Healthcare Technology Specialist I Lehigh Valley Health NetworkHealthcare Technology Specialist IBurke, SDFinally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.
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.
Healthcare 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.
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.
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.
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.
Healthcare Reimbursement Advocate | Clinic Monument Health Rapid City HospitalHealthcare Reimbursement Advocate | ClinicRapid City, South DakotaCollaborates and effectively communicates pertinent information in a professional manner to promote a positive work environment with all internal Monument Health caregivers including but not limited to: Patient Financial Services Claims Analysts, Health Information Management, Patient Financial Services Third Party Financial Advocates, and all other divisions and department subject matter experts and caregivers. Essential Functions: Conducts all necessary review, analysis, and follow up on unresolved account balances from the complete Monument Health system utilizing a vast multitude of varying software packages and their functions, in accordance with established guidelines to ensure a positive patient and family experience.
Healthcare Reimbursement Advocate | Clinic Monument Health.Healthcare Reimbursement Advocate | ClinicRapid City, SD$17.82–$22.27 / hourCollaborates and effectively communicates pertinent information in a professional manner to promote a positive work environment with all internal Monument Health caregivers including but not limited to: Patient Financial Services Claims Analysts, Health Information Management, Patient Financial Services Third Party Financial Advocates, and all other divisions and department subject matter experts and caregivers. Essential Functions: Conducts all necessary review, analysis, and follow up on unresolved account balances from the complete Monument Health system utilizing a vast multitude of varying software packages and their functions, in accordance with established guidelines to ensure a positive patient and family experience.
Healthcare Carpenter Ainsworth-Benning ConstructionHealthcare CarpenterRapid City, SDThe ideal candidate is experienced in commercial construction, works well independently, and understands the importance of safety, professionalism, infection control, and minimizing disruption in occupied healthcare environments. If you are a motivated carpenter who takes pride in quality craftsmanship and enjoys working in a fast-paced healthcare construction environment, we would love to have you as part of the Ainsworth-Benning Team!
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.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcarePierre, SD$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
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.
NewHealthcare Reimbursement Associate Eide Bailly LLPHealthcare 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.
Manager, 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.
Solutions 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.
NewPharmacy Operations Manager Walgreen CoPharmacy Operations ManagerSioux Falls, SD$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
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.