Madison County Hospital Health Systems Remote jobs - 136 jobs
Customer Service Representative (Jacksonville, FL area) Remote
Maximus 4.3
Sioux Falls, SD jobs
Description & Requirements Maximus is looking for customer service representatives in and around the Jacksonville, FL area. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs.
Must reside within a 75 radius of the Jacksonville, FL area. This position is fully remote; however, you must be able to go onsite to pick up equipment at the Maximus Jacksonville, FL location.
This position will require a favorable Federal suitability clearance post-hire as mandated by the client.
*Position is contingent upon contract award*
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are basic and routine.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
- Experience in a call center environment highly preferred
- Must Be a US Citizen
- This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US.
- Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client.
- Must be able to pick up equipment at the Maximus Jacksonville, FL Location.
Minimum Requirements
- High School diploma or equivalent with 6 months of customer service experience.
- Must be able to speak and read English clearly, professionally and fluently.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
16.00
Maximum Salary
$
16.00
$28k-34k yearly est. Easy Apply 2d ago
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Clinical Administrator (US Remote)
Maximus 4.3
Sioux Falls, SD jobs
Description & Requirements We're seeking a Clinical Administrator to support the Kansas Home and Community-Based Services Program (HCBS). About the program: Join our team and make a meaningful impact by supporting individuals in their homes and communities! Our Home and Community-Based Services (HCBS) program provides essential care and assistance to individuals with disabilities, seniors, and those in need of daily living support. We are dedicated to promoting independence, dignity, and quality of life by delivering personalized services that help individuals thrive in community settings.
As a Clinical Administrator, you'll play a crucial role in:
Scheduling assessments and accommodations for the population served
Respond to phone and email inquiries with contractual turnaround times
Provide high level customer support to internal and external customers
Data Entry
If you're passionate about making a difference in the lives of individuals in Kansas and thrive in a remote work environment, this opportunity is for you! •
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Competitive Compensation - Bonuses based on performance included!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Research and resolve discrepancies with provider documents.
- Review information keyed into the system to verify the accuracy of data.
- Monitor data/image quality of scanned documents.
- Follow established policies and procedures for index and imaging without deviation.
- Maintain confidentiality and security of relevant information.
Minimum Requirements
- High school diploma, GED, or equivalent required.
- 0-2 years of relevant experience required.
- Minimum of one (1) year of experience coordinating and scheduling assessments or appointments.
Preferred Requirements
- Clinical office experience
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
*Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
*Minimum 5 Mpbs upload speeds
- Private and secure workspace
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
18.00
Maximum Salary
$
20.00
Description & Requirements The Associate Project Manager - Knowledge Content Management will serve as a Subject Matter Expert on the knowledge/content management services to deliver, operate and maintain knowledge management capabilities for the contact center. This role is for an upcoming Federal contract (pending award).
This position will develop and manage knowledge content used by agents. This role will make recommendations for processes and integration of tools that can improve automation, collaboration, or knowledge processes. This position will assist in determining which scripts (knowledge articles) need revisions and/or removal and ensure all resources provided to agents contain the correct information. This role also works with the client's content team to incorporate information that may currently not be housed in the database. This position requires a strong understanding of immigration law, which includes knowledge of the laws, policies, and practices that govern who can enter, stay, or become a citizen in the United States.
Essential Duties and Responsibilities:
- Support project management initiatives .
- Schedule, plan, and coordinate project management activities.
- Maintain project tracking tools and project documentation.
- Communicate with project stakeholders.
Job Specific Duties:
- Build and maintain knowledge base in SharePoint or other Content Management Systems.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentationcontent.
- Design and implement workflows to manage documentation process.
- Create training material in support of the Knowledge management process.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
- Continuously improve knowledge-sharing processes based on feedback and agency needs.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of project management experience required.
- Equivalent combination of education and experience considered in lieu of degree.
Job Specific Minimum Requirements:
- 3+ years of Knowledge/Content Management or Information Governance experience
- 1 - 3+ years of immigration law experience.
- 3+ years of analytics, plain language and business writing skills.
Preferred:
- Experience working at a contact center and deep knowledge of contact center trends and best practices as it relates to knowledge/content management.
- Experience developing content tailored to the needs of contact center agents and customers.
- Experience working in a government or federal contracting environment.
- Certifications such as Certified Knowledge Manager (CKM) or AIIM Certified Information Professional (CIP).
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
66,800.00
Maximum Salary
$
106,800.00
$113k-229k yearly est. Easy Apply 6d ago
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Maximus 4.3
Sioux Falls, SD jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
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 cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
$57k-66k yearly est. Easy Apply 7d ago
Care Advisor - Remote
Sharecare 4.4
Pierre, SD jobs
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
$63k-83k yearly est. 17d ago
Technical Account Manager
Cardinal Health 4.4
Pierre, SD jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 16d ago
Case Builder Auditor - Veterans Evaluation Services
Maximus 4.3
Rapid City, SD jobs
Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible.
Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity.
Essential Duties and Responsibilities:
- Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment.
- Ensure providers have the necessary documentation and medical records to properly evaluate Veterans.
- Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process.
- Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA.
- Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log.
- Communicate with CB supervisors when patterns of concern regarding quality and production are identified.
- Communicate with other departments to share relevant information when necessary in order to best complete the case.
- Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient.
- Complete audits as assigned by Supervisor or Case Building Management.
- Assists with clarification response (CR) updates when a CB on the build team is out of office.
- Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality.
- Responds promptly and appropriately to messages from supervisors, co- workers, and other departments.
Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements using Maximus-Provided Equipment:
- Internet speed of 20 mbps or higher required (you can test this by going to ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and your are required to remain at your designated home location for all work activities.
Minimum Requirements
- High school graduate or GED required.
- Minimum of 2 years of related experience.
- Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder.
- 2 or more years previous Case Building experience is strongly preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
26.45
Maximum Salary
$
35.35
$37k-47k yearly est. Easy Apply 8d ago
Physician - Remote Radiology - Virtual Care Center
Sanford Health 4.2
Sioux Falls, SD jobs
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Visas Accepted
N/A
Specialty
Practice Details
Sanford Virtual Care Center is seeking a BE/BC General Radiologists and fellowship trained Radiologists to join the practice.
• All shifts will be CST
• Schedule is flexible: rotate between days, nights and weekends
• Compensation plan: virtual radiologists are on a shift based plan
• Hourly rate = $380.00
• Includes a retention incentive for qualified candidates
• Candidates interested in general and neuro for emergent and inpatient studies are desired, all others are encouraged to apply
• Provide timely reads for emergent (including adult and pediatric trauma), urgent, and routine imaging studies
• Interpret a wide range of imaging studies, including:
• X-rays
• CT scans
• MRI
• Ultrasound
• Well-trained Radiographic Technologists and support staff in the various clinical environments
• State of the art technology including dual energy CT and 3T MRI
Community Description
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities,
4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies.
Sanford Health Virtual Care Initiative
The organization's transformational virtual care initiative brings care close to home.
At Sanford Health, through our transformational virtual care initiative, we are reimaging how care is delivered to our rural communities by expanding our virtual care options and bringing care close to home.
• Commitment to providing the right care at the right time in the right place
• Improve access to care by creating a reliable, easy to use connection for patients, families and clinicians
• Elevate the human experience to engage patients and families in whole-person care
• Ensure continuity of care across all health care settings
• Offer best-in-class education and training curriculum to clinicians, patients, families and communities
• Use and develop next generation tools and technology to provide high-quality, safe care with an emphasis on convenience and affordability
• A team focused on research and development that creates and tests next-generation care solutions
Job Description
Radiology Core Privileges include the ability to perform history and physical examination, consult, evaluate, diagnose, and provide treatment plans for patients of all ages.
Qualifications
M.D. or D.O. degree.
Experience can be demonstrated in one of the following ways: An applicant who has just completed a residency shall provide his/her residency. OR An applicant who is not applying directly out of a residency shall provide a quality profile from hospital(s) where he/she currently has privileges showing his/her clinical activity for the past 24 months, including numbers of procedures performed morbidity, mortality, infection rates, and other complications. The applicant must be able to demonstrate active involvement of at least 200 Radiology examinations in the last 24 months. OR If a quality profile is not available from the hospital(s) where the applicant currently has privileges, documentation of the applicant's clinical activity for the past 24 months will be accepted. The applicant must be able to demonstrate active involvement of at least 200 Radiology examinations in the last 24 months. More education and experience may be required the more advanced the practice becomes.
Successful completion of a hospital affiliated Radiology residency program accredited by the ACGME, the American Osteopathic Association (AOA) or the Royal College of Physician and Surgeons of Canada. The Credentials Committee; Physician Executive or Medical Affairs Committee; and the Board of Directors or the Board of Governors may consider training at residency program accredited by organizations other than the above. Certification by the appropriate specialty board of the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada, as applicable. Those applicants who are not board certified at the time of application but who have completed their residency training within the last five years shall be eligible, however must achieve board certification within five years from the date of completion of their residency training unless the appropriate governing Board waives such requirement. (Refer to each entities policy for grandfather exceptions)
Compensation
Sanford Health offers a nationally competitive shift based compensation plan with an additional physician benefits package including health, dental and vision insurance, 401K plan, short-term and long-term disability, life insurance, CME dollars, malpractice insurance and tail coverage
Recruiter Information
Jessilyn Barker, Lead Physician RecruiterPhone: ***************** Or *********************************
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$380 hourly Auto-Apply 60d+ ago
Director of Proposal Management (US State & Local Health and Human Services)
Maximus 4.3
Rapid City, SD jobs
Description & Requirements Maximus is thrilled to announce an opportunity for a Director of Proposal Management. The primary responsibility of this role is to manage a team including executives to plan and deliver responsive and compelling proposals to a wide range of State & Local Government clients throughout the U.S. Coach other Proposal Managers as needed or assigned.
This position manages the full proposal development lifecycle including RFP analysis, proposal management plans, schedules, content reviews ensuring 100% compliant responses, conducting color reviews, and working with production through delivery, as well as post submission client requests. Requires the ability to lead a team of proposal managers and/or work with persons in various roles to create the bid strategy, messaging, value propositions, competitive blocks/traps, and other elements of response writing to produce a compelling, winning proposal.
No direct reports.
This is a fully remote role with approximately 10% travel. Mileage is reimbursed at the federal rate.
Why Maximus?
- • Competitive Compensation - Bonuses based on performance.
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- • Paid Time Off Package - Enjoy Unlimited Time Off, Holidays, and sick leave, along with Short- and Long-Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities- Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Lead and manage the proposal development process from pre-RFP to post-submission activities.
- Analyze and interpret request for proposals (RFPs), request for quotations (RFQs), and invitation for bids (IFBs) to determine requirements and strategy.
- Develop proposal strategies that result in high-quality, compliant, and compelling proposals.
- Conduct comprehensive research to gather relevant information and insights for proposal content.
- Develop content for executive summaries and other key sections that highlight the company's strengths and capabilities.
- Write, revise, and edit proposal drafts, ensuring clarity, accuracy, and compliance with client requirements.
- Manage proposal timelines and ensure all deadlines are met.
- Review and incorporate feedback from stakeholders to improve proposal quality.
- Participate in client meetings and presentations to support proposal discussions.
- Manages multiple large scale and complex projects from pre-release or release from start-up through implementation, and through submission completion including post submission client requests including post submission client requests
- Conduct research and analyze government solicitations to determine requirements; client strategy and goals; research past similar projects for similarities and challenges; understand competitive challenges; and current Client specifications and requirements to develop a 100% compliant structure, including but not limited to internal development strategy to meet business goals, win strategy, and messaging.
- Design, communicate, and implement an operational plan for completing the project; prepare and manage each project milestone kick-offs and debriefs; monitor progress and performance against the project plan.
- Performs administrative tasks including but not limited to: managing SharePoint security; document management; client amended change management updates to plans; coordinating forms and authority matrix signature processes; tracking and reporting of progress.
- Conducts regularly scheduled and ad hoc meetings with cross-departmental teams including executives to set priorities, address issues and minimize delays to meet project milestones. Anticipate roadblocks and potential risks of meeting strategy and/or milestone targets and work with various stakeholders to mitigate impacts, set and mutually agree on plans for additional tasks and resource assignments as required, integrate into operational plan and continue to monitor to completion.
- Understands clients objectives, internal business goals, and assist in providing guidance and coaching to subject matter experts, proposal writers with Writing Lead collaboration, graphic artists, and other roles providing developmental support
- Collaborate with cross-functional teams including sales, marketing, technical experts, executives, and other roles to gain consensus on strategies; discuss conceptual visuals to represent complicated technical processes and workflows; and gather necessary information to develop comprehensive proposals.
- Provides technical and analytical guidance to the project team; analyzes stakeholder feedback and incorporates to improve proposal quality; verify and improve alignment with bid strategy, highlight the company's strengths and capabilities, and ensure all client specifications including addendums are met.
- Provides coaching and mentoring of other Project Managers in how to better influence and motivate stakeholders, improve communication and management tactics, and strengthen skills and implementation of best practices.
- Works with stakeholders including executives to better understand solutions and competition, analyze lessons learned and after-action analyses, to be in position to recommend stronger strategies, potential process or workflow changes; assist in planning and implement changes; and, in building and establishing strong collaborative relationships cross-departmental, and with external third-party surge support organizations.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 10+ years of experience as a Proposal Manager for State and Local Government solicitations
- Proven experience leading cross-departmental teams with a focus on cost-efficient operations without compromising quality
- Excellent written and verbal communication skills
- Exceptional ability to manage multiple, highly detailed projects and tasks simultaneously
- Advanced proficiency in Microsoft Office Suite, including SharePoint, Word, PowerPoint, and Excel
- Experience managing the full proposal lifecycle, including RFP analysis, strategy development, compliance reviews, color team reviews, production, and delivery
- Ability to collaborate effectively with executives, SMEs, proposal writers, and cross-functional partners
- Strong understanding of competitive analysis, strategic messaging, value proposition development, and positioning
- Familiarity with proposal development methodologies (e.g., Shipley, APMP best practices)
- APMP certification (Foundation, Practitioner, or Professional) is a plus
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
165,000.00
Maximum Salary
$
185,000.00
$104k-203k yearly est. Easy Apply 5d ago
Office Coordinator II - Clinic/Radiology Scheduling
Baylor Scott & White Health 4.5
Pierre, SD jobs
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
_Note: Benefits may vary based upon position type and/or level._
**Job Summary**
The Office Coordinator provides administrative and clerical help to a department or office. This includes entering data, performing word processing, coordinating logistics for office events and moves, and providing back-up help for reception or the mailroom. The coordinator may assist in developing policies, procedures, and targets.
**Work Model**
This office coordinator postiion is 100% remote.
The pay range for this position is $19.18 (entry-level qualifications) - $28.79 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Is accountable for the Office operations of a department.
+ May coordinate workload distribution among Clerical Staff.
+ Conducts training programs to keep staff updated on current regulatory requirements and program accreditation.
+ May assist in developing policies, procedures and targets to maximize workflow and ensure accuracy of records, reports, and letters.
+ Answers and screens phone calls for the office or department.
+ Routes calls as appropriate within customer service guidelines.
+ Accurately records messages and delivers them to the appropriate party promptly.
+ Establishes and takes appropriate action as required.
+ Greets visitors, guests, and patients promptly and courteously.
+ Ascertains their needs and provides assistance per established policies and procedures.
+ If unable or unqualified to assist, promptly refers to the appropriate party or department.
+ Plans and schedules calendar(s) based on consultation, resolve calendaring conflicts, and arranges travel in compliance with Organization policies.
+ Accurately and rapidly prepares routine communications, reports, forms, and correspondence.
+ Coordinates production and dissemination of materials like presentations, course handouts, grant proposals, conference materials, complex reports, brochures, and displays.
+ Promptly opens, routes and distributes incoming and outgoing materials in a timely manner.
+ Creates and diligently maintains a variety of confidential files in accordance with established policies and procedures.
**Key Success Factors**
+ Knowledge of office procedures.
+ Able to provide consistently excellent customer service with lenity, patience and confidence.
+ Able to maintain the confidentiality of delicate and confidential information obtained through the course of completing assignments.
+ Social skills to interact with a wide-range of constituencies.
+ Skilled in document management, including sorting and filing techniques, and records retention to maintain accurate records.
+ Able to communicate thoughts clearly; both verbally and in writing.
+ Must be able to read, write and follow instructions and flow chart protocols.
+ Able to stay calm and helpful under stress. Take appropriate steps to resolve issues.
+ Able to work carefully, with a high attention to detail.
+ General computer skills, including but not limited to: typing, information security, electronic medical documentation, hand held scanning and email.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 1 Year of Experience
+ Preferrably healthcare experience
+ EPIC knowledge a plus
+ Call center scheduling experience a plus
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$19.2 hourly 5d ago
Underwriting Transformation Specialist
Guardian Life 4.4
Pierre, SD jobs
Do you want to shape the future of life underwriting and help Guardian deliver a seamless, digital-first experience? As an **Underwriting Transformation Specialist** , you will lead critical initiatives that modernize underwriting processes, integrate advanced technologies, and strengthen quality control programs. This role combines deep underwriting expertise with technology fluency and cross-functional collaboration to ensure our underwriting practices remain competitive, customer-centric, and compliant while aligning with our values of **We do the right thing, We believe people count, We courageously shape our future together, and We go above and beyond for the people we serve.**
**You are**
A proactive, solutions-oriented professional who thrives at the intersection of underwriting, data, AI, and technology. You anticipate industry trends, interpret complex business issues, and recommend best practices that improve efficiency and risk governance. You are comfortable leading projects, influencing stakeholders, and adapting traditional approaches to deliver innovative solutions.
**You have**
+ Extensive individual life underwriting expertise with the ability to translate business needs into data, AI, and technology-enabled solutions.
+ Experience contributing to modernization initiatives, such as migrating from legacy systems to digital platforms and implementing new data driven workflows.
+ Proven ability working with quality control programs (e.g., Random Holdouts (RHO), Post-Issue Audits (PIA)) that leverage analytics for continuous improvement.
+ Familiarity with emerging technologies (Electronic Health Record (EHR), GenAI, wearable tech) and behavioral economics and how they impact underwriting strategy.
+ Strong analytical and problem-solving skills, with the ability to interpret complex data and recommend best practices for risk governance.
+ Experience with creating dashboards and utilizing Business Intelligence (BI) tools such as Microsoft PowerBI or Tableau as well as Microsoft Excel; ability to interpret trends using performance metrics.
+ Influence and collaboration skills to align diverse stakeholders and drive adoption of new tools and processes
+ Change leadership mindset, comfortable challenging precedent and introducing innovative approaches to improve efficiency and customer experience.
+ Knowledge of data governance and compliance in digital underwriting.
**You will**
+ Help oversee the creation, monitoring, and enhancement of life underwriting rules and AI systems for automated platforms, ensuring they evolve with emerging data sources and predictive analytics to maintain competitive advantage.
+ Assist in managing the transition from legacy systems to a modern underwriting workbench, driving adoption, training, and continuous improvement to enable digital-first workflows.
+ Conduct end-to-end impact tracing for opportunities and issues, mapping upstream inputs (e.g., data sources, assumptions, dependencies) and downstream outcomes (e.g., operational processes, customer experience, production underwriting impacts), and drive timely mitigation or value capture through cross-functional coordination and measurable action plans.
+ Partner with the medical director and underwriting leadership to design a next-generation application for life and disability insurance that integrates automation and customer-centric features.
+ Manage medical risk and vendor relationships to calibrate prescription history rules or data science models using advanced data insights and ensure protective value in a fluidless environment.
+ Collaborate across the enterprise, including with technology, data science, and actuarial teams, to prioritize initiatives that leverage AI, predictive analytics, and actuarial expertise, ensuring underwriting remains scalable and competitive.
+ Create documentation and procedures to establish and sustain a robust quality control program for fluidless underwriting (e.g., RHO, PIA), leveraging analytics to identify trends and inform refinements.
+ Assist in validating and selecting innovative underwriting tools and initiatives, including EHR, GenAI, wearable technology, and behavioral economics which will ensure readiness for integration and operational impact.
+ Partner with data science teams to develop and refine AI models that enhance underwriting automation and predictive accuracy and work closely with actuarial teams to align risk assessment methodologies with enterprise standards.
+ Support underwriting operations during peak periods by applying expertise to complex cases while championing digital tools and data-driven decision-making.
**Reporting Relationships**
+ As our Underwriting Transformation Specialist, you will report to our Underwriting Manager.
**Location**
+ This is a remote position.
**Travel**
+ Less than 10% Travel required for this position
**Salary Range:**
$86,210.00 - $141,635.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
**Our Promise**
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
**Inspire Well-Being**
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at *********************************************** . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._
**Equal Employment Opportunity**
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
**Accommodations**
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact *************. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.
**Visa Sponsorship**
Guardian is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant. you must be legally authorized to work in the United States, without the need for employer sponsorship.
**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .
Visa Sponsorship:
Guardian Life is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship.
Description & Requirements Maximus is currently seeking a dedicate and results-driven Project Implementation Manager to support our Kentucky Health Benefits Exchange (KY HBE) program. The Project Implementation Manager will be responsible to lead and manage project operations from start to finish. This role requires strong client communication skills, the ability to build and maintain relationships with clients, and the capability to manage complex projects effectively.
This is a hybrid position that will require travel to Frankfort, KY throughout the implementation process.
*This position is contingent upon contract award.*
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Competitive Compensation - Bonuses based on performance included!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Organize project teams, assign individual responsibilities, develop project schedules, and determine resource requirements.
- Oversee all facets of project operations.
- Deploy resources to address all operational needs.
- Make informed decisions and ensure adherence to budgets.
- Communicate updates and project status effectively and efficiently.
- Recommend innovative methodologies, techniques, and criteria for projects.
- Ensure adherence and compliance to internal and external quality standards.
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of project management experience required.
- Equivalent combination of education and experience considered in lieu of degree.
- Project Management Professional (PMP) or similar certification preferred.
- Proficiency in Microsoft Office Suite required.
- Must be willing and able to travel to Frankfort, KY throughout contract implementation.
Home Office Requirements
- Internet speed of 20mbps or higher required (you can test this by going to *******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.
- Must currently and permanently reside in the Continental US.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
87,850.00
Maximum Salary
$
125,000.00
$67k-98k yearly est. Easy Apply 2d ago
SD Licensed Dietician - 1099/PT/Remote
Telemed2U 3.6
South Dakota jobs
About the role
The Registered Dietician serves as an expert and resource for in the area of nutrition and diabetes self-management assessment, education, and follow up. The position operates in the clinical setting and works directly with patients one on one. The main goal for the RD/CDE is to equip the patient with knowledge and tools needed to manage his or her disease. The efforts of the individual in this position directly impacts the overall health of the patient, the health care resources consumed by the patient, and ultimate quality outcomes, while taking ownership and responsibility for the structure of the program and curriculum used.
The individual in this role works collaboratively with other team members to assist in the development of an effective, patient-centered program that promotes optimal patient outcomes.
What you'll do
Performs nutrition assessment, reassessment, and patient/family education.
Performs all responsibilities/duties required by Registered Dietitian as defined in the scope of practice, to ensure that the needs of patients are addressed.
Implement personalized, age specific and culturally appropriate nutrition strategies.
Conducts and coordinates nutritional counseling sessions and services.
Follows ADA Medical Nutrition Therapy and other appropriate nutrition counseling protocols.
Complete required documentation and maintain organized files for client charts, participation data, and communication logs.
Maintains client relationships.
Updates and applies professional knowledge.
Qualifications
Must be a Registered Dietitian (RD) - Licensed in South Dakota
At least two years of related experience.
Experience delivering health education and support to patients with chronic disease.
Knowledgeable in clinical disease processes and medical management
Effective oral and written communication skills
Compensation
Job Type - Contractor Opportunity for Part - Time Pay: $37.50 - $75.00 per hour
$46k-53k yearly est. 60d+ ago
Behavioral Health Therapist | Virtual Care - Remote
Sanford Health 4.2
Lily, SD jobs
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours:
40Salary Range: $31.00 - $46.50
Union Position:
No
Department Details
Summary
The Behavioral Health Therapist requires a broad and thorough understanding of human behavior, theories of counseling, and psychopathology. May work with a wide range of patient populations and presenting issues, requiring a foundation in a variety of treatment modalities. This role has total independence and responsibility for patient well-being.
Job Description
The Behavioral Health Therapist provides diagnostic assessment, onsite crisis assessment and intervention, and determines need for ongoing care according to level of clinical ability, medical, and psychosocial complexity. Develops treatment plans and implements treatment interventions specific to patient needs. Continually assesses patient's progress and revises diagnosis(es), treatment plans, and interventions accordingly. Documents treatment sessions. Provides patient progress updates to interdisciplinary team, as needed. May educate patient support members about patient issues and interventions. May refer for additional clinical services or to specialists, as needed. Must stay current on emerging issues in the profession.
The Behavioral Health Therapist may work in a variety of settings, with duties varying by setting:
In a clinic setting (other than primary care), the Behavioral Health Therapist conducts scheduled face-to-face therapy sessions designed to assess and improve patient's emotional, mental, and behavioral health.
In a community setting, the Behavioral Health Therapist provides treatment for patients with severe and persistent mental illness. This may include community-based interventions aimed at improving daily living skills, social skills, and self-regulation skills. The community-based Behavioral Health Therapist serves as a consultant for a multi-disciplinary team to ensure treatment interventions are implemented and that the patient is in compliance with treatment.
In a residential setting, the Behavioral Health Therapist provides treatment for patients requiring a higher level of care than outpatient therapy; however, do not meet the criteria for psychiatric inpatient treatment. Treatment occurs at the residential treatment facility and includes a broad range of duties: assessment and diagnosis, individual and group therapy, development, implementation, and evaluation of therapy programs, and consultation and coordination with a multi-disciplinary team.
Credentialing through the Allied Health Staff of the organization where you will be working will be required. Must be completed prior to start; typical time from offer acceptance 60-90 days
Qualifications
Master's degree in Counseling, Social Work, Psychology, or related Behavioral Health Sciences required; graduation from an accredited school preferred.
License must be in good standing in states of practice (must be licensed in all 4 states listed below to start):
In Iowa, must have one of the following:
Licensed Mental Health Counselor (LMHC)
Licensed Independent Social Worker (LISW)
In Minnesota, must have one of the following:
Licensed Professional Clinical Counselor (LPCC)
Licensed Independent Clinical Social Worker (LICSW)
In North Dakota, must have one of the following:
Licensed Professional Clinical Counselor (LPCC)
Licensed Clinical Social Worker (LCSW)
In South Dakota, must have one of the following, dependent upon work setting:
Licensed Professional Counselor - Mental Health (LPC-MH)
Certified Social Worker - Private or Independent Practice (CSW-PIP)
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$31-46.5 hourly Auto-Apply 5d ago
Training Coordinator
Maximus 4.3
Rapid City, SD jobs
Description & Requirements Maximus is seeking adaptable and detail-oriented Training Coordinators to support virtual training delivery across a variety of contact center programs. In this role, Training Coordinators serve as key operational support for virtual training sessions, monitoring attendance, resolving technical issues, escalating classroom concerns, and assisting learners with system access and navigation challenges. Ideal candidates will be comfortable working in fast-paced virtual environments and using Microsoft Teams to ensure smooth and effective training experiences.
*Position is contingent upon contract award*
This is a fully remote role.
Equipment will be provided but must meet the remote position requirement provided below.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Coordinate logistics for instruction events, including scheduling classes, reserving classrooms, and preparing workstations.
- Determine resource readiness for courses, including materials, training room, technology, and collection and entry of training data.
- Maintain records of training activities, participant progress, and program effectiveness.
- Provide production floor support and answer questions.
• Provide real-time support across multiple virtual training sessions, ensuring smooth delivery and learner engagement.
• Troubleshoot technical issues related to audio, connectivity, and platform access.
• Escalate classroom concerns and technical disruptions to appropriate teams for resolution.
Minimum Requirements
- High School diploma or equivalent with 1-3 years of experience.
- Bachelor's degree preferred.
- May have additional training or education in area of specialization.
• Experience supporting virtual training sessions using Microsoft Teams preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
17.83
Maximum Salary
$
29.50
$32k-48k yearly est. Easy Apply 5d ago
Clinical Program Manager REMOTE
Baylor Scott & White Health 4.5
Pierre, SD jobs
**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training**
- Licensed RD
- Experience with MNT for obesity, diabetes, HTN, Lipid disorders
- NBC-HWC
- Mastery of the coaching process, foundational theories/principles of behavior change
- Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam
- Only coaching credential recognized by the National Board of Medical Examiners
* **No Credentialing required***
**About Us**
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
_Note: Benefits may vary based upon position type and/or level._
**Job Summary**
As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. They ensure alignment at a regional or system level.
**Essential Functions of the Role**
+ Partners with internal and external stakeholders to meet contractual and/or regulatory obligations.
+ Proactively identifies, plans, implements, evaluates and monitors quality improvement and performance improvement initiatives.
+ Contributes to or runs system and regional initiatives. Gathers data, conducts research, maintains records, and tracks issues. Evaluates the impact of interventions, coordinates activities, and executes plans to resolve issues.
+ Researches and maintains knowledge of current evidence-based practices. Works with multidisciplinary teams to build a replicable model for clinical programs and guidelines. Develops program tools and resources like guidelines, training materials, and enhancement requirements.
+ Acts as a credible change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance.
+ Acts as a liaison across the care continuum to multidisciplinary teams and internal/external stakeholders.
**Key Success Factors**
+ Project and/or Program Management experience
+ Process improvement and/or quality improvement experience
+ Able to quickly establish professional and cooperative relationships with multidisciplinary team members
+ Able to work in a fast paced, deadline motivated environment while stabilizing multiple demands
+ Able to quickly establish professional and cooperative relationships with multidisciplinary team members
+ Excellent verbal and written communication skills
+ Excellent critical thinking skills with ability to solve problems and exercise sound judgement
+ Able to mentor, guide and train team members
+ Skill in the use of computers and related software
+ PMP certification preferred
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported.
**QUALIFICATIONS**
+ EDUCATION - Grad of an Accredited Program
+ EXPERIENCE - 5 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION -
Lic Clinical Social Worker (LCSW), Licensed Dietitian (LICDIET), Lic Masters Social Worker (LMSW), Lic Master Social Wrk AdvPrac (LMSW-AP), License Pract/Vocational Nurse (LVN), Occupational Therapist (OT), Physical Therapist (PT), Respiratory Care Practitioner (RCP), Registered Dietitians (RD), Registered Nurse (RN), Reg Respiratory Therapist (RRT), Speech Language Pathologist (SLP): Must have ONE of the following:
+ -LCSW
+ -LMSW
+ -LMSW-AP
+ -LVN
+ -OT
+ -PT
+ -RN
+ -Both RRT (from the National Board Respiratory Care) AND RCP (from the Texas Medical Board)
+ -SLP
+ -LICDIET
+ -RD.
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$46k-73k yearly est. 16d ago
Coder II - OP Physician Coding (Ortho Surgery)
Baylor Scott & White Health 4.5
Pierre, SD jobs
** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
**- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty
**- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
**- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations
**Lower Extremity:**
**- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
**- Pelvis:** Fracture repairs
**- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
**- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
**- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
**WORK MODEL/SALARY**
Days: Monday - Friday
Hours: 8hrs a day, 80hrs a pay period
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**JOB SUMMARY**
+ The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
+ Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
+ Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
+ The Coder 2 will abstract and enter required data.
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**KEY SUCCESS FACTORS**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of the following Certifications:
+ Registered Health Information Administrator (RHIA)
+ Registered Health Information Technologist (RHIT)
+ Certified Coding Specialist (CCS)
+ Certified Coding Specialist Physician-based (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
+ Certified Inpatient Coder (CIC)
+ Certified Interventional Radiology Cardiovascular Coder (CIRCC)
**BENEFITS**
Our competitive benefits package includes the following:
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**MQUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 60d+ ago
IS EPIC Application Analyst 3 - Willow/WAM (Hybrid)
Baylor Scott & White Health 4.5
Pierre, SD jobs
**The EPIC Application Analyst III has the primary responsibility to configure and provide advanced functional and technical help for the specific application or set of applications to a variety of business and clinical users. In addition, you are accountable to join with end users to know about the workflow and its interdependencies and make corrective system adjustments or enhancements. This role is the central point of communication for an assigned set of users and coordinates all activities on behalf of the IS organization. This role also works with leaders to spearhead the process and project planning for the application module Epic Willow/WAM.**
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ **Is the functional and technical Subject Matter Expert on the associated application and workflows.**
**·** **Provides good knowledge of the technology (application) and enterprise processes (integrated workflows) and unite closely with all associated teams to drive holistic patient perspective.**
**·** **Assists with the study recommendations for corrective actions and resolution of problems within the software application.**
**·** **Provides in-depth study and documentation of workflows, data collections, end-user report details and other technical issues associated with the application, with vendor and internal stakeholder consideration.**
**·** **Creates and execute test scripts for new system builds.**
**·** **Trains and mentor Application Analysts.**
**·** **Runs business partners and technical team to define, document, and review business system requirements to continuously improve organizational efficiency.**
**·** **Assists IS managers and work with various teams to help them better know organizational policies, procedures and business operations, and to translate those needs into specialized application specifications.**
**·** **Solves problems by studying business issues /requirements, studying both data and workflows and synthesizing key messages.**
**KEY SUCCESS FACTORS**
+ **Extensive Epic application knowledge to build, test, help and train.**
+ **Ability to work well in team environments.**
+ **Proficient with word processing, spreadsheet, and email software applications.**
+ **Demonstrates customer-oriented service excellence principals.**
+ **Self-motivated leader who can identify and resolve issues, and advance personal knowledge.**
+ **Ability to execute complex tasks through organization and details driven approach.**
+ **Ability and experience knowledge end user workflow and owning the technical components of that workflow.**
+ **Demonstrates excellent relational communication skills, among facility customers and team members.**
+ **A quick learner of software and information technology, and motivated to learn new applications.**
+ **Experience in Hospital Business or Clinic environment preferred.**
**BENEFITS**
**Our competitive benefits package includes the following**
+ **Immediate eligibility for health and welfare benefits**
+ **401(k) savings plan with dollar-for-dollar match up to 5%**
+ **Tuition Reimbursement**
+ **PTO accrual beginning Day 1**
**Note: Benefits may vary based upon position type and/or level**
**QUALIFICATIONS**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION -
Epic Accreditation (EPICACRD)
Epic Certification (EPICCERT)
**CERTIFICATION/LICENSE/REGISTRATION**
+ **Epic Certification (EPICCERT) - Willow**
+ **Epic Certification (EPICCERT) - Willow Ambulatory**
+ **Epic Certification (EPICCERT) - Specialty Pharmacy**
**Hybrid expectation-** if local to DFW area- on-site 1x a week, in state of TX, on-site once a month, out of state candidate would need to come on-site 2x a year
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$54k-74k yearly est. 6d ago
WCA Nurse Assessor - Remote
Maximus 4.3
Sioux Falls, SD jobs
Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care.
WCA Nurse Assessor - Remote
Monday to Friday - 09:00 - 17:00
£37,500
Do good. Be great as a nurse.
Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance?
About the role
As a Nurse Functional Assessor at Maximus, you'll use your clinical expertise to understand how a person's disability or health condition affects their daily life. You'll work on complex cases involving physical and mental health conditions and chronic pain disorders, while your compassion and experience helps customers move forward with their lives.
The role can be both challenging and rewarding, which is why we provide a tailored training programme* to help you thrive. You'll begin with formal training before assessing customers and have ongoing support and mentorship in your role with us.
Duties and responsibilities
Conduct telephone, video or face-to-face assessments to understand how a person's disability or health condition affects their daily life
Produce Work Capability Assessment (WCA) reports to help the Department for Work and Pensions (DWP) determine a person's eligibility for benefits
Develop your clinical knowledge and assessment skills with the support of regular feedback and supervision
Requirements
Valid NMC registration number
At least 1 year of broad post-registration adult or mental health experience gained within or outside of the NHS
You MUST have the right to work in the UK - we cannot offer sponsorships
Excellent oral and written communication skills
Comfortable using computer software to type and produce detailed reports
What we offer
£37,500 salary
Flexible working - full-time and part-time
No bank holidays, evenings or weekends
A recognised accreditation with the University of Salford upon completion of training*
Leading maternity and paternity paid leave
Bank holidays plus 25 days' holiday with the option to buy or sell 5 days
Ongoing CPD, clinical development and reimbursed validation fees
£2,000 for referring a friend
Life insurance and Medicash Healthcare Cash Plan
In-person clinical conferences held annually
Join us and become part of a team that's making a real difference to people's lives.
EEO Statement
Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal well-being and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post.
We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for an interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process.
Minimum Salary
£
37,500.00
Maximum Salary
£
37,500.00
$41k-49k yearly est. 6d ago
Revenue Cycle Director
Horizon Health 4.4
Howard, SD jobs
Benefits: * 401(k) matching * Competitive salary * Dental insurance * Health insurance * Vision insurance Horizon Health is seeking a full-time Revenue Cycle Director. The Revenue Cycle Director provides strategic and operational leadership over Horizon Health's full revenue cycle across medical, dental, and behavioral health services. This role is responsible for ensuring accurate, compliant, and timely reimbursement while optimizing revenue performance in alignment with Horizon's mission as a Federally Qualified Health Center (FQHC). The Revenue Cycle Director oversees all functions from charge capture and coding through billing, collections, denials management, and payer relations. This position works directly under the Chief Financial Officer and partners closely with finance, clinical leadership, operations, and compliance to ensure sustainable financial performance while supporting access to care for rural and underserved communities. Successful candidates for the Revenue Cycle Director should be passionate about providing high-quality, patient centered care. Horizon Health offers a team-oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities.
* This position requires the employee to be located in South Dakota; remote work will be considered for candidates residing within the state of South Dakota.
Key Responsibilities:
* Develop and execute revenue cycle strategies that improve cash flow, reduce risk, and support Horizon's long-term financial sustainability.
* Maintain deep expertise in FQHC-specific reimbursement methodologies, including PPS, wrap payments, Medicaid/Medicare billing, sliding fee scale requirements, and third-party payer rules.
* Provide leadership, coaching, and accountability for revenue cycle staff and leaders.
Education & Experience Requirements
* Bachelor's degree in Healthcare Administration, Business, Finance, or a related field required.
* Progressive experience in healthcare revenue cycle management.
* Federally Qualified Health Center (FQHC) experience strongly preferred.
* Experience overseeing revenue cycle operations across medical, dental, and behavioral health service lines strongly preferred.
Our Culture:
Horizon Health's culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused - ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes.
Horizon Health is an equal opportunity workplace and affirmative action employer. All qualified applicants will receive considerations for employment without regards to race, color, religion, sexual orientation, gender identity, national origin, disability, or veteran status.
$54k-74k yearly est. 6d ago
Learn more about Madison County Hospital Health Systems jobs