NewDirector of Benefits - Relocate to Warroad, MN MarvinDirector of Benefits - Relocate to Warroad, MNSioux Falls, SD$162,000–$215,000This position partners with HR, Finance, Legal, operations, executive leadership, vendors, consultants, and healthcare providers to enhance the employee experience, manage benefit costs, and support employee health and wellbeing. Marvin offers an extensive relocation benefit package that includes the movement of your household goods, temporary housing, and much more – in addition to a relocation counselor to assist you throughout the entire journey.
Administrator of Healthcare Services Dow Rummel VillageAdministrator of Healthcare ServicesSioux Falls, South DakotaPay Range: (based on experience) Who We Are Dow Rummel Village is a non-profit Senior Life Plan Community in Sioux Falls, SD, enriching lives for over 60 years. The Role The Administrator of Healthcare Services oversees overall operations, management and leadership of all licensed care services at Dow Rummel Village.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Sioux Falls, SDRemoteFull 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).
Analyst, Surgical Services - Surgery Administration Providence Health & ServicesAnalyst, Surgical Services - Surgery AdministrationSDRemote$35.66–$55.37 / hourRequsition ID: 440486 Company: Providence Jobs Job Category: Operations & Support Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5001 PPMC SURGERY ADMIN Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $35.66 - $55.37 Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
NewHealthcare Market Finance Lead Humana IncHealthcare Market Finance LeadSD$104,000–$143,000 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Market Finance Lead will also partner with actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/MarketPoint and value-based care providers.
Healthcare Counsel TriWest Healthcare AllianceHealthcare CounselSioux Falls, SDRemoteFull timeTriWest will prioritize candidates with experience with healthcare regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for health care providers. Supports the Office of General Counsel in advising and producing attorney work products that support TriWest's healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.
Director, Healthcare Market (HD), Rare Disease - Midwest Genentech IncDirector, Healthcare Market (HD), Rare Disease - MidwestSioux Falls, SD$209,900–$389,900 / yearThe Rare Disease Healthcare Director (RD HD) is responsible for leading a cross functional team whose responsibilities will be focused on supporting patients, caregivers, HCP and advocacy needs holistically within the Neurological Rare Disease (NRD) and Rare Blood Disorder (RBD) communities. The RD HD is tasked with ensuring both clinical and access questions are compliantly addressed for the patient, caregivers and HCP accounts including other geographically aligned stakeholders i.e. social workers, genetic counselors, health systems etc. in order to provide safe and effective patient care.
Architect - Healthcare Architecture IncorporatedArchitect - HealthcareSioux Falls, SDArchitecture Incorporated is seeking a Healthcare Architect to join our growing team and help shape innovative healthcare facilities throughout the region. For nearly 50 years, Architecture Incorporated has been committed to design excellence, client service, and creating meaningful spaces that positively impact communities.
Project Manager Sr TriWest Healthcare AllianceProject Manager SrSioux Falls, SDRemoteFull timeTechnical Skills: Knowledge of the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint, and Visio. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
NewSolutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerSioux Falls, SDRemoteFull 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.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMSioux Falls, SDRemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Performance Improvement Mgr TriWest Healthcare AlliancePerformance Improvement MgrSioux Falls, SDRemoteFull timeThis individual contributor role leads enterprise-wide Quality Improvement Projects (QIPs) focused on operational excellence, Corrective Action Request (CAR) responses, and measurable stakeholder outcomes. Multi-Tasking / Time Management: Prioritize and manage multiple concurrent initiatives to meet changing deadlines and requirements within a high-volume environment, including project timelines, deliverables, and key performance indicators.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerSioux Falls, SDRemoteFull 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.
NewAlternative Health & Advocacy Solutions COE Senior Project Manager CVS Health CorpAlternative Health & Advocacy Solutions COE Senior Project ManagerSDRemote$67,900–$199,144 / yearActing as the central liaison between external partners and internal stakeholders, the Senior Project & Program Manager collaborates closely with Sales, Client Management, Product, Operations, Implementation, and Executive Leadership teams to ensure partner solutions are effectively positioned, implemented, and supported throughout the client lifecycle. Success in this role requires strong relationship management, project and program leadership, operational excellence, strategic thinking, and the ability to influence cross-functional teams to deliver business outcomes that enhance client experience, retention, growth, and innovation.
Manager, Product Lifecycles - Health Plan Sanford HealthManager, Product Lifecycles - Health PlanSioux Falls, SD$46–$76 / hourFacility: GSS National Campus Location: Sioux Falls, SD Address: 4800 W 57th St, Sioux Falls, SD 57108, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $46.00 - $76.00. Sanford 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.
Manager In Training - Sioux Falls, SD TouchmarkManager In Training - Sioux Falls, SDSioux Falls, SDThe 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.
WIC Services Manager State of South DakotaWIC Services ManagerSD$70,672.54–$83,144.16 / yearSummary: The South Dakota Department of Health's programs and services help prevent illness and injury, promote healthy places to live, work and play; provide education to help people make good health decisions; prepare for, respond to, and prevent public health threats; and support efforts to enhance quality and accessibility of healthcare. Ability to: interpret and apply complex federal and state policies; ability to analyze data, solve problems, and make informed decisions; commitment to health equity, public health principles, and participant-centered service delivery; ability to brainstorm and vision how things may work in different environments.
Southwest Manager State of South DakotaSouthwest ManagerRapid City, SD$70,672.57–$83,144.16 / yearResponsibilities of the Southwest Manager include but are not limited to: assists with planning and promotion of WIC program services and lead the implementation of new initiatives; builds strong strategic partnerships with outside agencies, providers, and stakeholders; developing agreements and contracts utilizing multiple service delivery methods (in person, group, virtual, online, mobile units, texting). Skill to: Leading teams, managing change, and organizational performance; maintain a professional knowledge of evidence-based practices related to nutrition for maternal and child health; excellent communication skills; creative and visionary thinking; sound judgment, analysis, and discretion within the framework of defined policies, procedures, and scope of practice.
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.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsSD$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
WIC Services Manager South Dakota State GovernmentWIC Services ManagerStatewide, SD$70,672.54–$83,144.16 / yearSummary: The South Dakota Department of Health's programs and services help prevent illness and injury, promote healthy places to live, work and play; provide education to help people make good health decisions; prepare for, respond to, and prevent public health threats; and support efforts to enhance quality and accessibility of healthcare. Ability to: interpret and apply complex federal and state policies; ability to analyze data, solve problems, and make informed decisions; commitment to health equity, public health principles, and participant-centered service delivery; ability to brainstorm and vision how things may work in different environments.
Southwest Manager South Dakota State GovernmentSouthwest ManagerRapid City, SD$70,672.57–$83,144.16 / yearResponsibilities of the Southwest Manager include but are not limited to: assists with planning and promotion of WIC program services and lead the implementation of new initiatives; builds strong strategic partnerships with outside agencies, providers, and stakeholders; developing agreements and contracts utilizing multiple service delivery methods (in person, group, virtual, online, mobile units, texting). Skill to: Leading teams, managing change, and organizational performance; maintain a professional knowledge of evidence-based practices related to nutrition for maternal and child health; excellent communication skills; creative and visionary thinking; sound judgment, analysis, and discretion within the framework of defined policies, procedures, and scope of practice.
Manager - Assisted Living - FT Sanford HealthManager - Assisted Living - FTSDJoin our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS SD Herreid Ctr Location: Herreid, SD Address: 806 Main St, Herreid, SD 57632, USA Shift: Varies Job Schedule: Full time Weekly Hours: 40.00.
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.
NewManager, Data Engineering (Master Data Management) MDM TriWest Healthcare AllianceManager, Data Engineering (Master Data Management) MDMSioux Falls, SDRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. • Develops and maintains ongoing relationships with hardware, software, consultant, and employee resource vendors to insure that TriWest systems are adequately supported and external opportunities are understood and considered in the planning process.
Administrator and Chief Executive Officer - Canton, SD Sanford HealthAdministrator and Chief Executive Officer - Canton, SDCanton, SDAccomplish and maintain patient care, safety and education, along with community service goals through the enhancement of needed services and the procurement of cost-efficient methods to provide those services. **Sanford 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.**.
NewManager, Data Operations TriWest Healthcare AllianceManager, Data OperationsSioux Falls, SDRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. The manager serves as a bridge between data engineering, analytics, and business stakeholders to ensure timely, high-quality data delivery for operational and strategic needs.
Environmental Services Manager (Evenings) Compass Group USA IncEnvironmental Services Manager (Evenings)Rapid City, SD$52,000–$56,000 / yearCrothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Crothall Healthcare, a Compass Healthcare company, provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry.
NewRecruitment Marketing Strategist Interstates IncRecruitment Marketing StrategistSioux Falls, SDYou''ll use audience insights, labor market trends, and performance data to shape recruitment marketing strategies, collaborate with our marketing team to bring those strategies to life, measure what''s working, and continually improve how we attract talent while supporting broader marketing initiatives as business needs evolve. Whether you're bending conduit, wiring panels, writing code, supporting projects, or helping things run behind the scenes, you'll be part of a crew that works hard, shares laughs, and takes pride in doing quality work.
Assistant Professor, Management South Dakota Board Of RegentsAssistant Professor, ManagementSpearfish, SDPosting Date 05/07/2026 Closing Date Open Until Filled Yes First Consideration Date 05/22/2026 Advertised Salary $72,000 Duration of the Term 9 months If Other, describe duration Appointment Percent 100% Tenure Status Tenure Track Proposed Rank Assistant Professor Work Hours Typical Hours Worked Per Week Appointment Type Regular Scope of Search External (includes Internal) If internal, define scope of search Department Description and Cultural Expectations. The college offers undergraduate programs in Business Administration with specializations including accounting, agribusiness/ranch management, business analytics, economics, finance, entrepreneurial studies, health services administration, human resource management, management, and marketing, as well as an MBA in applied management.
Executive Recruiter TriWest Healthcare AllianceExecutive RecruiterSioux Falls, SDFull timeServing as a trusted advisor to executive hiring leadership, the Executive Recruiter develops and executes proactive, research-driven search strategies to identify, attract, and secure top-tier leadership talent. The Executive Recruiter leads full lifecycle recruitment for executive level Director, Vice President, Chief-level, and other highly specialized leadership roles across TriWest Healthcare Alliance.
Executive Assistant - World Cinic - Full Time Sanford HealthExecutive Assistant - World Cinic - Full TimeSioux Falls, SD$19–$30.50 / hourDevelop expertise in executive leadership support, global operations, project management, strategic communications, international partnerships, and nonprofit healthcare administration while working alongside experienced healthcare leaders. As part of our team, you"ll play a key role in supporting global initiatives that improve the lives of children, families, and communities while strengthening healthcare systems for future generations.
NewSup, Clinical Quality Mgmt TriWest Healthcare AllianceSup, Clinical Quality MgmtSioux Falls, SDRemoteFull timeThe Supervisor oversees clinical and non-clinical staff supporting CQM programs by overseeing and providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
NewDirector, Finance Sanford HealthDirector, FinanceSioux Falls, SDProvides leadership and support for financial services initiatives and projects; has ownership of project outcomes and ensures deadlines are met while providing guidance and support to staff on individual contributions to projects. Serves as expert on matters related to finance in wide array of functional areas; reviews, audits, and validates workflows and associated financials; troubleshoots workflow problems and advises on solutions; re-validates workflows.
Charge Nurse Day Dow Rummel VillageCharge Nurse DaySioux Falls, South DakotaThe Charge Nurse will implement specific procedures and programs, work alongside the Director of Nursing in establishing goals, and ensure compliance with all operating policies, state health regulations, and federal healthcare administration regulations. Your Life At Dow Rummel Village Affordable Medical Plans – Choose from multiple options, including a high-deductible health plan (HDHP) with full preventive coverage and low premiums.
Charge Nurse FT (Overnight) Dow Rummel VillageCharge Nurse FT (Overnight)Sioux Falls, South DakotaFull-Time | Overnight Pay Range: $30.60 - $47.57 with Night and Weekend Shift Differential Relocation Assistance Available Who Are We Dow Rummel Village is a non-profit Senior Life Plan Community in Sioux Falls, SD, enriching lives for over 60 years. The Charge Nurse will implement specific procedures and programs, work alongside the Director of Nursing in establishing goals, and ensure compliance with all operating policies, state health regulations, and federal healthcare administration regulations.