TN Sponsorship Jobs in Montana
Montana's TN visa sponsorship is concentrated in healthcare, engineering, and scientific research, with Billings, Missoula, and Bozeman driving most hiring activity. The state's growing technology sector and natural resource industries create consistent demand for Canadian and Mexican professionals across specialty occupations.
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Revive is a dynamic and innovative organization specializing in healthcare delivery and technology. We pride ourselves on delivering exceptional products/services and building strong, long-lasting relationships with our valued clients.
The Clinical Pharmacist is the clinical voice of Pulse PBM, Revive Health's pharmacy benefit management business. This role partners with plan sponsors, brokers, and Revive pharmacy leadership to design, implement, and manage pharmacy benefits that deliver the lowest net cost while protecting and improving member outcomes. The Clinical Pharmacist reviews claims in real time, recommends therapeutic interchanges and other clinical savings opportunities, runs Pulse's cost containment programs, produces client reporting, and is part of the team that communicates directly with members, prescribers, and clients, including at quarterly business reviews.
Duties:
Client Implementation & Benefit Design
- Serve as the clinical lead on new client implementations, guiding plan sponsors and brokers through benefit design decisions such as formulary selection, utilization management, preventive coverage, and clinical program options.
- Review completed benefit design questionnaires and translate client decisions into clinical edits, prior authorization criteria, step therapy, and quantity limits in the claims system.
- Analyze prior-PBM claims and formulary data to assess member disruption, and recommend transition-of-care strategies before go-live.
Real-Time Claims Review & Clinical Optimization
- Monitor pharmacy claims in real time to identify high-cost claims, inappropriate utilization, safety concerns, and savings opportunities.
- Recommend therapeutic interchanges, generic and biosimilar alternatives, and other lower-net-cost options that maintain or improve clinical outcomes, and coordinate with prescribers and members to put changes in place.
- Analyze clinical reviews for prior authorizations, formulary exceptions, and coverage determinations according to plan criteria and render opinions or change recommendations.
- Conduct prospective, concurrent, and retrospective drug utilization review, and identify adherence and safety interventions such as opioid safety.
Cost Containment Programs
- Manage and execute Pulse cost containment programs, including copay maximizer, international pharmacy, 340B, and manufacturer patient assistance programs.
- Identify eligible members and medications, coordinate enrollment, and track program savings and member impact.
- Ensure programs operate in line with plan documents, applicable federal and state law, and manufacturer program terms.
Reporting & Analytics
- Generate clinical and financial reports for clients and internal leadership, covering utilization trends, cost drivers, specialty spend, program savings, and clinical outcomes.
- Analyze claims data to project trend and quantify the impact of recommended benefit or formulary changes.
- Prepare clinical content for and participate in quarterly business reviews with clients and brokers.
Client & Member Communication
- Act as a clinical point of contact for plan sponsors, brokers, TPAs, and members, responding to clinical and coverage questions promptly and professionally.
- Communicate with members and prescribers about therapy changes, program enrollment, and coverage decisions in clear, plain language.
- Draft member and client communications such as formulary change notices and program materials.
Collaboration & Strategy
- Work closely with Revive pharmacy executives on clinical strategy, formulary management, pricing, and new program development.
- Partner with account management, operations, and the claims processor to resolve issues and improve workflows.
- Stay current on new drug approvals, the drug pipeline, guideline changes, and market events such as biosimilar launches and patent expirations, and advise on their impact to clients.
Quality Assurance & Compliance
- Maintain accurate documentation of clinical reviews, interventions, and program activity.
- Ensure work complies with HIPAA, ERISA, the ACA, state pharmacy regulations, and internal policies.
Requirements
- Doctor of Pharmacy (PharmD) from an ACPE-accredited college of pharmacy.
- Active, unrestricted pharmacist license in good standing, with the ability to obtain additional state licenses as required.
- Minimum of 3 years of pharmacist experience in a PBM, managed care, health plan, or clinical pharmacy setting; managed care residency (PGY1) or board certification is a plus.
- Working knowledge of formulary management, utilization management, prior authorization criteria, and specialty pharmacy.
- Understanding of PBM economics (net cost, rebates, pricing, and pass-through models) and cost containment programs such as copay maximizer, 340B, and patient assistance programs.
- Strong analytical skills, including working with claims data and advanced Excel; experience with reporting or BI tools is a plus.
- Excellent written and verbal communication skills, with the ability to present to clients, brokers, and executives.
- Attention to detail and the ability to manage multiple clients, deadlines, and priorities in a fast-paced environment.
About us:
Revive is a dynamic and innovative organization specializing in healthcare delivery and technology. We pride ourselves on delivering exceptional products/services and building strong, long-lasting relationships with our valued clients.
The Clinical Pharmacist is the clinical voice of Pulse PBM, Revive Health's pharmacy benefit management business. This role partners with plan sponsors, brokers, and Revive pharmacy leadership to design, implement, and manage pharmacy benefits that deliver the lowest net cost while protecting and improving member outcomes. The Clinical Pharmacist reviews claims in real time, recommends therapeutic interchanges and other clinical savings opportunities, runs Pulse's cost containment programs, produces client reporting, and is part of the team that communicates directly with members, prescribers, and clients, including at quarterly business reviews.
Duties:
Client Implementation & Benefit Design
- Serve as the clinical lead on new client implementations, guiding plan sponsors and brokers through benefit design decisions such as formulary selection, utilization management, preventive coverage, and clinical program options.
- Review completed benefit design questionnaires and translate client decisions into clinical edits, prior authorization criteria, step therapy, and quantity limits in the claims system.
- Analyze prior-PBM claims and formulary data to assess member disruption, and recommend transition-of-care strategies before go-live.
Real-Time Claims Review & Clinical Optimization
- Monitor pharmacy claims in real time to identify high-cost claims, inappropriate utilization, safety concerns, and savings opportunities.
- Recommend therapeutic interchanges, generic and biosimilar alternatives, and other lower-net-cost options that maintain or improve clinical outcomes, and coordinate with prescribers and members to put changes in place.
- Analyze clinical reviews for prior authorizations, formulary exceptions, and coverage determinations according to plan criteria and render opinions or change recommendations.
- Conduct prospective, concurrent, and retrospective drug utilization review, and identify adherence and safety interventions such as opioid safety.
Cost Containment Programs
- Manage and execute Pulse cost containment programs, including copay maximizer, international pharmacy, 340B, and manufacturer patient assistance programs.
- Identify eligible members and medications, coordinate enrollment, and track program savings and member impact.
- Ensure programs operate in line with plan documents, applicable federal and state law, and manufacturer program terms.
Reporting & Analytics
- Generate clinical and financial reports for clients and internal leadership, covering utilization trends, cost drivers, specialty spend, program savings, and clinical outcomes.
- Analyze claims data to project trend and quantify the impact of recommended benefit or formulary changes.
- Prepare clinical content for and participate in quarterly business reviews with clients and brokers.
Client & Member Communication
- Act as a clinical point of contact for plan sponsors, brokers, TPAs, and members, responding to clinical and coverage questions promptly and professionally.
- Communicate with members and prescribers about therapy changes, program enrollment, and coverage decisions in clear, plain language.
- Draft member and client communications such as formulary change notices and program materials.
Collaboration & Strategy
- Work closely with Revive pharmacy executives on clinical strategy, formulary management, pricing, and new program development.
- Partner with account management, operations, and the claims processor to resolve issues and improve workflows.
- Stay current on new drug approvals, the drug pipeline, guideline changes, and market events such as biosimilar launches and patent expirations, and advise on their impact to clients.
Quality Assurance & Compliance
- Maintain accurate documentation of clinical reviews, interventions, and program activity.
- Ensure work complies with HIPAA, ERISA, the ACA, state pharmacy regulations, and internal policies.
Requirements
- Doctor of Pharmacy (PharmD) from an ACPE-accredited college of pharmacy.
- Active, unrestricted pharmacist license in good standing, with the ability to obtain additional state licenses as required.
- Minimum of 3 years of pharmacist experience in a PBM, managed care, health plan, or clinical pharmacy setting; managed care residency (PGY1) or board certification is a plus.
- Working knowledge of formulary management, utilization management, prior authorization criteria, and specialty pharmacy.
- Understanding of PBM economics (net cost, rebates, pricing, and pass-through models) and cost containment programs such as copay maximizer, 340B, and patient assistance programs.
- Strong analytical skills, including working with claims data and advanced Excel; experience with reporting or BI tools is a plus.
- Excellent written and verbal communication skills, with the ability to present to clients, brokers, and executives.
- Attention to detail and the ability to manage multiple clients, deadlines, and priorities in a fast-paced environment.
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Tips for Finding TN Sponsorship Jobs in Montana
Target Montana's healthcare systems first
Large hospital networks in Billings and Missoula, including Billings Clinic and Providence St. Patrick, regularly hire physicians, nurses, and allied health professionals, all of which are established TN-eligible occupations with active sponsorship histories.
Research natural resource employers directly
Montana's mining, agriculture, and forestry sectors employ engineers, scientists, and technical professionals in roles that commonly qualify for TN status. Searching company career portals directly, alongside Migrate Mate, surfaces roles that rarely appear elsewhere.
Focus applications on the Bozeman tech corridor
Bozeman has seen consistent growth in technology and software companies. Computer systems analysts and engineers in this corridor frequently qualify for TN status, and employers there tend to be more experienced with cross-border hiring processes.
Verify the specialty occupation match before applying
TN eligibility depends on the specific job title and duties mapping to an approved USMCA occupation category. Review job descriptions carefully to confirm the role aligns before investing time in outreach or applications.
Use Migrate Mate to filter for verified TN sponsors
Montana has fewer total employers than larger states, so filtering for confirmed TN sponsors is especially valuable. Migrate Mate lets you search specifically for TN-sponsoring employers in Montana, reducing time spent on roles where sponsorship is unlikely.
Engage university and research institutions
Montana State University and the University of Montana regularly hire researchers, scientists, and engineers in TN-eligible roles. Academic and research positions often offer structured onboarding for international hires and familiarity with USMCA work authorization.
See all 261+ TN jobs in Montana
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Get Access To All JobsTN Jobs in Montana: Frequently Asked Questions
Which industries in Montana sponsor the most TN visas?
Healthcare is the leading industry for TN visa sponsorship in Montana, driven by hospital systems and rural health networks that actively recruit physicians, nurses, and allied health professionals from Canada and Mexico. Engineering roles tied to natural resources, construction, and utilities represent the next largest cluster, followed by scientific and research positions at Montana's universities and government agencies.
Which cities in Montana have the most TN sponsorship jobs?
Billings holds the largest concentration of TN-eligible employers, largely due to its healthcare infrastructure and corporate headquarters presence. Missoula follows, with strong healthcare and university-sector hiring. Bozeman is the fastest-growing market, particularly in technology and engineering. Great Falls and Helena offer more limited but consistent opportunities, primarily in healthcare and government-adjacent roles.
What types of roles typically qualify for TN sponsorship in Montana?
Roles that most consistently qualify in Montana include physicians and nurses in clinical settings, civil and environmental engineers on natural resource or infrastructure projects, computer systems analysts at technology firms, scientific researchers at universities, and accountants in corporate or agricultural finance. The unifying requirement is that the position must fall within an approved USMCA TN occupation category and require a relevant degree.
How do I find TN sponsorship jobs in Montana?
Migrate Mate is the most direct approach, since it filters job listings specifically for employers willing to sponsor TN visas, including those active in Montana. Beyond that, checking career pages for Billings Clinic, Providence St. Patrick Hospital, Montana State University, and major engineering firms operating in the state is effective. Searching DOL Labor Condition Application disclosure data can also confirm which Montana employers have sponsored TN workers previously.
Are there any Montana-specific considerations for TN sponsorship?
Montana's rural geography means many TN-eligible roles are located outside major metros, which can affect quality of life planning for international hires but does not change the TN eligibility analysis. Montana has no state income tax, which is a meaningful consideration when evaluating compensation packages. Employers in smaller markets may have less experience processing TN documentation, so arriving prepared with organized supporting materials, including degree credentials and a detailed employment letter, helps the process move smoothly.