Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareSD$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.
Patient Education Manager, Rare Hematology and Nephrology, North Central (Iowa, Kansas, Minnesota, Nebraska, North Dakota, South Dakota, Wisconsin) Alexion Pharmaceuticals IncPatient Education Manager, Rare Hematology and Nephrology, North Central (Iowa, Kansas, Minnesota, Nebraska, North Dakota, South Dakota, Wisconsin)Pierre, SD$135,332–$202,998 / yearThis is what you will do: The Patient Education Manager (PEM) is a key field-based role responsible for engaging the patient community, conducting patient education programs, partnering with advocacy groups, and supporting infusion sites of care as the subject matter expert for REMS requirements as well as product and disease education. Collaborate effectively, building and maintaining strong relationships with cross functional team (i.e. Commercial, Medical, Marketing, and Patient Services) to ensure alignment of patient education initiatives with overall business strategies, driving optimal patient outcomes.
Field Reimbursement Manager - True North Inspire Medical Systems Inc.Field Reimbursement Manager - True NorthPierre, SDRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Health Services Administrator (HSA) State of South DakotaHealth Services Administrator (HSA)Pierre, SD$95,000–$110,000 / yearSelected individuals must possess the physical ability to successfully complete the practical self-defense exam, which involves the following: lift arms above head and kick as high as own waist; stabilize another person to accomplish a controlled take down; use arms, palms of hands, shins, and feet to deliver blows; withstand impact (slow speed or with a safety bag) on own body from strikes/blows; rotate body 90 degrees with feet planted for striking with foot or using a defensive tactic; get down on one or both knees and up again with multiple repetitions. Supervision is exercising span and control over subordinate staff to include coaching, mentoring, daily monitoring, performance management (planning, reviewing, and evaluating), resolving complaints/grievances, responsibility for scheduling and leave approval, and providing input that could affect pay, status, or tenure.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)SD$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)SD$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Health Services Administrator (HSA) South Dakota State GovernmentHealth Services Administrator (HSA)Pierre, SD$95,000–$110,000 / yearSelected individuals must possess the physical ability to successfully complete the practical self-defense exam, which involves the following: lift arms above head and kick as high as own waist; stabilize another person to accomplish a controlled take down; use arms, palms of hands, shins, and feet to deliver blows; withstand impact (slow speed or with a safety bag) on own body from strikes/blows; rotate body 90 degrees with feet planted for striking with foot or using a defensive tactic; get down on one or both knees and up again with multiple repetitions. Supervision is exercising span and control over subordinate staff to include coaching, mentoring, daily monitoring, performance management (planning, reviewing, and evaluating), resolving complaints/grievances, responsibility for scheduling and leave approval, and providing input that could affect pay, status, or tenure.