- CenterWell (Pierre, SD)
- …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
- Humana (Pierre, SD)
- …+ Previous encounter submissions experience + Prior internship or experience in healthcare data management, claims processing, or actuarial services + Working ... knowledge of Microsoft SQL or SAS + Understanding of healthcare encounter data and basic knowledge of claims submission and reconciliation processes. + Strong… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Listen to customers,… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
- Humana (Pierre, SD)
- …Excel (pivot tables, VLOOKUP, formulas) + Familiarity with Medicaid systems, claims platforms, and reconciliation tools **Work-At- Home Requirements** + At ... existing Medicaid business processes, with a focus on eligibility, enrollment, claims , and compliance workflows. This role develops sustainable, repeatable, and… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Provide information to… more
- Humana (Pierre, SD)
- …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
- Oracle (Pierre, SD)
- …MS Excel, MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At ... **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home ** Oracle Life Sciences is seeking a qualified health outcomes… more
- Evolent (Pierre, SD)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
- Sanford Health (Sioux Falls, SD)
- …health plan, ensuring the organization remains at the forefront of healthcare innovation, digital advancement, and operational efficiency. The Chief Transformation ... and improve organizational efficiencies. Identify emerging trends and opportunities in healthcare , technology, and member experience to drive the evolution of the… more
- Sanford Health (Sioux Falls, SD)
- …responsible for maintaining and growing a comprehensive network of affiliated healthcare providers across the Sanford Health Plan footprint, identifying specialties ... the development of new reimbursement models jointly with Analytics, IT, Claims , Finance and Medical Services. Communicates new strategies to applicable stakeholders… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... solving problems and creating positive customer experiences from the comfort of their home . To be considered for this role, you must complete a full application… more
- Evolent (Pierre, SD)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound customer… more
- Mass Markets (SD)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more