Coding Audit Specialist, Health Plan Sanford HealthCoding Audit Specialist, Health PlanSDRemote$21.50–$34.50 / hourThe Coding Audit Specialist position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid Services (CMS) and Department of Health Services (DHS); identifies deficiencies and provides management with an analysis of outcomes and tools for improving accuracy in coding. Responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD‐9 & ICD‐10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.
Financial Analyst, Operations Support Destination Pet LLCFinancial Analyst, Operations SupportSDRemote$85,000–$90,000 / yearThe value you create is in the conversation after: this margin moved because of that staffing decision, this location''s rate structure is leaving money on the table, this initiative will pay back in seven months if we sequence it this way. You will sit alongside operations leadership as a strategic advisor, translating financial results into the operational decisions that produced them and the ones that should follow.
(Remote) Software Developer Harris Computer Systems(Remote) Software DeveloperSDRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.
Occupational Therapist - Remote MaximusOccupational Therapist - RemoteSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .
Business Manager-Remote MaximusBusiness Manager-RemoteSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Oversee and manage large multi-project programs including planning, organizing, staffing, leading, and controlling program activities.
HR Business Partner Lead Consultant (remote) MaximusHR Business Partner Lead Consultant (remote)Sioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. • Must have a minimum of 3 years of experience working on centralized HR teams, building strong partnerships with HR Centers of Excellence, including Talent Acquisition, Employee Relations, Total Rewards, and Learning & Development.
ITSM Entitlement Analyst MaximusITSM Entitlement AnalystSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Hands-on experience providing software licensing subject matter expertise, including validating compliance, supporting renewals, and identifying optimization or cost-avoidance opportunities.
Behavioral Health Technician (Remote) MaximusBehavioral Health Technician (Remote)Sioux Falls, SDRemoteFull timeAttend and participate in meetings during normal duty hours, professional staff conferences, quality improvement meetings, professional staff meetings, commander's staff meetings, and other appropriate professional activities required by applicable regulations or directed by the unit Commander or designee. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Lead Security Engineer - Remote MaximusLead Security Engineer - RemoteSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. #HotJobs0825LI #HotJobs0825FB #HotJobs0825X #HotJobs0825TH #TrendingJobs #c0rejobs #CoreTech #HotJobs0908LI #HotJobs0908FB #HotJobs0908X #HotJobs0908TH.
Computational Bioinformatics Analyst Sanford HealthComputational Bioinformatics AnalystSDRemote$34.50–$57 / hourProvides support in computational analysis of or the logical and technical processes necessary for building analyses of phenome, metabolome, glycome, lipidome, infamome, transcriptome, epigenome, and genome, as well as the integration of such with electronic medical record platforms. The clinical projects involve implementing genetic testing panels that are directly applicable to patient care, while the research projects further Imagenetics' goal of advancing education, knowledge, and research in the field of genomics.
Territory Business Manager- Minnesota, South Dakota & North Dakota Neogen CorpTerritory Business Manager- Minnesota, South Dakota & North DakotaSioux Falls, SDRemoteThrough animal health products and food safety solutions designed to detect dangerous bacteria, allergens, toxins, drug residues, and more, Neogen plays an important role in protecting people, animals, and the global food supply. Ability to travel frequently throughout the assigned territory and perform essential job functions in a variety of customer environments, including manufacturing facilities, laboratories, warehouses, and production areas.
Cognitive Enhancement Practitioner (Remote) MaximusCognitive Enhancement Practitioner (Remote)Sioux Falls, SDRemoteFull timeTrain and educate active-duty personnel in cognitive and behavioral skills to enhance cognitive and psychological performance, including attention and concentration, problem solving, emotional regulation, energy management, memory enhancement, interpersonal skills, goal setting, and related compensatory mechanisms. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Senior Configuration Analyst MaximusSenior Configuration AnalystSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .
CIC Analyst MaximusCIC AnalystSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .
Lead Consultant -Business Solutions (Solutions Lead) MaximusLead Consultant -Business Solutions (Solutions Lead)Sioux Falls, SDRemoteFull timeFacilitate discussions with operations, technology, pricing, pursuit operations, proposal, implementation, and subject matter experts to define service delivery models, business processes, staffing approaches, technology-enabled workflows, assumptions, risks, and differentiators. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Project Manager - Pursuit Management MaximusProject Manager - Pursuit ManagementSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Program Requirements: -Specialized experience needed: hands-on management of complex pursuits, proposals, implementations, or other deadline-driven projects with multiple workstreams, dependencies, governance routines, and executive visibility.
Project Director - Pursuit Management MaximusProject Director - Pursuit ManagementSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. -Candidates should have experience designing operating rhythms, executive reporting expectations, project controls, escalation pathways, milestone health reporting, readiness reviews, issue management, and decision cadence.
Sr Analyst, Competitive Intelligence & Price to Win MaximusSr Analyst, Competitive Intelligence & Price to WinSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Must be comfortable building analytical models, maintaining source logs and workpapers, explaining assumptions, identifying risks, and translating findings into clear implications for PTW, pricing, capture, and proposal decisions.
Analyst, Competitive Intelligence & Price to Win MaximusAnalyst, Competitive Intelligence & Price to WinSioux Falls, SDRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Program Specific Requirements: - Research, data organization, spreadsheet analysis, source documentation, procurement research, pricing support, market analysis, finance, business analysis, or business development support.
IT Lead Business Solutions Architect (Senior Solutions Lead) MaximusIT Lead Business Solutions Architect (Senior Solutions Lead)Sioux Falls, SDRemoteFull timeDeliverables include, but are not limited to: business-outcome statements, strategy-on-a-page, scenario planning, business capability modeling, value-stream mapping, business process models, ecosystem modeling, customer and user profiling, journey maps, human-centric design, and investment roadmaps. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.