Engage in recruitment and brand awareness efforts to promote the mission and values of Sanford Health and Good Samaritan Society on college campuses. Build and maintain candidate pipelines in collaboration with talent acquisition and academic leaders.
Sanford Health
26 Remote Job Openings at Sanford Health
Utilization Management Specialist (Home-Based) - Prior Authorization
Sanford Health
·
Full Time
·
a day ago
Sanford Health
Conduct medical necessity and level of care reviews using InterQual criteria to ensure appropriate resource utilization and cost control. Coordinate prior authorization processes and collaborate with healthcare professionals to improve documentation and compliance with regulatory standards.
Review medical documentation to assign accurate ICD-10, HCPCS, and CPT codes while ensuring compliance with regulatory standards. Serve as a resource for providers to improve documentation accuracy and manage coding denial reviews and appeals.
The Principal Application Architect leads the strategic adoption of application technologies and shapes the enterprise technology landscape. They design scalable, secure application solutions and partner with stakeholders to align technical roadmaps with business objectives.
Provides administrative support to health plan teams by managing authorization requests, member correspondence, and database documentation. Coordinates intake for utilization and case management, including triaging calls and assigning cases to clinical staff.
The Insurance Representative processes and monitors unpaid third-party insurance and government program accounts to ensure proper reimbursement. This includes submitting claims, resolving denials, and performing account follow-ups in accordance with federal and state regulations.
Collaborate with leadership on monthly productivity, variance remediation, and the completion of annual operating budgets. Manage the month-end closing cycle, including reviewing financial data and journal entries for accuracy.
Provides strategic leadership for all tax matters across a $12B integrated health system, overseeing federal and state filings for tax-exempt and taxable subsidiaries. Leads a team of seven to ensure compliance, minimize tax liability, and standardize tax processes across the enterprise.
Health Plan Product Manager – Medicare – Remote
Sanford Health
·
Full Time
·
14 days ago
Sanford Health
The Product Manager leads the end-to-end lifecycle of health plan products, from concept and feasibility to launch and performance evaluation. They collaborate with cross-functional teams to translate market requirements into business opportunities and ensure alignment with strategic goals.
Responsible for establishing and maintaining pricing arrangements and standard contracts for provider groups and facilities joining Health Plan networks. The role involves negotiating reimbursement methodologies and coordinating with analysts to ensure agreements are correctly implemented in company systems.
Lead the design, implementation, and optimization of enterprise Cisco voice and networking infrastructure across a large-scale healthcare environment. Establish technical standards, provide expert-level troubleshooting, and mentor other engineers to ensure platform reliability and security.
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.
Speech Language Pathologist - Internal Travel Team
Sanford Health
·
Full Time
·
a month ago
Sanford Health
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.
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.
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.
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.
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.
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.
Campus Ambassadors will promote the mission and values of Sanford Health and Good Samaritan Society through recruitment and brand awareness efforts on their college campuses. They are responsible for building and maintaining candidate pipelines in collaboration with talent acquisition and academic leaders.
Physician - Remote Psychiatry - Weekend Daytime
Sanford Health
·
Full Time
·
4 months ago
Sanford Health
The psychiatrist will cover weekend daytime shifts (7am to 7pm CST) providing real-time ER coverage for tertiary and rural critical access hospitals, as well as performing patient rounding on behavioral health units and consulting on medical floors. Core privileges include evaluating, diagnosing, and treating patients above the age of 12 for various mental, behavioral, addictive, or emotional disorders.
The physician will provide coverage for a level 2/soon-to-be level 1 trauma center, stroke center, and regional hospitals, focusing on emergent diagnostic imaging modalities during afternoons and evenings. Core privileges include performing patient evaluations, consultations, diagnoses, and developing treatment plans for patients of all ages.
Physician - Diagnostic Radiology - Non-Interv/Non-Invasive
Sanford Health
·
Full Time
·
5 months ago
Sanford Health
The physician will perform history and physical examinations, consult, evaluate, diagnose, and provide treatment plans for patients of all ages. They will join a well-established group of physicians and have flexible scheduling options.
Physician - Diagnostic Radiology - Non-Interv/Non-Invasive
Sanford Health
·
Full Time
·
6 months ago
Sanford Health
The physician will provide diagnostic radiology services, including coverage of emergency room patients, walk-in clinic patients, in-patients, and some outpatient services. The role involves reading general diagnostic radiology and covering emergency radiology and neuroradiology.
Physician - Diagnostic Radiology - Non-Interv/Non-Invasive
Sanford Health
·
Full Time
·
6 months ago
Sanford Health
The physician will perform history and physical examinations, consult, evaluate, diagnose, and provide treatment plans for patients of all ages. The role involves working with a team committed to providing high-quality service for patients and referring physicians.
The Improvement Advisor works with leadership to organize and coordinate planning and implementation of systematic approaches to improving outcomes. Responsibilities include data management, analytical reasoning, and teaching process improvement methodologies.
Utilization Management Coordinator (Home-Based) - Prior Authorization
Sanford Health
·
Full Time
·
9 months ago
Sanford Health
Monitors the utilization of resources and quality of care for patients according to established guidelines. Collects clinical information necessary for initiating commercial payor authorization.