Medical Policy & Coding Support Coordinator (CPC/CPC-A preferred) Blue Cross and Blue Shield AssociationMedical Policy & Coding Support Coordinator (CPC/CPC-A preferred)Sioux Falls, SDRemotePerform monthly medical policy coding analyses and SAP BusinessObjects reports to identify and recommend necessary changes based on comparison to BCBSA reference medical policies, sentinel commercial health plan benchmarks and utilization patterns and implementation of claim system edits to support its intent. Support Medical Policy Team's operations, including creating and managing monthly Medical Policy production timelines, quarterly production timeline for N/R/D Code processing, maintaining Medical Policy material distribution lists, and filing external appeals.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorSD$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Medical Billing Specialist Slingsby & Huot Eye AssociatesMedical Billing SpecialistRapid City, SDAt Slingsby & Huot Eye Associates, we are dedicated to providing the highest level of eye care services to our patients in Rapid City and the surrounding areas. From comprehensive eye exams to advanced surgical procedures, we offer a wide range of services to meet our patients' needs.
Medical Claims Specialist State of South DakotaMedical Claims SpecialistSioux Falls, SD$19.29–$21 / hourThe Ideal Candidate Will Have: experience processing medical, insurance, or healthcare claims; experience in medical billing, medical coding, revenue cycle, healthcare reimbursement, or provider office operations (preferred); knowledge of medical terminology (preferred); familiarity with Medicaid, Medicare, commercial insurance, or other healthcare reimbursement programs (preferred); respond promptly and courteously to incoming phone calls from medical providers, billing agents, and recipients regarding correct Medicaid claim submission, claim status, and reimbursement through billing guidelines, policies, and procedures; review claim records, system information, policy manuals, and fee schedules to identify submission errors, missing data, or processing discrepancies; process medical claims that stop for manual review between incoming calls; provide clear and courteous guidance over the phone, helping callers resolve issues related to denials, adjustments, coordination of benefits, and prior authorizations; collaborate with other internal departments to address complex claims or policy questions that require further investigation or higher-level approval; monitor and track claim statuses, follow up on unresolved cases, and ensure that documentation is updated accurately and completely; educate providers on self-service tools such as electronic eligibility verification systems, diagnosis/procedure code lookup tools, claims submission portals, and online manuals/fee schedules; maintain confidentiality and security of sensitive health and financial data in compliance with HIPAA and state regulations on confidentiality and security of health and finance data; stay updated on changes to Medicaid policies, billing codes, and claim system processes. This role works directly with healthcare providers, medical billing offices, and Medicaid recipients to resolve claim issues, explain billing policies, and ensure accurate and timely claims processing.
Medical Claims Specialist South Dakota State GovernmentMedical Claims SpecialistPierre, SD$19.29–$21 / hourexperience processing medical, insurance, or healthcare claims; • experience in medical billing, medical coding, revenue cycle, healthcare reimbursement, or provider office operations (preferred); • knowledge of medical terminology (preferred); • familiarity with Medicaid, Medicare, commercial insurance, or other healthcare reimbursement programs (preferred); • respond promptly and courteously to incoming phone calls from medical providers, billing agents, and recipients regarding correct Medicaid claim submission, claim status, and reimbursement through billing guidelines, policies, and procedures; • review claim records, system information, policy manuals, and fee schedules to identify submission errors, missing data, or processing discrepancies; • process medical claims that stop for manual review between incoming calls; • provide clear and courteous guidance over the phone, helping callers resolve issues related to denials, adjustments, coordination of benefits, and prior authorizations; • collaborate with other internal departments to address complex claims or policy questions that require further investigation or higher-level approval; • monitor and track claim statuses, follow up on unresolved cases, and ensure that documentation is updated accurately and completely; • educate providers on self-service tools such as electronic eligibility verification systems, diagnosis/procedure code lookup tools, claims submission portals, and online manuals/fee schedules; • maintain confidentiality and security of sensitive health and financial data in compliance with HIPAA and state regulations on confidentiality and security of health and finance data; • stay updated on changes to Medicaid policies, billing codes, and claim system processes. This role works directly with healthcare providers, medical billing offices, and Medicaid recipients to resolve claim issues, explain billing policies, and ensure accurate and timely claims processing.
Clinical Quality Specialist - Canton Medical Center - Full Time Sanford HealthClinical Quality Specialist - Canton Medical Center - Full TimeCanton, SD$24–$38.50 / hourGraduate 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.
Billing and Insurance Specialist/Medical Office Midwest Ear, Nose & ThroatBilling and Insurance Specialist/Medical OfficeSioux Falls, SDThis role will verify hearing aid benefits and prepare patient estimates and prior authorizations, establish patient payment plans within approved guidelines, and provide exceptional customer service by assisting patients and insurance carriers with billing inquiries. This position is responsible for ensuring accurate charge entry, payment posting, and account reconciliation while supporting efficient revenue cycle operations.
Medical Coder Ophthalmology LTDMedical CoderSioux Falls, SDOphthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers).
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)SD$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
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.
Shrink Protection Specialist/Customer Service Ross Dress for LessShrink Protection Specialist/Customer ServiceYankton, South DakotaThe Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous, and friendly manner deterring opportunity for theft by demonstrating “command” presence in a Company issued vest/required black attire and monitoring the Code 50 package inspection policy. Provides visible “command” presence, including prominent greetings with eye contact, at Store entrances/exits and on the sales floor in a Company vest/required black attire, monitoring for potential safety issues.
RN | Medical/Surgical Monument Health.RN | Medical/SurgicalSD$35–$43.75 / hourAdditional Requirements Required: Education - Completion of a nursing education program that is approved by a board of nursing Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions Flexible scheduling Job Description Essential Functions: Utilizes the ANA Nursing Process (2010) to perform the following functions: Collects comprehensive data pertinent to the Healthcare consumer's health and/or the situation.
RN | Medical/Surgical Monument Health Rapid City HospitalRN | Medical/SurgicalDeadwood, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Whether you are newly graduated or have years of experience as a RN, we are looking for positive, hardworking, and considerate Registered Nurses who thrive in a fast-paced work environment providing high quality care.
RN | Medical Monument Health Rapid City HospitalRN | MedicalRapid City, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Whether you are newly graduated or have years of experience as a RN, we are looking for positive, hardworking, and considerate Registered Nurses who thrive in a fast-paced work environment providing high quality care.
RN | Emergency Department | Rapid City Hospital and North Medical Campus Monument Health Rapid City HospitalRN | Emergency Department | Rapid City Hospital and North Medical CampusRapid City, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing.
RN | Medical Monument Health.RN | MedicalRapid City, SD$35–$43.75 / hourYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Whether you are newly graduated or have years of experience as a RN, we are looking for positive, hardworking, and considerate Registered Nurses who thrive in a fast-paced work environment providing high quality care.
RN | Emergency Department | Rapid City Hospital and North Medical Campus Monument Health.RN | Emergency Department | Rapid City Hospital and North Medical CampusRapid City, SD$35–$43.75 / hourYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing.
NewSr. Claims Specialist, Professional Liability | E&O, D&O, EPL) Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL)SD$100,000–$125,000 / yearSkills: written and oral communication skills, presentation skills, PC literate including Microsoft Office Products, strong negotiation skills, ability to work in a team environment, and meet or exceed performance competencies. Analyzes and processes complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Store Protection Specialist Ross Stores IncStore Protection SpecialistYankton, SDThe Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous and friendly manner deterring opportunity for theft by demonstrating "command" presence in a Company issued vest/required black attire, and monitoring the Code 50 package inspection policy. Provides visible "command" presence, including prominent greetings with eye contact, at Store entrances/exits and on sales floor in a Company issued vest/required black attire, monitoring for potential safety issues.
Associate Spine Specialist (Rapid City, SD) Globus Medical IncAssociate Spine Specialist (Rapid City, SD)Rapid City, SDEssential Functions: Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research. Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan.
NewInsurance Specialist Avera HealthInsurance SpecialistSioux Falls, SD$19.50–$25.50 / hourSpecialists must also be able to understand and interpret patient liability and benefits for all payer types including copays, co-insurance, and out-of-pocket responsibilities in order to provide patients and families with information on their financial responsibility. Obtain necessary paper/electronic referrals, authorizations and pre-certifications from Primary Care Physician and/or Specialty Physician when required by payers, Managed Care, and traditional Medicaid and enters information into the health information system.
RN | Medical/Surgical Monument HealthRN | Medical/SurgicalCuster, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Whether you are newly graduated or have years of experience as a RN, we are looking for positive, hardworking, and considerate Registered Nurses who thrive in a fast-paced work environment providing high quality care.
RN | Emergency Department | Rapid City Hospital and North Medical Campus Monument HealthRN | Emergency Department | Rapid City Hospital and North Medical CampusRapid City, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing.
RN | Medical Monument HealthRN | MedicalRapid City, South DakotaYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Whether you are newly graduated or have years of experience as a RN, we are looking for positive, hardworking, and considerate Registered Nurses who thrive in a fast-paced work environment providing high quality care.
Safety and Occupational Health Specialist U.S. Department of LaborSafety and Occupational Health SpecialistSioux Falls, SD$50,460–$137,128 / yearOR Substitution of Experience: Two years of graduate education or a Masters degree in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. Undergraduate and Graduate Education: Major study in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology.
MS Middle School Youth Program Specialist (Girls) Youth & Family ServicesMS Middle School Youth Program Specialist (Girls)Rapid City, SDPlan informal educational activities for children that incorporate a broad-based knowledge in areas of careers and life planning, health/sexuality, leadership and community action, sports and adventure, self reliance and life skills and culture/heritage. Supervisory and organizational skills and ability to relate to co-workers, parents and the general public.
Middle School Youth Program Specialist (Boys) Youth & Family ServicesMiddle School Youth Program Specialist (Boys)Rapid City, SDPlan informal educational activities for children that incorporate a broad-based knowledge in areas of careers and life planning, health/sexuality, leadership and community action, sports and adventure, self-reliance and life skills and culture/heritage. Supervisory and organizational skills and ability to relate to co-workers, parents and the general public.
Clinical Specialist (Case Manager) West River Mental HealthClinical Specialist (Case Manager)Rapid City, SDCoordinate the teaching of daily living skills: this includes but not limited to; grocery shopping, hygiene, maintaining clean housing, utilizing public transportation, maintaining self-care, exploring employment opportunities, instruct clients in the act of self-administration of prescription and nonprescription medication. West River Mental Health has been providing mental health care in Western South Dakota since 1948 and is the largest, most advanced community mental healthcare facility in the region.
Patient Account Specialist - Corporate Office Family Health Care of SiouxlandPatient Account Specialist - Corporate OfficeDakota Dunes, SDWork with patients setting up payment plans and offering financial assistance when applicable. ADDRESS: 200 Gold Circle, Suite 120 Dakota Dunes, SD 57049.
Doc Support Specialist - Overnights Citigroup IncDoc Support Specialist - OvernightsSioux Falls, SD$37,440–$44,320 / yearAppropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. Imaging duties include setup, document preparation and scanning documents into database and returning electronic files to appropriate business lines.
Doc Support Specialist -Overnight Citigroup IncDoc Support Specialist -OvernightSioux Falls, SD$37,440–$44,320 / yearAppropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. Imaging duties include setup, document preparation and scanning documents into database and returning electronic files to appropriate business lines.
Physical Security Specialist INTECONPhysical Security SpecialistRapid City, SDThis position manages IDS/ADS alarm systems, conducts inspections and operational tests, coordinates with Base Security Forces, and ensures continuous compliance with ICD 705 and applicable DoD/AF directives in a TS/SCI environment. INTECON is seeking a Physical Security Specialist to support the 89th Attack Squadron (89 ATKS) at Ellsworth Air Force Base by independently executing all physical security functions for the unit's SCIF and associated facilities.
Supervisory Safety and Occupational Health Specialist (Safety Officer) US Department of Health and Human ServicesSupervisory Safety and Occupational Health Specialist (Safety Officer)SD$106,437–$138,370 / yearCompleted a undergraduate or higher level degree in a major -- safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Service Specialist BPS Direct LLCService SpecialistMitchell, SDAssists with warranty repair authorization and related IDS work order creation, the receiving and sale of parts within the IDS dealer management system and the accepting parts and work order payments, compiling daily batch report and till reconciliation. Assists Service Manager with the creation of related IDS work order and with keeping customers informed of estimates for needed repairs and progress toward their completion.
Human Resources Specialist PREMIER Bankcard, LLCHuman Resources SpecialistSioux Falls, SDFull timeServe as a trusted partner to assist with any aspect of the employee life-cycle, including recruitment, general benefits and leave questions, onboarding or offboarding processes as well as special projects, as assigned. Resolves inquiries from internal or external customers by providing information on policies and/or procedures, referring the most complex issues to dedicated subject matter experts within HR.
Parts Specialist O'Reilly Automotive IncParts SpecialistSioux Falls, SDRequired: Ability to quickly match alphanumeric sequences • Required: Ability to provide outstanding, friendly and professional customer service • Required: Must be able to multitask, handling customers on the phone and in the store at the same time • Desired: Familiar with automotive parts, cataloging, weatherly index system, and automotive sales or service • Desired: ASE certification • Desired: Fluency in multiple languages (Spanish is highly desired). • Provide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee.
Reporting Specialist MaximusReporting SpecialistRapid City, SDFull 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.
NewCoder II - Outpatient Avera HealthCoder II - OutpatientSioux Falls, SD$24–$35 / hourThe Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line. Review all aspects of a patient''s clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera''s facilities.
Coder II - Inpatient AveraCoder II - InpatientSioux Falls, South DakotaIP Coder II is distinguished by specific services lines which could include but not limited to the following: Surgery, NICU/PICU, Cardiovascular, Women’s Health, OB, Nursery, Behavioral Health, Orthopedics, Inpatient Rehabilitation and others as appropriate. To 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.
Coder II - Inpatient Avera HealthCoder II - InpatientSioux Falls, SD$25.50–$38 / hourIP Coder II is distinguished by specific services lines which could include but not limited to the following: Surgery, NICU/PICU, Cardiovascular, Women's Health, OB, Nursery, Behavioral Health, Orthopedics, Inpatient Rehabilitation and others as appropriate. To 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.
Coder III Monument Health Rapid City HospitalCoder IIIRapid City, South DakotaAccurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).
Graphic Designer Sammons Financial GroupGraphic DesignerSioux Falls, South Dakota$44,498–$74,162 / yearFull timeManage business forms and marketing materials maintenance, including: • Building and maintaining branded business forms (e.g., applications, enrollment/change requests, claims/service forms, disclosures, rate sheets) as print PDFs, translating complex requirements into clear, usable, accessible layouts that reflect the brand. Proficient in Mac computer systems using Adobe Creative Suite—Photoshop, Illustrator, InDesign, Adobe XD, Acrobat Pro, Dreamweaver; CSS; HTML; responsive web design; User Experience design; interactive landing pages; and typography.
NewProgram Integrity Auditor NACBAProgram Integrity AuditorSioux Falls, SDEducationAssociate's degree or equivalent experience (2+ years of relevant experience + high school diploma or GED).Anticipated Weekly Hours40Time TypeFull timePay Range$46,988.00 - $122,400.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Primary ResponsibilitiesServe as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerSioux Falls, SDRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
86052 COLOR & CURL UNCERTIFIED Sally Beauty Company, Inc.86052 COLOR & CURL UNCERTIFIEDRapid City, SDThe work environment involves everyday risks or discomforts which require normal safety precautions typical of such places as offices, meeting and training rooms, retail stores, and residences or commercial vehicles, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals, etc. Using market analysis to sell approved beauty products, introduce new products and concepts, provide customer service, conduct product education both in store and virtually.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)SD$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)SDRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
Cornea Reimbursement Liaison - Minneapolis, MN | Fargo, ND | Helena, MT | Sioux Falls, SD Glaukos CorpCornea Reimbursement Liaison - Minneapolis, MN | Fargo, ND | Helena, MT | Sioux Falls, SDSioux Falls, SDRemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.