• Medicaid Provider Hospital

    Humana (Pierre, SD)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (07/09/25)
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  • Denial Prevention Analyst | Avera Heart…

    Avera (Sioux Falls, SD)
    …denials required. Knowledge of payer requirements, regulatory guideline, and hospital reimbursement methodologies. Experience standardizing revenue cycle ... Shift:** Day Shift (United States of America) Avera Heart Hospital , isn't just a place to work, it's a...double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights**… more
    Avera (04/28/25)
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  • Cost Report Reimbursement Manager

    Avera (Sioux Falls, SD)
    …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
    Avera (06/18/25)
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  • RN-Cardiac Device Coordinator | Avera Heart…

    Avera (Sioux Falls, SD)
    …**Worker Type:** Regular **Work Shift:** Day Shift (United States of America) Avera Heart Hospital , isn't just a place to work, it's a family. Our 650 employees are ... to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights** **Position Summary:** The… more
    Avera (05/20/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Sioux Falls, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... There will be no nights/weekend or call responsibility. The provider will be working with physicians and independently to...Neurology. The primary focus will be on headaches and hospital follow up patients. **Job Summary** The Nurse Practitioner… more
    Sanford Health (06/17/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Sioux Falls, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... the work of health and healing across our broad footprint.** **Facility:** Heart Hospital **Location:** Sioux Falls, SD **Address:** 1301 W 18th St, Sioux Falls, SD… more
    Sanford Health (06/27/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Webster, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** This provider will work 4 days/week in clinic. The position will also include… more
    Sanford Health (06/06/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Rapid City, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
    Sanford Health (07/14/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Webster, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... with family-like environment. Family Medicine Clinic coverage 8a-5p M-F. Position includes hospital rounds. Position includes minimum of 1 weekday ER coverage 8a-5p.… more
    Sanford Health (06/16/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Canton, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... 48 days per year. Provides a variety of practice opportunities with the hospital , clinics, and ER. **Job Summary** The Physician Assistant (PA) provides expert… more
    Sanford Health (06/12/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Chamberlain, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... weekend per month of primary ER call. When the provider is on call for the weekend, this does...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… more
    Sanford Health (04/22/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Rapid City, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... time **Weekly Hours:** 40.00 **Department Details** Black Hills Surgical Hospital is seeking an APP to join our Hospitalist...patients. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… more
    Sanford Health (06/18/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Pierre, SD)
    …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
    Cardinal Health (05/17/25)
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  • APP - Physician Assistant | Acute Care

    Sanford Health (Aberdeen, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
    Sanford Health (06/29/25)
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  • Nurse Practitioner Ambulatory

    Sanford Health (Rapid City, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
    Sanford Health (06/21/25)
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  • APP - Pediatric Trained Nurse Practitioner | Acute…

    Sanford Health (Sioux Falls, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
    Sanford Health (06/10/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Rapid City, SD)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Hospital **Req Number:** R-0227470 **Job Function:** Advanced Practice Provider **Featured:** No **Specialty:** Family Medicine - Hospitalist **Visas Accepted:**… more
    Sanford Health (06/24/25)
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  • Inpatient DRG Quality Auditor

    Humana (Pierre, SD)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (06/17/25)
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  • Insurance Specialist

    Avera (Pierre, SD)
    **Location:** Avera St Mary's Hospital **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position ... for documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and patient. The Specialist must maintain… more
    Avera (06/02/25)
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