• Medical Claims Adjudication - remote

    Cognizant (Pierre, SD)
    …collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI information. + ... and external SLAs. + Other duties as assigned by management . **Qualifications:** + A minimum of 2 years' claims...CPT, HCPCA, ICD-10 + Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims. +… more
    Cognizant (08/01/25)
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  • Behavioral Health Technician (BHT) | Avera…

    Avera (Aberdeen, SD)
    …agitation and escalation of behavioral changes and participates in the behavioral management of these patients. + Assists with admissions, transfers, and discharging ... safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. _Avera is an Equal… more
    Avera (08/01/25)
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  • Sterile Processing Technician | Avera Heart…

    Avera (Sioux Falls, SD)
    …a double 5-star rating from the Centers for Medicare and Medicaid ( CMS ). Be apart of something great! **Position Highlights** **Position Summary:** This position ... assists professional staff in providing care for the operative patient. This position requires surgical knowledge and expertise to ensure proper instrumentation and supplies are available on the surgical field and/or in the operating room where the procedure… more
    Avera (08/01/25)
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  • Registered Nurse (RN)|Mck Nursing Home

    Avera (Sioux Falls, SD)
    …safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need ... & Then Some** Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. + PTO… more
    Avera (07/31/25)
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  • Registered Nurse (RN) | House Supervisor

    Avera (Mitchell, SD)
    …both clinically and administratively. As the off shift representative of management , supervises staff and makes administrative decisions, which may involve patients ... customer relations to include resolution of patient complaints, communication or risk management concerns and initiation of appropriate follow up. + Actively uses… more
    Avera (07/30/25)
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  • Switchboard Technician | Avera Heart Hospital

    Avera (Sioux Falls, SD)
    …a double 5-star rating from the Centers for Medicare and Medicaid ( CMS ). Be apart of something great! **Position Highlights** **Position Summary:** Answer and ... direct all incoming phone calls. Some scheduling duties as needed. Strong customer service relations, communication and confidentiality a must. **Work Schedule:** Forty hours per week, Monday through Friday. The hours per day may vary in order to accommodate… more
    Avera (07/30/25)
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  • Inpatient Therapist I, II, III or Counselor…

    Avera (Sioux Falls, SD)
    …safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need ... & Then Some** Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. + PTO… more
    Avera (07/30/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Pierre, SD)
    …Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control… more
    Highmark Health (07/30/25)
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  • Registered Nurse (RN) - Navigator | Comprehensive…

    Avera (Sioux Falls, SD)
    …+ Provides patient education and educational resources. + Provides clinical management of clients calling in with symptoms and medical concerns, including ... safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need… more
    Avera (07/30/25)
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  • Radiation Therapist | PRN

    Avera (Sioux Falls, SD)
    …expertise of clinical treatment set-up, anatomical landmarks, treatment recording, and management during patient care. Develops an understanding of the patient's ... safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. _Avera is an Equal… more
    Avera (07/29/25)
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