Sanford Health

Patient Access Representative

Sanford Health · Full Time · 12 hours ago

Sanford Health

🌎 United States 💵 $16 - $23 per hour ⭐ 0-2 yrs exp 💼 Others

The Patient Access Representative manages patient registration, scheduling, and demographic verification to ensure accurate healthcare access. They are also responsible for collecting payments, coordinating referrals, and collaborating with nursing teams to meet patient needs.

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Speech Language Pathologist - Internal Travel Team

Sanford Health · Full Time · 3 days ago

Sanford Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Administers speech and language evaluations to diagnose and develop individualized treatment plans for patients with speech and swallowing disorders. Monitors disease progression and provides therapeutic exercises while ensuring all clinical standards and regulatory requirements are met.

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Patient Outreach Specialist

Sanford Health · Full Time · 3 days ago

Sanford Health

🌎 United States 💵 $15 - $22 per hour ⭐ 0-2 yrs exp 💼 Others

Coordinates preventative screenings and wellness strategies to ensure quality patient care and optimal health outcomes. Manages patient panels, monitors attribution, and connects patients with appropriate healthcare resources and services.

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Applications Support Analyst - Health Plan

Sanford Health · Full Time · 4 days ago

Sanford Health

🌎 United States 💵 $26 - $41.5 per hour ⭐ 0-2 yrs exp 💼 Support

Performs routine healthcare information system support, resolving incidents and service requests. Researches and recommends application workflow improvements while creating training documentation and reports.

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Lead Applications Administrator - IT Research

Sanford Health · Full Time · 4 days ago

Sanford Health

🌎 United States 💵 $37.5 - $62 per hour ⭐ 5-10 yrs exp 💼 Software Development

Lead the technical design, implementation, and maintenance of assigned applications, with a heavy focus on REDCap system administration. Collaborate with researchers to build databases and provide technical leadership and training to staff.

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Release of Information Technician

Sanford Health · Full Time · 5 days ago

Sanford Health

🌎 United States 💵 $16.5 - $26.5 per hour ⭐ 2-5 yrs exp 💼 Others

Manage and process medical record information requests from patients and third-party payers while ensuring strict adherence to HIPAA and legal regulations. Maintain the confidentiality and security of protected health information in a high-volume environment.

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Physician Compensation Analyst

Sanford Health · Full Time · 6 days ago

Sanford Health

🌎 United States 💵 $27.5 - $44 per hour ⭐ 2-5 yrs exp 💼 Finance

Coordinate and analyze provider productivity, compensation, and benefits while implementing associated plans. Perform quantitative and qualitative analysis of financial data to support physician and advanced practice provider compensation programs.

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Director, Laboratory Business Development

Sanford Health · Full Time · 7 days ago

Sanford Health

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Lead a team of account executives to grow external reference lab and pathology services through strategic sales planning and relationship building. Coordinate with internal marketing and senior leadership to provide forecasts and ensure service alignment with system goals.

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Medicare & ACA Sales Representative

Sanford Health · Full Time · 7 days ago

Sanford Health

🌎 United States 💵 $21.5 - $34.5 per hour ⭐ 5-10 yrs exp 💼 Sales

Enroll and retain Medicare and ACA beneficiaries through consultative sales, broker partnerships, and community outreach. Develop and execute annual sales plans to achieve productivity targets while maintaining compliance with CMS and state regulations.

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Case Manager, Health Plan

Sanford Health · Full Time · 7 days ago

Sanford Health

🌎 United States 💵 $29 - $46.5 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager provides care coordination and develops comprehensive care plans for Health Plan members to improve quality and reduce costs. Responsibilities include conducting assessments, managing medical and behavioral health needs, and collaborating with integrated teams for seamless transitions of care.

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Manager, Quality and Stars, Health Plan

Sanford Health · Full Time · 7 days ago

Sanford Health

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Lead the strategic development and implementation of quality programs focusing on CMS Star Ratings and BadgerCare performance. Oversee value-based performance, manage external vendors, and mentor a team to improve member experience and clinical outcomes.

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Patient Access Representative | Black Hills Referral Center | 40hrs/week

Sanford Health · Full Time · 13 days ago

Sanford Health

🌎 United States 💵 $16.25 - $23 per hour ⭐ 0-2 yrs exp 💼 Others

The role focuses on providing extraordinary customer service as the first point of contact for patients. Primary duties include managing patient registration, scheduling appointments, and coordinating financial responsibilities and referrals.

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Provider Network Data Integrity Analyst - Health Plan

Sanford Health · Full Time · 14 days ago

Sanford Health

🌎 United States 💵 $24 - $38.5 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Responsible for maintaining the accuracy and integrity of the Health Plan's provider network and ensuring regulatory filings for CMS, NCQA, and DHS. Performs network adequacy reviews and audits to identify gaps and ensure compliance with established standards.

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Therapy Clinical Consultant

Sanford Health · Full Time · 14 days ago

Sanford Health

🌎 United States 💵 $43 - $71 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Clinical Consultant ensures clinical competency, regulatory compliance, and ongoing education for therapy staff across multiple service lines. This role involves developing clinical content, managing EMR documentation, and overseeing student placements and professional growth programs.

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Applications Support Analyst - Hospital Billing

Sanford Health · Full Time · 18 days ago

Sanford Health

🌎 United States 💵 $26 - $41.5 per hour ⭐ 0-2 yrs exp 💼 Finance

The analyst provides routine healthcare information system support, resolving incidents and service requests. They are responsible for analyzing application workflows, creating reports, and developing training documentation to support business needs.

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Associate Provider Contract Specialist

Sanford Health · Full Time · 19 days ago

Sanford Health

🌎 United States 💵 $21.5 - $34.5 per hour ⭐ 2-5 yrs exp 💼 Legal

Assist in provider affiliation and contracting activities for various healthcare providers, including managing documents and timelines. Coordinate with internal teams to implement negotiated contracts and maintain accurate reimbursement documentation.

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Applications Support Analyst - M365

Sanford Health · Full Time · 19 days ago

Sanford Health

🌎 United States 💵 $26 - $41.5 per hour ⭐ 0-2 yrs exp 💼 Support

Responsible for the implementation, configuration, and maintenance of Microsoft 365 applications to optimize productivity and collaboration. The role involves resolving incidents, creating training documentation, and analyzing application workflows to improve efficiency.

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Medical Economics Analyst, Health Plan

Sanford Health · Full Time · 20 days ago

Sanford Health

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Analyze medical claims and pharmacy data to identify cost trends and develop financial models for clinical programs. Create dashboards and reports to provide actionable insights for strategic business decisions and cost reduction.

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Regional Clinical Services Director - RN - Colorado and Kansas

Sanford Health · Full Time · 22 days ago

Sanford Health

🌎 Taiwan, United States ⭐ 5-10 yrs exp 💼 Healthcare

Directs nursing and clinical leadership across multiple facilities in Colorado and Kansas to ensure high-quality patient care. Leads the implementation of strategic nursing initiatives and ensures compliance with federal, state, and local healthcare laws.

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Lead UM Specialist - Appeals and Denials

Sanford Health · Full Time · 22 days ago

Sanford Health

🌎 United States 💵 $29 - $46.5 per hour ⭐ 2-5 yrs exp 💼 Others

Serves as the subject matter expert for appeals and denials, providing leadership, case oversight, and quality assurance. Responsible for conducting clinical-based denial reviews and developing process improvement initiatives to ensure regulatory compliance.

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Quality Strategist

Sanford Health · Full Time · 22 days ago

Sanford Health

🌎 United States 💵 $34.5 - $57 per hour ⭐ 5-10 yrs exp 💼 Others

The Quality Strategist evaluates performance in value-based programs and recommends strategies to improve healthcare outcomes and equity. They analyze regulatory changes, manage data submissions, and lead enterprise projects to standardize efficiency across the organization.

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Revenue Management Educator - Health Plan

Sanford Health · Full Time · 24 days ago

Sanford Health

🌎 United States 💵 $26 - $41.5 per hour ⭐ 2-5 yrs exp 💼 Sales

Develop and deliver educational materials to providers to ensure coding accuracy and integrity of risk adjustment data. Monitor compliance, conduct audits, and implement strategic quality improvement plans to reduce audit risk and improve revenue.

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Claims Auditor, Health Plan

Sanford Health · Full Time · a month ago

Sanford Health

🌎 United States 💵 $17.5 - $28 per hour ⭐ 2-5 yrs exp 💼 Finance

Perform payment, procedural, and compliance audits on health plan claims to ensure accuracy and adherence to regulations. Analyze claim errors and provide reports to management to improve workflows and resolve complex processing issues.

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Campus Ambassador - Rapid City

Sanford Health · Full Time · 2 months ago

Sanford Health

🌎 United States ⭐ 0-2 yrs exp 💼 Others

Campus Ambassadors promote the mission and values of Sanford Health and Good Samaritan Society through recruitment and brand awareness efforts on their college campus. They are responsible for building and maintaining candidate pipelines in collaboration with talent acquisition professionals and academic leaders.

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