New

Provider Network Manager

TEKsystems
$50.00 - $57.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Montana, Billings
Jun 27, 2025
Description Provider Network Manager. This person will need to live in the Montana market and have existing experience or relationships with hospital systems in this state. This role needs someone with an advance health system skill set. Responsible for the management of complex provider network management programs and initiatives. Monitors and audits financial performance of assigned programs. Analyzes, reviews, and projects financial impacts of network arrangements. Develops and maintains cost efficient networks and/or programs and identify areas of opportunity for greater efficiency and risk mitigation. Ensures accurate implementation and administration of executed networks and/or programs. Implements reimbursement strategies designed to control healthcare costs. Utilizes data from multiple sources to recommend innovative payment initiatives and methodologies. Prepares and presents financial performance reports on assigned networks to leadership. Formulates, analyzes, coordinates, and negotiates contracts with provider networks. Maintains documentation related to processes and procedures, training materials, program descriptions and technical program requirements. Prepares and presents to healthcare organizations, clients, and internal business partners. Established productive, professional provider relationships with key stakeholders and maintains provider satisfaction through assessment and response to on-going provider needs. May identify provider payment or utilization variations and take action to resolve. Communicates variations to leadership. Performs other duties and responsibilities as assigned. Experience: 6 years' provider contract/network management, provider reimbursement methodologies, contracting, negotiation, or relevant experience Education: Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college) Responsibilities: Identifies strategic opportunities for standard and/or complex contracts to increase cost savings and monitor successful financial performance Manages, formulates, analyzes, coordinates, and/or negotiates contracts with large healthcare systems, provider networks, and/or provider programs. Manages contracting process, contract negotiations, execution, and implementation of contract and payment methodologies May define, facilitate, and manage scope, goals. Deliverables, business requirements, and timelines for assigned projects/programs May lead project management responsibilities for integrated networks and other strategic plans May coordinate with key partners to ensure business needs are clearly understood and the technology implemented meets the needs and expectations of the business Skills* contract management, healthcare claim, provider data, project management Additional Skills & Qualifications Must have experience working with hospital systems in Montana Experience Level Expert Level Pay and Benefits The pay range for this position is $50.00 - $57.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Billings,MT. Application Deadline This position is anticipated to close on Jul 10, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.