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  • $65k - $88.6k

    Become a part of our caring community and help us put health first The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Supervisor, Claims Review works... 
    Suggested
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Remote work

    Humana Inc

    Pierre, SD
    5 days ago
  • $71.1k - $97.8k

     ...part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support...  ...(G&A) Nurse who will assist in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The Nurse reviews... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday
    Rotating shift
    Weekend work

    Humana Inc

    Pierre, SD
    1 day ago
  • $71.1k - $97.8k

    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Pierre, SD
    3 days ago
  • $40k - $52.3k

     ...UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs...  ...CenterWell and Onehome. Responsibilities Manages NLP's for chart reviews for the nursing team Builds and pends authorizations for review... 
    Suggested
    Bi-weekly pay
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office
    Monday to Friday

    Humana Inc

    Pierre, SD
    4 days ago
  • Overview Paige, a GCG company, is currently seeking a Utility Solutions Sales Director to partner with leaders on ourRenewable Energy and Utilities team and execute a go-to-market strategy within the utility market, driving long-term growth through market penetration, team... 
    Suggested
    Full time
    Work at office
    Local area
    Remote work
    Work from home

    GCG

    Pierre, SD
    2 days ago
  • As the E&U Industry Executive Director, you will have: Accumulated deep domain experience E&U companies and related industry partners. Solid functional knowledge of E&U information systems, technologies & applications used to drive their business. Acute understanding...
    Suggested

    Ll Oefentherapie

    Pierre, SD
    4 days ago
  • $79.1k - $158.2k

    **Job Description** **Senior Oracle Utilities Consultant** **Location: United States** **Travel: 50%** **Key Responsibilities** + Analyze business requirements and deliver functional and technical Oracle Utilities solutions. + Implement and configure Oracle Utilities applications... 
    Suggested
    Full time
    Temporary work
    Remote work
    Flexible hours

    Oracle

    Pierre, SD
    21 days ago
  • $113.1k - $185.1k

    **Job Description** Oracle is leading the digital revolution. We are empowering nearly half a million businesses across the globe to turn untapped potential into real business value. You will connect the biggest enterprises of today with the tools to challenge in the digital...
    Suggested
    Contract work
    Temporary work
    Local area
    Flexible hours

    Oracle

    Pierre, SD
    6 days ago
  • $120.1k - $251.6k

    **Job Description** **Seeking a Utilities industry expert with Oracle ERP &/or Oracle SCM sales, presales &/or delivery experience.** **...  ...influence Oracle's competitive position. + Participate in weekly reviews for key industry areas such as financials, sales pipeline,... 
    Suggested
    Temporary work
    Flexible hours

    Oracle

    Pierre, SD
    a month ago
  • $116.5k - $251.6k

    **Job Description** **As the E&U Industry Executive Director, you will have:** + Accumulated deep domain experience E&U companies and related industry partners. + Solid functional knowledge of E&U information systems, technologies & applications used to drive their business...
    Suggested
    Temporary work
    Flexible hours

    Oracle

    Pierre, SD
    26 days ago
  • $126.6k - $207.3k

    **Job Description** **NA OCI Sales Representative, Energy and Utilities** **Overview** We are in search of an OCI and AI Infrastructure as a Service (IaaS) Sales Representative to be part of our exciting team. Our team **highly values** trust, diversity, coaching, innovation... 
    Suggested
    Contract work
    Temporary work
    Work experience placement
    Local area
    Flexible hours

    Oracle

    Pierre, SD
    14 days ago
  • $26.01 - $74.78 per hour

     ...it all with heart, each and every day. **Position Summary** + Utilizes clinical skills to coordinate, document, and communicate all aspects...  ...the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours

    CVS Health

    Pierre, SD
    15 days ago
  • $26.01 - $74.78 per hour

     ...uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. Applies... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours

    CVS Health

    Pierre, SD
    2 days ago
  • $43.89k - $102.08k

     ...skilled at identifying outliers through data extraction and analysis, dedicated to a specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing patterns... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Work from home
    Flexible hours

    CVS Health

    Pierre, SD
    3 days ago
  • $70k - $74k

     ...Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You...  ...log claims/appeals information on relevant tracking systems · Utilize critical thinking skills to interpret guidelines of internal policies... 
    Suggested
    Temporary work
    Work at office
    Remote work
    Monday to Friday

    Cognizant

    Pierre, SD
    a month ago
  • $50k - $55k

     ...creative problem-solving, providing great customer experience and utilizing technical skills in one role! As a member of our 24x7 Customer...  ...basis until the position is filled. Applications will be reviewed as they are received, and qualified candidates may be contacted... 
    Ongoing contract
    Temporary work
    Work experience placement
    Remote work
    Flexible hours
    Shift work
    Night shift

    iCIMS

    Pierre, SD
    1 day ago
  •  ...with the General Manager, conduct monthly program/project budget reviews to monitor financial health, verify expenditures, perform what...  ...long-term growth strategies. Achieves annual revenue, utilization, and sales goals, and sets similar goals for direct reports.... 
    Ongoing contract
    Full time
    Contract work
    For subcontractor
    Work at office
    Local area
    Immediate start
    Remote work

    Tanaq Health

    Pierre, SD
    1 day ago
  • $74.9k - $158.2k

     ...design, implement, and maintain scalable automation solutions, utilizing tools such as Ansible, Python, PowerShell, and Golang to enhance...  ..., and standard operating procedures Conduct code reviews and mentor junior team members on automation best practices... 
    Temporary work
    Flexible hours

    Oracle

    Pierre, SD
    23 hours ago
  • $78.4k - $107.8k

     ...market objectives are achieved. The incumbent facilitates Business Review meetings with markets, offering performance updates, strategic...  ...that involve reviewing and analyzing financial, quality, and utilization data and analytics 2+ years of project management... 
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Flexible hours

    Humana

    Pierre, SD
    1 day ago
  •  ...prioritization assistance with Account Associates, as well as reviewing and managing the overall workload. Leverage knowledge and...  ...accurate proposal/deliverable for the Producers and Service Teams to utilize at client renewal meeting. Reviews quotes for accuracy... 
    Full time
    Work at office
    Immediate start
    Flexible hours

    Acrisure

    Pierre, SD
    1 day ago
  • $43.92 - $69.16 per hour

     ...GitHub workflows such as branching strategies, pull requests, peer reviews, governance with CODEOWNERS. SQL Server Integration Proven...  ..., fault‑tolerant ingestion approaches (threaded boto3 utilities, checkpoints, etc.). Minimum Qualifications Proficiency with... 
    Hourly pay
    Work experience placement

    Intermountain Health

    Pierre, SD
    1 day ago
  • $78.4k - $107.8k

     ...develop content that supports key marketing objectives. You will utilize data analysis to inform creative decisions and emerging...  ...Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward... 
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Flexible hours

    Humana

    Pierre, SD
    2 days ago
  •  ...from on-call rotation). Optimize system operations and resource utilization as well as perform system capacity analysis and planning....  ...specifications, and 4+ years of experience providing quality assurance review and the evaluation of new and existing software products. US... 
    Contract work
    Work at office
    Remote work
    Weekend work

    ASM Research, An Accenture Federal Services Company

    Pierre, SD
    3 days ago
  • $61.36 - $90.18 per hour

     ...pharmaceuticals. Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for cost-efficiencies. Provides...  ...experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain... 
    Hourly pay
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Intermountain Health

    Pierre, SD
    2 days ago
  • $29.96 per hour

     ...Sergeant assigns work in terms of generalinstructions.Work is reviewed forcompliance with instructions and established procedures, accuracy...  ...degree of dexterity, distinguishes between shades ofcolor, and utilizes the sense of smell. SUPERVISORY AND MANAGEMENTRESPONSIBILITY... 
    Work at office
    Local area
    Relocation package

    City of Pierre Fire Department

    Pierre, SD
    2 days ago
  •  ...setting up, managing and maintaining development and test setups utilizing containerization platforms such as Docker, Kubernetes and...  ...cloud and on-premises Kubernetes and OpenShift environments. Review new system and security requirements on cloud infrastructure components... 
    Hourly pay
    Contract work
    Work experience placement
    Local area
    Remote work

    Eliassen Group

    Pierre, SD
    23 hours ago
  • $29.05 - $44.24 per hour

     ...computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment....  ...to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel... 
    Hourly pay
    Work at office

    Intermountain Health

    Pierre, SD
    3 days ago
  • $92.3k

     ...architecture, network systems and applications infrastructure. Reviews system requirements and business processes, ensures quality outcomes...  ...working with operational computer systems 5 years utilizing various industry laws and regulations Preferred 5... 
    Temporary work
    For contractors
    Local area

    Highmark Health

    Pierre, SD
    1 day ago
  • $170k

     ...JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy... 
    For contractors
    Private practice
    Work at office
    Local area

    Highmark Health

    Pierre, SD
    4 days ago
  • $115k - $130k

     ...Conduct regular one‑on‑one coaching sessions and performance reviews Develop individual performance improvement plans and career development...  ...initiatives and lead generation activities Sales Operations Utilize CRM systems for territory management, reporting, and analytics... 
    For contractors
    Work at office

    BigIron

    Pierre, SD
    3 days ago