Healthcare Provider Network Manager

TEKsystems is seeking a Montana based Healthcare Provider Network Manager
This is a 9-12 month W2 contract with high likelihood of long term extension and potential FTE conversion.
Candidates MUST live in Montana and be willing to travel between client sites on an as needed basis.
This is a remote position with some travel around Montana.
Candidates MUST be authorized to work in the US for any employer without the need for sponsorship. This role is not C2C eligible.
Job Description
Provider Network Manager. The individual we are looking for would be in the Montana market that has existing experience or relationships with hospital systems in this state. This role needs someone with an advance health system skill set.
Required Skills:

• Contract Management & Negotiation
• Sales
• Montana Health Systems
• Hospital Contract Negotiations
• Relationship Building
• Provider Network Management and Implementation
• Healthcare Systems Management
• Project Management
• Data Analysis

Job Duties:

• 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.

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

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)

Additional Skills & Qualifications
Must have experience working with hospital systems in Montana
Experience Level
Expert Level
Estimated Start Date:
Mid-July
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 3, 2025.
>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.