Board of Managers

- Howard C. Chandler, MD (Chairman of the Board)
- Daniel E. Braby, MD (Member)
- Robert D. Garces (Member)
- Richard Miltenberger (Member)

Dedicated Staff

- Richard Miltenberger (President & CEO)
- Kristin English (Provider Service Representative)
- Libby Latrielle (Network Operations)
- Krista Snyder (Support Specialist)

Board of Managers

InterWest Health was founded in January 1997. It is governed by a Board of Managers consisting of physicians and other representatives of the business community. Current members of the Board include:

Howard C. (Nick) Chandler, Jr. MD
Chairman of the Board

Dr. Chandler, is a board-certified neurosurgeon specializing in neurosurgical oncology practicing in Atlanta, Georgia at the Piedmont Brain Tumor Center. He founded and served from 1995 – 2006 as Chairman of the Montana Neuroscience Institute Foundation, a biomedical research organization that fosters NIH-funded neuroscience research at the University of Montana and Saint Patrick’s Hospital in Missoula, MT. Dr. Chandler is founder and chairman of InterWest Health, LLC, a privately-held Montana-headquartered managed care company that has grown into the largest managed care organization in the region with over 15,000 providers in 7 states. He helped found and served from 1998 - 2008 on the Board of Directors of Alliance Healthcard, Inc, a publicly traded health care company headquartered in Norman, Oklahoma now known as Access Plans, Inc (APNC). Access Plans was recently sold to Aon Risk Services in a $60 million transaction. He has served on the Board of Directors of Saint Patrick Hospital and Big Sky Surgery Center in Missoula, MT. He founded and served on the Board of Directors of Treasure State Bank, Inc, a publicly traded bank in Missoula, MT. Dr. Chandler received a B.S. in Chemistry from the University of the South, an M.D. from Wake Forest University, and completed Neurosurgery residency at the University of Florida.

Daniel E. Braby, MD

Dr Daniel Braby is a board certified Otolaryngologist practicing at Rocky Mountain Ear, Nose & Throat Center LLC in Missoula, Montana. His clinical practice involves endocrine, sinonasal and skull base surgery. Dr. Braby is a member of the Montana Neuroscience Institute which is affiliated with Saint Patrick’s Hospital and the University of Montana in Missoula. He has served as Chairman of Surgery at Community Hospital and has been a member on the Community Hospital Board of Directors since 2003. In 1996 he founded the Montana Society of Otolaryngology Head and Neck Surgery which has been instrumental in bringing the state’s Otolaryngologist’s together for purposes of education and patient care.

Dr. Braby serves on the Board of Directors of Northstar LLC, a managed service organization that administers two regional surgery centers and multiple ophthalmic practices within Western Montana.

Dr.Braby received a medical degree from the University of Missouri-Columbia in 1987 and completed a residency in Otolaryngology-Head and Neck Surgery in 1992 at the University of Utah School of Health Sciences. He has been in private practice in Missoula, Montana since 1992.

Robert D. Garces

Bob Garces is Chairman and CEO of NovaNet - a large national PPO network founded in 1993, with over 2,300 hospitals and 250,000 physicians. He is also Chairman and CEO of Alliance HealthCard, a discount healthcare program offering discounts to individuals in 16 medical services. Prior to starting these companies, Mr. Garces was CEO of a physician billing company and founded a mobile imaging company. During the 1980’s he served as Chairman of the Board of Northlake Medical Center in Atlanta.

Richard Miltenberger

Richard Miltenberger comes to InterWest from the Leavitt Group, where he was a Vice President and co-owner. Prior to joining the Leavitt Group, he was Vice President of Sales and Marketing and Vice President of Underwriting and Product Development at Blue Cross Blue Shield of Montana. Other companies with which he has worked include William M. Mercer, Seabury & Smith and United Healthcare.

Mr. Miltenberger was instrumental in the formation of the Montana Health Co-op and has served on the boards of a number of organizations including the Montana State Fund, the Montana Chamber of Commerce and the Montana Club.

Mr. Miltenberger graduated cum laude from Southern Methodist University and was awarded the "Certified Employee Benefits Specialist" designation from the Wharton School of Business.

Dedicated Support for Payors and Providers

A commitment to outstanding customer service is our highest priority. Please feel free to contact the following staff if there are any questions or concerns you would like to discuss to address your specific needs:

Richard Miltenberger
President & CEO, Board of Managers member

See information under Board of Managers above.



Kristin English
Provider Service Representative

Kristin acts as liaison to practitioners and their staff for all credentialing and related issues. She is responsible for obtaining and maintaining critical credentialing and re-credentialing data necessary for initial reviews and the monitoring of practitioners and facilities to determine participatory status. She performs on site credentialing audits & ensure providers are compliant with the InterWest Credentialing Guidelines.

Phone: (406) 542-1912


Libby Latrielle
Network Operations

Libby assists with the recruitment and contracting for physicians and ancillary providers, as well as oversees the working relationships within the existing network providers. She contacts providers that have been nominated by members, brokers or contracted payors and solicit their participation in our network.

She supports the implementation of any new payors accessing our network; performs ongoing network analysis and assists in generating reports for RFP’s. She is responsible for distributing monthly provider files in order to ensure the accuracy of claims processing with contracted payors.

She is the primary point of contact for resolving contract disputes related to claims inquiries. Libby acts as a liaison between providers and insurance carriers for appeals or reprocessing requests.

Phone: (406) 542-1912


Krista Snyder
Support Specialist

Krista provides excellent customer service to members, providers and contracted payors. She responds and provides follow through to inquiries, issues and concerns in a timely and accurate manner.

She assists with processing initial credentialing and primary source verification of practitioners, facilities, and provider credentialing information.

Phone: (406) 542-1912