- Parexel (Helena, MT)
- …**Skills and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business ... quality activities within the assigned therapeutic area. This includes operational quality management and inspection management activities. The CQOM will oversee… more
- Highmark Health (Helena, MT)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- Humana (Helena, MT)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- State of Montana (Helena, MT)
- …will be responsible for the design, development, and implementation of the complex care management initiative with support from MHSB and Division leadership. The ... is open until filled with frequent screening of applicants. **Title:** *Complex Care Coordinator (41024)* **Location:** *Helena* **Requisition ID:** *25142097* more
- CVS Health (Helena, MT)
- …is $18/hour- $19/hour **Position Summary** Join the Coram/CVS team as a Patient Care Coordinator ! This customer service facing position interacts directly with ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Health Care Service Corporation (Helena, MT)
- …Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct accountability and ... auditing Credentialing file or Credentialing operational experience + Project Management skills and experience. + Knowledge of regulatory/accreditation requirements… more
- CDM Smith (Helena, MT)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... to the Task Order PM, creates weekly reports for presentation to FEMA Management . * Consults with CCPRS subcontractors to resolve discrepancies in expense reporting… more
- System One (Helena, MT)
- Senior Marketing Production Coordinator **Employment Type:** Full Time **Date Posted:** 10/16/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable ... **Job Number:** JO-2510-2746 **Primary Function** The Senior Marketing Production coordinator will join a team that provides market and strategic thought leadership… more
- CVS Health (Helena, MT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Wells Fargo (Helena, MT)
- …the US Join us! **About this role:** Wells Fargo is seeking a Branch Operations Coordinator for our National Branch Network as part of the Consumer, Small & Business ... to daily operations of the teller line, under direction of regional banking management + Support customers and employees in resolving or escalating concerns or… more
- Cardinal Health (Helena, MT)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- St. Peters Health (Helena, MT)
- JOB SUMMARY (overview of job): Provides indirect care in the department setting under the direction of the Director or designee, and the Charge Nurse. Transcribes ... education as required and assigned. Nurses involved in the care of orthopedic and spine patients must adhere to...Musculoskeletal system anatomy and physiology + ERAS + Pain management strategies + Mobility and safety + Prevention of… more
- Cardinal Health (Helena, MT)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... are consistently achieved. + Perform any other functions as required by management . **Qualifications** + Minimum 2 years of experience in Insurance follow-up… more
- Highmark Health (Helena, MT)
- …+ Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Intermountain Health (Helena, MT)
- …+ Preferred related specialty coding credential + Requires E/M (Evaluation & Management ) coding and experience coding for the assigned specialty specific service ... position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12 We care about your well-being - mind, body, and spirit - which is why we… more
- CenterWell (Helena, MT)
- …off days during the week.** + **Required to work every other holiday.** The **Clinical Care Coordinator ** helps to ensure optimal continuity of care for ... Home Health services including home health, hospice, and palliative care . The Clinical Care Coordinator ...Good working knowledge of home health, hospice, and palliative care services. + Good time management skills.… more
- Humana (Helena, MT)
- …Experience as an MDS Coordinator or discharge planner in an acute care setting + Previous experience in utilization management /utilization review for a ... of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation… more
- St. Peters Health (Helena, MT)
- …Facilitates patient hand-offs and provides assistance to move the patient through the care continuum. Understands the principles of case management to ensure ... difficult patient situations. Proficient competency level to perform blood draws, PICC line management , wound care and other skills as ordered or required.… more
- Intermountain Health (Helena, MT)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups),… more
- CVS Health (Helena, MT)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ... experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
