Jobs in South Dakota 2026 (Now Hiring) - Smart Auto Apply

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Avera Health logo

Credentialing Operations Specialist

Avera Health
Sioux Falls, SD

$22 - $30 / hour

Location: Avera Health Plans Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: The pay range for this p...

Posted 3 weeks ago

C logo

Technician - Temporary (2Nd Shift)

Central States Manufacturing
Hartford, SD
Come be an Employee-Owner of one of the nation's largest producers of metal roofing and siding! We sell, manufacture, build, and distribute metal building components and packages....

Posted 2 weeks ago

Get-N-Go logo

Blue Tide Shift Supervisor

Get-N-Go
Sioux Falls, SD
ESSENTIAL JOB DUTIES: Drives quality customer service through the daily management of employees and site initiatives. Effectively answers all customer questions and resolves compla...

Posted 30+ days ago

Avera Health logo

Radiology Surgery Technologist | PRN

Avera Health
Sioux Falls, SD

$28 - $42 / hour

Location: Avera McKennan Hospital Worker Type: PRN Work Shift: As Needed (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate depe...

Posted 30+ days ago

Avera Health logo

Registered Nurse (Rn) Traveler | Aess Temp Staffing

Avera Health
Sioux Falls, SD
Location: Avera Education & Staffing Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Position Highlights Varied Shifts;...

Posted 30+ days ago

Avera Health logo

Sonographer | Clinic Ob/Gyn | PRN

Avera Health
Huron, SD

$31 - $46 / hour

Location: Avera Medical Group Pierre Worker Type: PRN Work Shift: As Needed (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate d...

Posted 30+ days ago

Avera Health logo

Physician | Radiology

Avera Health
Yankton, SD
Location: Avera Sacred Heart Hospital Worker Type: Regular Work Shift: Day Shift (United States of America) Position Highlights You Belong at Avera Be part of a multidisciplinary t...

Posted 30+ days ago

Avera Health logo

Flex MRI Technologist

Avera Health
Huron, SD

$40+ / hour

Location: Avera St Mary's Hospital Worker Type: Temporary Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: The pay range fo...

Posted 30+ days ago

Five Guys logo

Crew Member

Five Guys
Rapid City, SD

$16+ / hour

Job Requirements SUMMARY: Crew Members perform essential duties in many different areas within the restaurant, including the cash register area, grill, dressing station, fry statio...

Posted 30+ days ago

Avera Health logo

LTC CNA PRN

Avera Health
Bowdle, SD
Location: Bowdle, SD Worker Type: PRN Work Shift: As Needed (United States of America) Bowdle Healthcare Center is seeking a qualified individual to grow our team! Position Highlig...

Posted 30+ days ago

Hub International logo

Join Our Expanding Sales Team

Hub International
Sioux Falls, SD
Ignite your career. Build lasting relationships. Shape your future. Are you a driven, results-focused professional ready to take your career to the next level? If so, a Sales Execu...

Posted 2 weeks ago

Avera Health logo

Registered Nurse (Rn) Or Licensed Practical Nurse (Lpn) | Dawley Farm Pediatric Clinic

Avera Health
Sioux Falls, SD

$23 - $41 / hour

Location: Avera Family Medicine Center Dawley Farm Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below....

Posted 2 weeks ago

Floyd's Truck Center logo

Parts Counter Sales

Floyd's Truck Center
Fort Pierre, SD
Parts Counter Sales Reports to: Parts Manager Position Summary: Responsible for working directly and/or indirectly with customers in Parts sales, following procedures to search and...

Posted 2 weeks ago

Avera Health logo

Registered Nurse (Rn) | Behavioral Health Adolescent Unit

Avera Health
Sioux Falls, SD

$33 - $49 / hour

Location: Avera Behavioral Health Center-Sioux Falls Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: The pay...

Posted 30+ days ago

Graybar Electric Company, Inc. logo

Quotations Specialist

Graybar Electric Company, Inc.
Sioux Falls, SD

$20+ / hour

Make a difference. As a Quotations Specialist, you will handle the quotations process from the time you receive the request to the time you submit the quote to the customer. You wi...

Posted 30+ days ago

Avera Health logo

Chaplain | PRN

Avera Health
Gregory, SD

$24 - $37 / hour

Location: Avera at Home Yankton Worker Type: PRN Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate depend...

Posted 30+ days ago

EXL logo

Loss Control Consultant Commercial Insurance - Independent Contractor- Sioux Falls, Sd.)

EXL
Sioux Falls, SD
EXL Risk Control is a leading provider of risk assessments and loss control surveys for commercial lines insurance carriers. We are seeking candidates who possess 10+ years of expe...

Posted 1 week ago

Aspen Dental logo

Part-Time Endodontist- Sioux Falls, South Dakota

Aspen Dental
Sioux Falls, SD

$8,000 - $12,000 / day

At Aspen Dental, we put Endodontists first. Our best-in-class learning and development opportunities help you stay on the leading edge of oral care. Our competitive compensation an...

Posted 30+ days ago

Avera Health logo

Surgical Technologist Inpatient | Surgery

Avera Health
Sioux Falls, SD

$26 - $38 / hour

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $25.50 - $...

Posted 30+ days ago

Avera Health logo

Clinic - LPN | Avera Heart Hospital

Avera Health
Sioux Falls, SD
Location: Sioux Falls, SD Worker Type: Regular Work Shift: Day Shift (United States of America) At Avera Heart Hospital, you're not just joining a workplace - you're becoming part...

Posted 30+ days ago

Avera Health logo

Credentialing Operations Specialist

Avera HealthSioux Falls, SD

$22 - $30 / hour

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Overview

Schedule
Full-time
Career level
Senior-level
Remote
On-site
Compensation
$22-$30/hour
Benefits
Paid Vacation
Career Development
401k Matching/Retirement Savings

Job Description

Location:

Avera Health Plans

Worker Type:

Regular

Work Shift:

Primarily days with possible weekends/evenings/holidays (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$22.00 - $29.50

Position Highlights

This is a brand-new role! Avera Health Plans is expanding our credentialing services.

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The Credentialing Operations Specialist is responsible for coordinating provider credentialing and enrollment activities in compliance with NCQA, state, and federal requirements. Reviews applications for accuracy and completeness, partners with providers and internal teams to resolve issues, and prepares files for Medical Director and committee review. Maintains credentialing data, supports audits, and ensures timely, compliant communication regarding provider status.

What you will do

  • Knowledge of NCQA Credentialing standards and all applicable state and government laws regarding credentialing and applies them to the credentialing process.
  • Coordinates the initial enrollment and re-enrollment process for providers and facilities contracted with Avera Health Plans.
  • Reviews initial and reappointment credentialing applications to ensure compliance with NCQA process. Ensures application completeness and works with providers to gather missing or incomplete information.
  • Reviews credentialing applications returned from the Central Verification Organization (CVO) to ensure Primary Source Verifications (PSV) were done accurately and timely, consistent with NCQA, state and federal credentialing requirements. Accurately determines and documents clean vs red flag files.
  • Coordinates with Medical Director for file review of clean and red flag files. Gathers additional information based on the Medical Directors feedback.
  • Assists in monthly Credentialing Committee File preparation.
  • Generates and sends out compliant communication to providers related to credentialing terminations, denials, and approvals consistent with Avera Health Plans policies and NCQA requirements.
  • Performs accurate data entry and maintains enrollment records within the credentialing system and internal databases.
  • Responds to applicants and current providers regarding the credentialing process and status.
  • Serves as a resource to internal and external clients by answering credentialing questions, conducting audits, and doing file preparation for audits.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

  • Associate's Two-year college or technical school or an equivalent combination of education and experience.
  • 1-3 years Credentialing experience, provider enrollment, provider contracting, compliance, advanced medical or administrative experience and/or training.

Preferred Education, License/Certification, or Work Experience:

  • Bachelor's In a related field of health information/healthcare or business.
  • Certified Provider Credentialing Specialist (CPCS) - National Association of Medical Staff Services (NAMSS) or
  • Certified Professional Medical Services Management (CPMSM) - National Association of Medical Staff Services (NAMSS)

Expectations and Standards

  • Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera's values of compassion, hospitality, and stewardship.
  • Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

  • PTO available day 1 for eligible hires.

  • Up to 5% employer matching contribution for retirement

  • Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

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Submit 10x as many applications with less effort than one manual application.

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