditions, whether related to physical, mental, social or workplace health. Additional course work in occupational health, rehabilitation, legislation related to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)MT$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Office Manager/Administrative Support Gallatin CountyOffice Manager/Administrative SupportBozeman, MT$28.20–$32.38 / hourPosition must have the ability to apply knowledge; type and calculate accurately; perform administrative duties; exercise courtesy and tact in receiving the public and in giving and obtaining information; follow written and oral instructions; communicate effectively both verbally and in writing and establish and maintain cooperative relationships with those contacted in the course of work. In addition, this position must have excellent telephone skills; good listening skills and must be able to take messages accurately; can calmly and appropriately assist an occasional angry or hostile individual; ability to multi-task, prioritize, organize and problem solve.
Mobile Support Team Administrative Specialist III City of MissoulaMobile Support Team Administrative Specialist IIIMissoula, MT$25.49–$28.01 / hourYou’ll administer high-volume data entry, manage reimbursement claims, process billing and payments, coordinate schedules, assist with payroll and onboarding, and oversee grant deliverables, all while supporting a collaborative, high-performing team. The Missoula Fire Department is looking for a self-motivated Administrative Specialist III to provide essential administrative and technical support for our Mobile Support Team (MST).
EDI Helpdesk Representative - Remote US Gainwell Technologies LLCEDI Helpdesk Representative - Remote USMTRemote$35,000–$50,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Minimum two years of experience in customer service, call center support, helpdesk support, healthcare operations, provider services, claims processing, or a related field.
Pharmacy Technician Montana State UniversityPharmacy TechnicianMTPosition Number 4M0686 Department SWC Pharmacy Division Division of Student Success Appointment Type Classified Contract Term Fiscal Year Semester If other, specify From date If other, specify End date FLSA Non-Exempt Union Affiliation FOCUS-MFPE FTE 1.0 Benefits Eligible Eligible Salary $23.00 per hour, commensurate with experience, education, and qualifications Contract Type Classified Hourly If other, please specify Recruitment Type Open. Active Montana Certified Pharmacy Technician license (CPhT via PTCB or ExCPT/NHA), or eligibility for a provisional license; active licensure required prior to start date (ARM 24.174.701).
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistMT$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
IT Delivery Lead TriWest Healthcare AllianceIT Delivery LeadBillings, MTRemoteFull timeTechnical Skills: Knowledge of technology impacts on business strategic direction enabling definition and integration of technical plans supporting the enterprise business functions; knowledge and expertise in project/program management methodologies and tools to include Agile; experience with product/solution/system lifecycles; expert knowledge in one or more of: system servers and data network; traditional telephony principals and support; Microsoft enterprise software, server principals and support; HP enterprise products and services: data communication and network architectures, design, and support; installation, maintenance and support of large scale application systems; healthcare industry experience, to include medical management and provider data/solutions: proficient with Microsoft Project, Project Server, Visio, and SharePoint Services. • 7+ years of related and progressive experience combining various elements of technical delivery or support, solutions implementation, process automation, project management, and team leadership .
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceBillings, MTRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.