Healthcare Revenue Cycle Consulting Manager - Remote Eligible Eide Bailly LLPHealthcare Revenue Cycle Consulting Manager - Remote EligibleFargo, NDRemote$100,000–$150,000 / yearA typical day as a Healthcare Revenue Cycle Consultant might include: Conducting onsite and remote revenue cycle assessments for healthcare providers (primarily hospitals), including evaluating patient access, mid-cycle, and back-end functions; identifying improvement opportunities and recommending solutions. You have well-rounded knowledge of CMS, and other state and federal regulatory guidance related to the healthcare industry with a strong understanding of inpatient, outpatient and professional billing and payer requirements.
Product Portfolio Manager - Group Benefits Administration Telus CorpProduct Portfolio Manager - Group Benefits AdministrationNDA typical week: You'll likely spend time in stakeholder alignment meetings (working across distributed product, technology, and delivery teams), digging into business cases for major modernization investments, collaborating with your Architecture partner on target-state platform direction, and communicating trade-offs and priorities to senior leadership. As Product Portfolio Manager, you''ll own the strategic direction of our entire Group Benefits Administration portfolio-setting the vision, steering investment decisions, and partnering with senior leaders across Product, Engineering, Architecture, Operations, Sales, and Delivery.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Fargo, NDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Healthcare Revenue Cycle Consultant - Remote Eligible Eide Bailly LLPHealthcare Revenue Cycle Consultant - Remote EligibleFargo, North DakotaRemote$100,000–$150,000 / yearFull timeA typical day as a Healthcare Revenue Cycle Consultant might include: Conducting onsite and remote revenue cycle assessments for healthcare providers (primarily hospitals), including evaluating patient access, mid-cycle, and back-end functions; identifying improvement opportunities and recommending solutions. You have well-rounded knowledge of CMS, and other state and federal regulatory guidance related to the healthcare industry with a strong understanding of inpatient, outpatient and professional billing and payer requirements.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareND$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsND$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Healthcare Loan Closer US BankHealthcare Loan CloserFargo, ND$33.92–$41.46 / hourWorking closely with Healthcare Relationship Managers and Practice Finance Business Development Officers, you'll help ensure a seamless client experience while coordinating complex loan closings, managing documentation, and maintaining compliance with bank and regulatory requirements. Lead pre-closing and closing activities for healthcare and practice finance loans, including commercial real estate, construction, term loans, lines of credit, and investment real estate transactions.
Healthcare Loan Closer U.S. BancorpHealthcare Loan CloserFargo, ND$33.92–$41.46 / hourWorking closely with Healthcare Relationship Managers and Practice Finance Business Development Officers, you'll help ensure a seamless client experience while coordinating complex loan closings, managing documentation, and maintaining compliance with bank and regulatory requirements. Lead pre-closing and closing activities for healthcare and practice finance loans, including commercial real estate, construction, term loans, lines of credit, and investment real estate transactions.
Sr Project Manager - Strategic Planning TriWest Healthcare AllianceSr Project Manager - Strategic PlanningFargo, NDRemoteFull timeProject leads/supports multiple complex cross functional projects and assigned teams; effectively models, implements and communicates best practice project management knowledge, skills, tools and processes ensuring accuracy, consistency and thoroughness in all phases. Technical Skills: Knowledge of modern Healthcare/Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerFargo, NDRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Payer Marketing Manager athenahealth IncPayer Marketing ManagerND$96,000–$164,000 / yearReporting to the Director of Payer Marketing, this individual will partner closely with Sales, Sales and Marketing Operations, Product Marketing, and Commercial Operations teams to orchestrate multi-channel marketing programs that engage payer buyers throughout the customer journey. The Payer Marketing Manager is responsible for developing and executing the payer segment go-to-market strategy, driving integrated marketing programs that accelerate pipeline growth, market penetration, and revenue outcomes across the payer business.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerFargo, NDRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityFargo, NDRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
NewLicensed Professional Mental Health Counselor (Program Manager) U.S. Department of Veterans AffairsLicensed Professional Mental Health Counselor (Program Manager)Bismarck, ND$106,437–$138,370 / yearHold a masters or doctoral degree in: Clinical Mental Health Counseling; Clinical Rehabilitation Counseling; Clinical Mental Health Counseling and Clinical Rehabilitation Counseling; or a related field, from a program accredited by the Council on Accreditation of Counseling and Related Educational Programs (CACREP). The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Product Platform and Projects Manager Cambia Health Solutions IncProduct Platform and Projects ManagerFargo, ND$115,000–$135,000 / yearWhat You Bring to Cambia: Qualifications: Manager Product Platform and Implementation would have a Bachelor's degree in business administration, healthcare administration or related field and 8 years of experience in benefits, 3 years of project management experience or equivalent combination of education and experience. Hybrid role (3 days/week in office) at our Fargo, ND; Boise, ID; Lewiston, ID; Salt Lake City, UT; Medford, OR; Portland, OR; Renton, WA; Vancouver, WA; Spokane, WA; Burlington, WA offices.
Product Platform And Projects Manager Cambia HealthProduct Platform And Projects ManagerFargo, ND$115,000–$135,000 / yearWhat You Bring to Cambia: Qualifications: Manager Product Platform and Implementation would have a Bachelor's degree in business administration, healthcare administration or related field and 8 years of experience in benefits, 3 years of project management experience or equivalent combination of education and experience. Hybrid role (3 days/week in office) at our Fargo, ND; Boise, ID; Lewiston, ID; Salt Lake City, UT; Medford, OR; Portland, OR; Renton, WA; Vancouver, WA; Spokane, WA; Burlington, WA offices.
Manager, Product Lifecycles - Health Plan Sanford HealthManager, Product Lifecycles - Health PlanFargo, ND$46–$76 / hourSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
NewStrategic Account Manager - Medicaid Cambia Health Solutions IncStrategic Account Manager - MedicaidFargo, ND$101,852–$137,801 / yearAs a member of the Government Programs team, our Strategic Account Manager-Medicaid will provide dedicated leadership for relationship management, governance, and stakeholder engagement - serving as the critical bridge between Cambia and our state agency partners to ensure the success of our North Dakota Medicaid line of business - all in service of creating a person-focused health care experience. What You Will Do at Cambia: Provide dedicated leadership for state relations, stakeholder engagement, and governance responsibilities required to operate a successful North Dakota Medicaid line of business, maintaining strong partnerships with state agencies and ensuring regulatory confidence.
NewStrategic Account Manager - Medicaid Cambia HealthStrategic Account Manager - MedicaidFargo, ND$101,852–$137,801 / yearAs a member of the Government Programs team, our Strategic Account Manager-Medicaid will provide dedicated leadership for relationship management, governance, and stakeholder engagement - serving as the critical bridge between Cambia and our state agency partners to ensure the success of our North Dakota Medicaid line of business - all in service of creating a person-focused health care experience. What You Will Do at Cambia: Provide dedicated leadership for state relations, stakeholder engagement, and governance responsibilities required to operate a successful North Dakota Medicaid line of business, maintaining strong partnerships with state agencies and ensuring regulatory confidence.
NewManager In Training - Fargo, ND TouchmarkManager In Training - Fargo, NDFargo, NDThe Management Development position is an 18-month - two-year Management Training program designed to provide naturally ambitious and motivated individuals with strong leadership skills, an opportunity to learn Touchmark operations and learn to lead by Touchmark's values. Demonstrated leadership skills, as evidenced by leadership positions at work, school/athletics, or in volunteer organizations; A desire to work in the hospitality or service industry or work with seniors is a plus.