regulatory Jobs in South Dakota

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Senior Specialist, Provider Network Administration

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana
Posted 6 days ago | Updated 9 hours ago

SAP Group Reporting Program Manager

Shimento, Inc.

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Remote

Contract, Third Party

SAP Group Reporting Program Manager Remote, Travel, Carlsbad, CA Duration: - 6- 12 Months About the position The SAP Group Reporting Program Manager will lead the strategic planning and execution of SAP Group Reporting initiatives, ensuring alignment with the organization's financial consolidation, compliance, and reporting needs. This role involves managing a cross-functional team, engaging with stakeholders, overseeing financial oversight, and ensuring compliance with regulatory standards. T
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Posted 19 days ago | Updated 1 day ago

Oracle Payroll Technical Specialist

Georgia IT

•

Remote

Contract

Job Title: Oracle Payroll Interface SME Location: Remote Job Summary: We are seeking an experienced Oracle Payroll Interface SME to lead and support the implementation, enhancement, and ongoing management of payroll integrations between Oracle Cloud HCM and various third-party payroll providers. The ideal candidate will possess deep functional and technical expertise in Oracle HCM Cloud, with a strong focus on Payroll and Inbound/Outbound integrations. Key Responsibilities: Serve as the Subject
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Posted 9 days ago | Updated 9 days ago

SAP - Blueprinting Lead

NexInfo Solutions, Inc.

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Remote

Contract

Title: SAP - Blueprinting LeadLocation: Remote Job Description:15+ Years of Experience, Consulting / Tech Consulting expertise, Hands on Blue Printing expertise, LifeScience / Biotech experience. Travel for key milestones / Phases.Lead the SAP blueprinting phase across functional domains (Finance, Supply Chain, Manufacturing, Quality, etc.).Manage engagement scope, deliverables, timelines, and client communications.Drive workshops to gather and validate business, process, and technical requireme
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Posted 40 days ago | Updated 1 day ago

SAP FICO/RTR Lead (32631)

Myticas LLC

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Winnipeg, Manitoba, Canada

Contract

Myticas Consulting is seeking an experienced SAP FICO/RTR Lead for a long-term HYBRID contract with a major utility and energy client. This is a senior-level techo-functional role requiring a mix of deep functional finance expertise and strong technical capabilities within the SAP ecosystem. The position requires frequent travel (50-70%) to Winnipeg, MB, and the consultant may be based anywhere in Canada. Project Scope: The successful candidate will help develop methodologies, tools, and thoug
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Posted 4 days ago | Updated 3 days ago

RxCLAIM SME

Data Wave Technologies Inc

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US

Contract

Job Title: RxCLAIM SME Location: Remote Duration: Long term Tax Term: W2 Key Technology: RxClaim, PBM Job Responsibilities: Act as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms. Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications. Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy,
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Posted 4 days ago | Updated 1 day ago

Senior Project Manager/Senior Healthcare Project Manager

TekLeaders, Inc

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Remote or Chicago, Illinois, USA

Full-time, Part-time, Third Party, Contract

Title: Senior Project Manager/ Senior Healthcare Project Manager Duration: 12+ Months Location: Chicago IL (100% Remote) Job Summary: We are looking for an experienced Senior Manager - Client Services with a strong background in the healthcare domain to lead strategic client engagements focused on AI and Automation adoption. This leadership role involves working closely with C-level executives, managing change across large healthcare organizations, and driving transformation programs that su
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Posted 1 day ago | Updated moments ago

Prior Auth Nurse (RN)

Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Prior Auth Nurse (RN). This is a 03+months contract opportunity with long-term potential and is located in Olympia, WA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-80708 Pay Range: $37 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Performs medical necessity and cli
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Posted 5 days ago

C2H Role || SAP QM Expert with A&D || Fully Remote

Gtech LLC

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Remote or US

Full-time, Contract, Third Party

C2H Role Fully Remote Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geography. -Specific SAP component configuration and deployment experience: Key Responsibilities
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Posted 2 days ago | Updated 22 hours ago

Forensics Analyst - FA 0804 DIR#01

Compu-Vision Consulting, Inc.

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Remote

Third Party, Contract

Job Title: Forensics Analyst Location: Remote Contract Duration: 6 Months Employment Type: Contract Position Overview: We are seeking a skilled Forensics Analyst to join our remote team on a 6-month contract. The ideal candidate will be responsible for performing comprehensive digital forensic investigations involving system artifacts, memory, file systems, email, malware, and social media forensics. This role plays a crucial part in identifying, analyzing, and documenting cybersecurity incident
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Posted 5 days ago | Updated 1 day ago

Technical Project Manager with Mainframe

MindFore Inc

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Remote

Contract

Job Title: Technical Project Manager with Mainframe Location: Austin, TX Remote Job Description: Project Management: Lead the end-to-end management of Mainframe Transformation and Azure-based technical initiatives.Stakeholder Engagement: Facilitate communication between technical teams, business units, and leadership to ensure alignment.Technical Oversight: Understand and manage technical solution roadmaps in Azure, including DevOps CI/CD and software integration strategies. Agile Delivery: App
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Posted 4 days ago

SAP QM Expert

Techwave Consulting Inc

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Remote

Contract

Job Opportunity: SAP QM Expert with A&D - SAP NS2 Duration: 4 months could extend Location: Remote Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geography. -Specific S
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Posted 1 day ago

Appeals & Grievance (Claim Medicare) Analyst

Digitive LLC

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Remote

Contract

Job Title: Claim Processor Location: 100% Remote Contract: 12+ Months Job Description Responsible for reviewing and resolving provider disputes and communicating resolution to provider in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Job Responsibilities: Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from providers and related outside agencies to ensure that internal and/or
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Posted 40 days ago | Updated 9 days ago

Infor M3 CloudSuite Architecture

Nsight

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Remote

Contract

We are seeking a highly skilled M3 CloudSuite Architect to lead the design, implementation, and optimization of ERP solutions that support our mission of delivering high-quality firearm parts, gunsmithing tools, and tactical gear to professionals and enthusiasts. This role will be critical in aligning our ERP architecture with the operational needs of a complex, compliance-driven, and customer-focused distribution and manufacturing environment. Looking for an individual with the ability to analy
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Posted 5 days ago | Updated 4 days ago

SAP QM Expert - - Remote

Techwave Consulting Inc

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Remote

Third Party, Contract

Job Opportunity: SAP QM Expert with A&D - SAP NS2 Duration: 6 months could extend Location: Remote Citizenship: Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geograp
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Posted 2 days ago

Fircosoft Developers

TQUAL SOLUTIONS

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Remote

Contract

JD for the Fircosoft Developers: Opportunity for a Fircosoft developer in the OFAC compliance space. The candidate will be a significant contributor to a globally diverse team which is responsible for enhancing and maintaining our sanction screening platform. Challenges will include the deployment of a new Fircosoft Continuity V6 platform, back-end rule writing, OFAC screening of real-time financial messages, configuring, testing, and deploying product enhancements, building new utilities and
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Posted 31 days ago

Data Scientist

IO Associates

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Remote

Full-time

Data Scientist (People Analytics & Optimization) Remote (U.S. based) Full-Time | Direct Hire | Healthcare | Optimization + ML A leading national provider of community-based healthcare is building its People Analytics and Optimization team. With over 2,000 facilities and a mission to improve care delivery across a distributed network, this organization is investing in advanced data science to improve staffing, scheduling, and workforce logistics. We're hiring a Data Scientist with experience i
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Posted 26 days ago | Updated 2 hours ago

Senior Gen AI Engineer

Photon

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Remote

Contract, Third Party

Job Title: Senior Gen AI Engineer Location: TX (Remote) We are seeking a Senior Generative AI Engineer with a passion for building intelligent, agentic systems that transform how consumers interact with healthcare. This role is ideal for hands-on, driven individuals who want to be at the forefront of AI innovation designing and deploying LLM-powered agents that provide dynamic, context-aware, and personalized chat experiences. As a Senior Engineer, you will contribute to the development of agent
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Posted 8 days ago

Business Analyst - Clinical DATA

Arnex Solutions LLC

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US

Contract, Third Party

Business Analyst Clinical Data Management Key Responsibilities Requirements Gathering & Documentation Analyze stakeholder needs and capture requirements in documents such as Business Requirements Documents (BRDs), Functional Requirements Specifications (FRS), user stories, and acceptance criteria. Translate business objectives into technical designs for systems like CTMS, eTMF, EDC, and RBQM. Clinical Data Management & Quality Assurance Develop and maintain data management plans, case report
Posted 2 days ago | Updated moments ago

QNXT Benefit Configuration

Econosoft

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Remote

Contract

We are actively seeking QNXT Benefit Configuration Subject Matter Experts (SMEs) with a strong background in both commercial and government benefit structures. The ideal candidate will have hands-on expertise in QNXT core modules and be proficient in benefit setup, configuration, claims validation, and data migration. This position plays a critical role in ensuring accurate benefit designs and seamless integration within QNXT environments. Key Responsibilities: Configure and manage QNXT benefits
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Posted 24 days ago | Updated 22 days ago