Complex Jobs In Sioux Falls Sd - 22 Job Positions Available

Valor Healthcare Opportunity Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who devote their careers

VP Fintech Sales Executive This is a remote position and can be located anywhere in the U.S.A. The Bancorp does more than enable payments innovation. We work side by side with clients, combining deep expertise with

Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe

Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,

Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system

Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -

Essential Duties and Responsibilities: - Perform as a key member of the senior management team responsible for meeting cost, schedule, and quality requirements of the project. - Oversee all contract administrative functions including policy, budget, and

Essential Duties and Responsibilities: - Answer general inbound calls and place outbound calls with the goal of increasing business, customer satisfaction, and customer retention. - Follow basic procedures and scripts, using fundamental knowledge of company and

Essential Duties and Responsibilities: - Provide support and assistance to contracts department staff by providing administrative support services as required, including proofreading, copying, filing, mail, facsimile transmittal, answering and disseminating incoming calls and messages. - Assist

Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work