RN - Registred Nurse - Local Traveler Good SamaritanRN - Registred Nurse - Local TravelerKanaranzi, MNRemote$32–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewLicensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USADell Rapids, SDRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
Recruiter / Healthcare / Remote / Great earning potential Omega RecruitingRecruiter / Healthcare / Remote / Great earning potentialSioux Falls, SDRemoteWe have a tried-and-true recipe for success that has allowed us to become an industry leader and one of the largest and most successful executive search firms in the country, with an extensive and ever-growing network of search consultants. This is an excellent opportunity for someone who has an entrepreneurial mindset, is goal-oriented, has a competitive spirit, and thrives on the opportunity to have unlimited earning potential in a commission-driven position.
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.
Healthcare Operational Consulting Senior Manager - Remote Eligible Eide Bailly LLPHealthcare Operational Consulting Senior Manager - Remote EligibleSioux Falls, SDRemote$140,000–$205,000 / yearA typical day as a Healthcare Operational Consulting Senior Manager might include: Provides onsite and offsite 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.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleSioux Falls, SDRemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life 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. A 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.
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.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Sioux Falls, South DakotaRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
NewClient Success Manager - Full Time - Remote Experity IncClient Success Manager - Full Time - RemoteSDRemote$66,900–$90,000 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
NewPACS Technical Support Management Manager - Full Time - Remote Experity IncPACS Technical Support Management Manager - Full Time - RemoteSDRemote$90,900–$110,000 / yearCommunicate and collaborate effectively with other functional leaders by solving business challenges together, identifying growth opportunities, and collaborating to drive efficiency and effectiveness across the organization, while focusing on support. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Staff Engineer - Full Time - Remote Experity IncStaff Engineer - Full Time - RemoteSDRemote$121,400–$161,500 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions-from helping families access care quickly to ensuring clinics run smoothly behind the scenes.
Remote Prior Authorization Pharmacist Pharmacy CareersRemote Prior Authorization PharmacistSioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies.
Case Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Sioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Case management, MTM, or managed care experience preferred — retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift CareHarmonyRemote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day ShiftSioux Falls, SDRemote$43,000–$58,000CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Sioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Recruiter (Remote - Sioux Falls, SD) LRS HealthcareRecruiter (Remote - Sioux Falls, SD)Sioux Falls, SDRemoteConduct initial phone screens with candidates in order to qualify candidates to open positions, then works internally with Account Managers to identify where the caregiver might be a qualified fit to work at. This role can either be a long-term fit for someone who enjoys the role of sourcing new talent, or can be an opportunity to learn the profession and develop the skillset necessary to advance to the Account Manager role.
REMOTE MDS Coordinator MDS SolutionsREMOTE MDS CoordinatorSioux Falls, South DakotaRemotePromote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement. Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
NewPer Diem Virtual Therapist - Remote - South Dakota UnitedHealth Group IncPer Diem Virtual Therapist - Remote - South DakotaSioux Falls, SDRemote$69,100–$103,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2377520 Job category: Behavioral Primary location: Sioux Falls, South Dakota Additional locations: Pierre, South Dakota | Watertown, South Dakota | Rapid City, South Dakota | Aberdeen, South Dakota Date posted: 07/17/2026 Overtime status: Non-exempt Travel: No.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Sioux Falls, SDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationSioux Falls, SDRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerSioux Falls, SDRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Clinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystSioux Falls, SDRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadSioux Falls, SDRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by 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.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerSDRemoteIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
Clinical Education Training Specialist TriWest Healthcare AllianceClinical Education Training SpecialistSioux Falls, SDRemoteFull timeAssist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
Manager, Health Plan Utilization Management - RN Sanford HealthManager, Health Plan Utilization Management - RNSDRemoteGraduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Actively involved in reviewing information submitted by internal or external referral sources regarding a variety of cases which have the potential to develop into complex and/or costly scenarios and assisting the finance department in understanding the financial implications of these conditions.
Medical Director TriWest Healthcare AllianceMedical DirectorSioux Falls, SDRemotePart timeCollaborates with VA, military treatment facility and network providers and TriWest staff to assure timely, appropriate and high quality care. Independent Thinking / Self-Initiative: Thinks critically with ability to focus on things which matter most to achieving outcomes.
Project Manager TriWest Healthcare AllianceProject ManagerSioux Falls, SDRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceSioux Falls, SDRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
Provider Program Manager - Provider Strat Value Base Care TriWest Healthcare AllianceProvider Program Manager - Provider Strat Value Base CareSioux Falls, SDRemoteFull timeAs part of an assigned team, develops 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.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerSioux Falls, SDRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Provider Program Manager- Provider Education TriWest Healthcare AllianceProvider Program Manager- Provider EducationSioux Falls, SDRemoteFull timeAs part of an assigned team, develops 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.
Provider Program Manager (Provider Credentialing Required) TriWest Healthcare AllianceProvider Program Manager (Provider Credentialing Required)Sioux Falls, SDRemoteFull timeAs part of an assigned team, develops 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.