Top 506 Knowledge management specialist Jobs in South Dakota

Senior Claim Benefit Specialist - Remote
CVS Health —South Dakota
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Assessment Specialist
South Dakota State Government —Pierre, SD
- $28.54 - $29.97 an hour
- Online Application
- School experience
- Customer service
- No experience needed
- Paid holidays
- Health insurance
12d
Customer Support Specialist, Time & Attendance / Scheduling
Rippling —South Dakota
- $22.19 - $23.49 an hour
- Full-time
- Remote
- English
- Mid-level
- Bachelor's degree
3d
Payroll and Accounting Specialist
AnswerFirst Communications, Inc. —South Dakota
- $57,700 - $77,000 a year
- Full-time
- Remote
- Research
- Mid-level
- US work authorization
- 401(k)
- Vision insurance
6d
Emergency Management Specialist
South Dakota State Government —Pierre, SD
- $28.54 - $35.66 an hour
- Online Application
- Customer service
- Writing skills
- Mid-level
- Paid holidays
- Health insurance
6d
Sex Offender Registry SOR Compliance Specialist
South Dakota State Government —South Dakota
- $35 an hour
- Temporary
- Pass drug screening
- Mid-level
- Driver's License
Leasing Specialist
A&B Business Inc —Rapid City, SD
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
6d
HR Specialist
Bass Pro Shops —Mitchell, SD
- Full-time
- Mid-level
- Windows
- Administrative experience
- Health savings account
- Paid holidays
Client Service & Relationship Specialist
Kruse Financial Group —North Sioux City, SD
- $50,000 - $65,000 a year
- Full-time
- CRM software
- Background check
- Customer service
- Paid training
- 401(k)
Quick Apply
Brokerage Operations Specialist
Fortune Logistics —Sioux Falls, SD
- $65,000 - $90,000 a year
- Full-time
- Background check
- Management
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Trailer Sales Professional
Jim Hawk Truck Trailers, Inc. —South Dakota
- Full-time
- In person
- Clean driving record
- Customer service
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Environmental Health & Safety Specialist
Harvard Integrations LP —Tea, SD
- Bachelor's degree
- Manufacturing
- Entry level
Quick Apply
Tax Expert - Expert Center (Midwest)
Intuit —Sioux Falls, SD
- $27 - $41 an hour
- Monday to Friday
- Spanish
- CPA
- English
- Employee stock purchase plan
- Employee assistance program
4d
Inventory and Materials Specialist
Elite Executive Partners —Elk Point, SD
- ERP systems
- Mid-level
- Analysis skills
Quick Apply
Safety Specialist
Agropur —Lake Norden, SD
- $69,500 - $86,900 a year
- Full-time
- Bachelor's degree
- Continuous improvement
- Classroom experience
- Paid parental leave
- Paid holidays
Quick Apply
Sales Professional
Karl's TV, Audio, Appliance & Furniture —Madison, SD
- $48,000 - $70,000 a year
- Full-time
- Merchandising
- High school diploma or GED
- Ability to lift 75 pounds
- Health insurance
- Dental insurance
Quick Apply
Sales Professional
Karl's TV, Audio, Appliance & Furniture —Huron, SD
- $40,000 - $70,000 a year
- Urgently hiring
- Merchandising
- High school diploma or GED
- Ability to lift 75 pounds
- Health insurance
- Dental insurance
Quick Apply
12d
Client Specialist I, Crop Science Soybean
SGS —Brookings, SD
- Full-time
- Computer literacy
- High school diploma or GED
- Entry level
Quick Apply
13d
Registered Nurse (RN) | Quality Specialist | Transplant & Cellular Therapy
Avera Health —Sioux Falls, SD
- $31.00 - $46.25 an hour
- Online Application
- Nursing
- OSHA
- RN License
- Paid time off
Quick Apply
Water Reclamation Facility Maintenance Specialist I
City of Aberdeen —Aberdeen, SD
- $24.78 an hour
- Full-time
- Schematics
- Inventory management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d

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knowledge management specialist jobs near south dakota

Senior Claim Benefit Specialist - Remote

CVS Health -
South Dakota

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

knowledge management specialist jobs in south dakota

Senior Claim Benefit Specialist - Remote

Assessment Specialist

Customer Support Specialist, Time & Attendance / Scheduling

Payroll and Accounting Specialist

Emergency Management Specialist

Sex Offender Registry SOR Compliance Specialist

Leasing Specialist

HR Specialist

Client Service & Relationship Specialist

Brokerage Operations Specialist

Trailer Sales Professional

Environmental Health & Safety Specialist

Tax Expert - Expert Center (Midwest)

Inventory and Materials Specialist

Safety Specialist

Sales Professional

Sales Professional

Client Specialist I, Crop Science Soybean

Registered Nurse (RN) | Quality Specialist | Transplant & Cellular Therapy

Water Reclamation Facility Maintenance Specialist I

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