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.

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