Dir, Ntwk Ops Engagement TriWest Healthcare AllianceDir, Ntwk Ops EngagementBillings, MTRemoteFull timeBachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.
Provider Credentialing Rep TriWest Healthcare AllianceProvider Credentialing RepBillings, MTRemoteFull timeThis role facilitates meetings to discuss and resolve certification and credentialing issues and concerns, manages the Credentialing shared inbox to provide accurate and prompt responses to internal and external inquiries, and collaborates closely with Credentialing department leaders to evaluate and refine processes. • Assists in developing, compiling, and distributing routine and ad hoc reports on certification and credentialing metrics, KPIs, backlog trends, workflow timeliness, and quality indicators; contributes to presenting findings to leadership and recommending improvement strategies.
Data Engineer Sr. TriWest Healthcare AllianceData Engineer Sr.Billings, MTRemoteFull timeTechnical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.
NewRemote-Life Insurance Sales Professional-Entrepreneurial Opportunity GIA Legacy PlanningRemote-Life Insurance Sales Professional-Entrepreneurial OpportunityBillings, MontanaRemoteWe work with independent agents across the US who are building their own books of business through a system that is already proven and already in motion. Warm inbound leads system in place — you talk to people who already raised their hand for coverage, so there is no cold calling.
Software Engineer III Remote Businessolver IncSoftware Engineer III RemoteMTRemote$103,600–$162,000 / yearCommunicate effectively with peers and customers to drive the right outcome for the team and customers through active listening, gaining diverse perspectives, direct testing, experience and considering overall design impact. The company creates client programs that maximize benefits program investment, minimize risk exposure, and engage employees with easy-to-use solutions and communication tools to assist them in making wise and cost-efficient benefits selections.
Business Development Specialist (Remote) - Nexus AramarkBusiness Development Specialist (Remote) - NexusBillings, MTRemoteNexus delivers turn-key workforce housing solutions - dining, vending, micro markets, facilities management, transportation, and security - to clients operating in remote or high-demand labor environments. Support the DBD through the sales cycle - helping prep proposals, gather competitive intelligence, and coordinate with internal resources (operations, pricing, legal, corporate) - without owning final pricing or contract decisions.
Data Analyst TriWest Healthcare AllianceData AnalystBillings, MTRemoteFull timeAnalyzes data by combining multiple data sources and researching various system and healthcare issues in order to perform on time research and analysis to formulate solutions for issues of low to moderate scope and complexity. • Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis.
Utilization Management Clinical Reviewer TriWest Healthcare AllianceUtilization Management Clinical ReviewerBillings, MTRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Provider Certification Specialist TriWest Healthcare AllianceProvider Certification SpecialistBillings, MTRemoteFull timeThe Provider Certification Specialist is also responsible for ensuring applicable TRICARE providers are accurately and timely loaded into the provider data system to support operational readiness and downstream business processes, while performing ongoing maintenance of provider certifications and provider data, including updates, changes, and terminations, to support continued regulatory compliance, data integrity, and efficient downstream provider operations. Problem Solving / Analysis: Demonstrates strong problem-solving and analytical skills with the ability to systematically evaluate processes, identify discrepancies or incomplete information, apply sound judgment, and resolve issues to support accurate provider certification, data integrity, and compliance with TRICARE requirements.
NewRemote Reservations Coordinator Viajemos Solas pero en GrupoRemote Reservations CoordinatorBillings, MNRemoteWe are seeking a detail-oriented Remote Reservations Coordinator to assist clients with researching, coordinating, and managing reservations. This role requires strong organization, accurate recordkeeping, and professional communication.
Remote Telemedicine Physician – Men's Hormone Specialist (MD/DO) Hone Health Medical RolesRemote Telemedicine Physician – Men's Hormone Specialist (MD/DO)Billings, MontanaRemoteWe are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Billings, MontanaRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Remote Client Reservations Attendant TriptasticadventuresRemote Client Reservations AttendantBillings, MontanaRemoteThis opportunity is an ideal role for candidates who are organized, communicate clearly, and are comfortable working independently in a remote setting while staying connected with a collaborative team. In this role, you will help coordinate reservations and related arrangements such as lodging, activities, transportation, and event-related services.
Data Entry Operator | Junior (Remote) Only Data EntryData Entry Operator | Junior (Remote)Billings, MontanaRemoteTheir duties include inputting data from paper documents into digital spreadsheets, updating order statuses for customers and double-checking their work to make sure they inputted data correctly. A Data Entry Clerk, is responsible for inputting data and making changes to existing data figures in digital databases.
Experience Coordinator/Remote Effortless travel solutions ETSExperience Coordinator/RemoteBillings, MontanaRemoteIn this role, you will assist clients with planning and coordinating memorable travel and leisure experiences by providing accurate information, organization, and ongoing support. We are seeking motivated and organized individuals to join our team as Experience Planning Coordinators .
Sales Agent for Moving and Cleaning Company JULIAN EIAN JUEL MOVING AND CLEANINSales Agent for Moving and Cleaning CompanyBillings, MTRemoteFull timeJoin JULIAN EIAN JUEL MOVING AND CLEANING as a Sales Agent and be a key player in our dynamic team! This role offers the opportunity to connect with customers and help them find the best moving and cleaning solutions tailored to their needs.
Aesthetics Practice Partner / Capital & Consumable Sales - (Aesthetics Med Device) - (UT & MT)) Bausch Health Companies IncAesthetics Practice Partner / Capital & Consumable Sales - (Aesthetics Med Device) - (UT & MT))Billings, MTRemote$90,000–$120,000 / yearThis role requires a self-motivated, results-driven individual with strong technical aptitude, exceptional communication skills, and experience working in the aesthetics or medical device industry. This dual role Sales Representative - Capital & Consumables is responsible for driving total revenue growth within a defined territory through both capital equipment sales and procedure utilization (consumables).
Clinical Research Budgeting Analyst - Clinical Trials Providence St. Joseph HealthClinical Research Budgeting Analyst - Clinical TrialsBillings, MTRemoteMain responsibilities include, but are not limited to, the review of New Study routing forms and essential study start-up documents, the itemized cost analysis and interpretation of clinical protocols into budget milestones, provide accurate patient cost descriptions for the ICF to be submitted to the IRB, and update budget, milestones, and ICF information as necessary per contract/protocol amendments. The Clinical Research Budgeting Analyst will be responsible for the timely and accurate preparation and maintenance of budgets for sponsored clinical trials, including the comparative review against budgets offered by study sponsors and the set-up of study payments milestones in the Clinical Trial Management System.
Senior Claims Manager EPL - Remote Providence St. Joseph HealthSenior Claims Manager EPL - RemoteBillings, MTRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.
Remote Customer Engagement Coordinator TriptasticadventuresRemote Customer Engagement CoordinatorBillings, MontanaRemoteIn this role, you will assist with coordinating reservations and related services, which may include accommodations, activities, transportation arrangements, and event-based services. We are currently increasing our remote team and seeking client-centered individuals who enjoy supporting clients and managing multiple responsibilities.