NewAdministrator 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.
Healthcare Operational Consulting Manager - Remote Eligible Eide Bailly LLPHealthcare Operational Consulting Manager - Remote EligibleSioux Falls, SDRemote$100,000–$145,000 / yearA typical day as a Healthcare Operational Consulting Manager might include: Provides consulting services related to healthcare financial, operational and industry issues including project management and delivery. For extra assistance in your job search journey, explore EB Career Resources-a complimentary external tool that offers career exploration, resume workshops, interview prep and other professional development options.
NewProgram 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).
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.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsSD$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.
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.
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.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleSioux Falls, South DakotaRemote$95,000–$135,000 / yearFull timeA typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability. In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed.
Senior Performance Marketer – Meta or Youtube/Google (E‑comm + Healthcare, 45+) $120k–$300k+/yr StartVimSenior Performance Marketer – Meta or Youtube/Google (E‑comm + Healthcare, 45+) $120k–$300k+/yrSioux Falls, South DakotaRemote$5,000–$20,000 / yearNot the right fit if: you've only worked with big corporate brands, B2B, brand awareness campaigns; you've only ever stepped into already-scaled accounts as an optimizer; you operate primarily through agencies or teams without staying hands-on; or you can't point to specific examples of personally moving the needle on a 100K+/month Meta account. Day to day, this means planning spend, structuring campaigns, optimising toward profit-aware ROAS/CAC targets, translating performance signals into clear creative briefs with our team, and running the kind of operating cadence that makes your work easy to trust.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareSDRemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Healthcare Reimbursement Associate Eide Bailly LLPHealthcare Reimbursement AssociateSioux Falls, SD$64,000–$87,000 / yearA typical day as a Healthcare Reimbursement Associate might include the following: Using specialized software to prepare Medicare and/or Medicaid cost reports for a variety of healthcare clients ranging from hospitals to nursing facilities. Reviewing trial balances, financial statements, and client data ensuring accuracy and completeness of cost report.
Healthcare Accounting/Reimbursement Associate Eide Bailly LLPHealthcare Accounting/Reimbursement AssociateSioux Falls, South Dakota$64,000–$87,000 / yearFull timeA typical day as a Healthcare Accounting/Reimbursement Associate might include the following: Using specialized software to prepare Medicare and/or Medicaid cost reports for a variety of healthcare clients ranging from hospitals to nursing facilities. Reviewing trial balances, financial statements, and client data ensuring accuracy and completeness of cost report.
Supervisor, Provider Network Management TriWest Healthcare AllianceSupervisor, Provider Network ManagementSioux Falls, SDRemoteFull timeTechnical Skills: Working knowledge of provider contract support functions and provider data systems; proficient with Word, Excel, and Provider Services data systems, with the ability to produce reports through querying; working knowledge of VA policies and procedures outlined in the VA Operations Manual, VA Policy Manual, DoD Regulations, and applicable TRICARE contract requirements. • Bachelor's Degree and 2 years of varied and responsible experience with health care programs, or any combination of education and experience that provides an equivalent background, plus the following: • If supporting TRICARE contract, must be a U.S. Citizen.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseSDRemote$71,100–$97,800 / yearWork-at-Home Information: To 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. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Practice Management Support Partner Avera HealthPractice Management Support PartnerSioux Falls, SD$58,240–$87,360 / yearTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Responsible for providing a high level of expertise in the areas of 3rd party reimbursement for physician services, clinic business planning, and ad hoc analysis of physician production results.
NewProject 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.
Vice President, Revenue Cycle, Coding and HIM Sanford HealthVice President, Revenue Cycle, Coding and HIMSioux Falls, SDPartners with physician leaders, clinical teams, operational executives, finance, technology, compliance, and revenue cycle peers to strengthen alignment between clinical documentation, patient care delivery, and financial outcomes. Extensive progressive leadership experience within healthcare revenue cycle, health information management, coding, clinical documentation improvement, revenue integrity, healthcare operations, or related functions required.
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.
NewProvider 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.