• Payment Integrity Clinician

    Highmark Health (Pierre, SD)
    …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes qualitative and… more
    Highmark Health (11/14/25)
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  • Nurse Auditor 2

    Humana (Pierre, SD)
    …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... part of our caring community and help us put health first** The Nurse Auditor 2 performs...of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health , SNF, care manager/discharge manager, LTC,… more
    Humana (12/11/25)
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  • Utilization Management Nurse

    CenterWell (Pierre, SD)
    …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and ... to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral more
    CenterWell (11/22/25)
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  • Clinical Operations Lead

    CenterWell (Pierre, SD)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... a fast-paced, remote-friendly environment. + Must be able to travel as needed about 10% + Advanced Microsoft Office...RN , Pharmacist, NP, etc) + Startup or digital health experience a plus + Virtual care or value-based… more
    CenterWell (12/05/25)
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