Top 1005 Manager on duty Jobs in South Dakota

Manager, Payment Integrity-COB/TPL /Subrogation
Centene —South Dakota
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
20h
Property Manager- Rapid Creek
Cornerstone Residential —Rapid City, SD
- $24 - $26 an hour
- Full-time
- Bilingual
- Mid-level
- Office
- AD&D insurance
- Disability insurance
Quick Apply
13d
Restaurant and Bar Manager
Allevity Entertainment —Aberdeen, SD
- $22 - $28 an hour
- Weekends only
- Bar
- Ability to walk for extended periods
- Fast casual restaurant
- Paid training
- Paid time off
Quick Apply
6d
Quality Supervisor
Manitou Group —Madison, SD
- $60,000 - $90,000 a year
- Google Workspace
- 5 years
- Bachelor of Science
- Health insurance
- Dental insurance
Environmental Services Department Manager
Healthcare Services Group, Inc. —Bowdle, SD
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
3d
Restaurant Manager
Platinum Restaurant Group (Marco's Pizza) —Rapid City, SD
- $13 - $17 an hour
- Weekends as needed
- Fast casual restaurant
- Cooking
- US work authorization
Quick Apply
Community Property Manager
Confidential —Huron, SD
- $41,000 - $43,000 a year
- Full-time
- Research
- Mid-level
- Apartments
- Health insurance
- Dental insurance
Quick Apply
Restaurant Manager
KPOT Korean BBQ & Hot Pot —Sioux Falls, SD
- $70,000 a year
- Weekends as needed
- Bar
- Ability to walk for extended periods
- Mid-level
- Paid training
- Paid time off
Quick Apply
Construction Project Manager
Lloyd Companies Inc —Sioux Falls, SD
- Full-time
- Background check
- Construction site
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
8d
Operations Training Manager
Elite Executive Partners —Sioux Falls, SD
- Management
- Research
- Mid-level
- Health savings account
- Dental insurance
Quick Apply
RN - Surgery Supervisor: Eye, ENT Service Line
Sanford Health —Sioux Falls, SD
- $42 - $63 an hour
- 8 hour shift
- Background check
- Nursing
- Surgery
- Health insurance
- Dental insurance
Quick Apply
13d
Human Resources Manager
CCL Industries —Sioux Falls, SD
- $64,864.42 - $78,116.29 a year
- Full-time
- Background check
- Management
- 3 years
- Paid jury duty
- Health savings account
Quick Apply
14d
PRN RN Case Manager, Home Health
Good Samaritan —Rapid City, SD
- Weekends as needed
- Background check
- Nursing
- RN License
Quick Apply
Community Manager
Monroe Group LTD —Sioux Falls, SD
- $60,000 - $62,000 a year
- Full-time
- Management
- Mid-level
- Office
Quick Apply
Operations Training Manager
ThermoBond Buildings —Beresford, SD
- Full-time
- Mid-level
- Office
- Ability to lift 50 pounds
- Health savings account
- Health insurance
Quick Apply
Marketing Manager
ThermoBond Buildings —Brandon, SD
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Health insurance
- Dental insurance
Quick Apply
Warranty Manager
ThermoBond Buildings —Elk Point, SD
- Full-time
- Data analysis skills
- Research
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Project Manager
ThermoBond Buildings —Brandon, SD
- Full-time
- Microsoft Excel
- Computer literacy
- Salesforce
- Health insurance
- Dental insurance
Quick Apply
Project Manager - New Tank Construction
Maguire —Sioux Falls, SD
- Construction site
- 5 years
- Data analysis skills
Quick Apply
9d
Evening Supervisor
Harvard Integrations LP —Tea, SD
- 5 years
- Computer literacy
- Quality control
Quick Apply

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manager on duty jobs near south dakota

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
South Dakota

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
20 hours ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical terminology

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:
Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes

Oversee Coordination of Benefits (COB), Third Party Liability (TPL), and Subrogation recovery activities, including identification of other coverage, validation of recovery opportunities, coordination with internal operational teams, and timely resolution of provider, member, and carrier-related issues
Monitor internal and vendor and platform performance for COB/TPL/Subrogation programs, including savings, inventory, cycle times, quality outcomes, and adherence to recovery policies and regulatory requirements
Monitor business processes and systems to assure integrity and compliance in billing and claims payment
Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals
Develop customized fraud plans to meet contract and federal requirements
Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis
Respond to RFP request and implement new policies per contractual obligation
Attend state/federal meetings as required by specific contracts
Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes
Review post-payment cases with appropriate parties to obtain refund
Prepare and distribute monthly and quarterly saving reports
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Experience with Coordination of Benefits (COB), Third Party Liability (TPL), Subrogation, or healthcare recovery operations preferred. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred.

License/Certification: Medical records or coding license preferred.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

manager on duty jobs in south dakota

Manager, Payment Integrity-COB/TPL /Subrogation

Property Manager- Rapid Creek

Restaurant and Bar Manager

Quality Supervisor

Environmental Services Department Manager

Restaurant Manager

Community Property Manager

Restaurant Manager

Construction Project Manager

Operations Training Manager

RN - Surgery Supervisor: Eye, ENT Service Line

Human Resources Manager

PRN RN Case Manager, Home Health

Community Manager

Operations Training Manager

Marketing Manager

Warranty Manager

Project Manager

Project Manager - New Tank Construction

Evening Supervisor

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