Jobs in Rapid City, South Dakota, United States

CVS Health’s Account Executive team drives customer growth by tailoring solutions to client needs and maximizing revenue. The role manages accounts, forecasts sales, and delivers presentations to influence decision‑making.

Staff Data Engineer at CVS Health builds a world‑class data infrastructure that powers petabyte‑scale analytics for 150M+ individuals. The role designs and implements scalable Snowflake pipelines, builds React/TypeScript self‑service portals, and delivers production‑grade REST/gRPC APIs, all while driving a Data Mesh strategy and AI‑enhanced development.

Clinical Technology Product Manager – Interoperability at CVS Health drives secure, bidirectional clinical data exchange using FHIR standards, translating product strategy into actionable delivery across platform and end‑user experiences. The role owns the backlog, manages cross‑team dependencies, tracks adoption metrics, and partners with engineering to deliver APIs, integration services, and provider‑facing workflows.

Quality Assurance Team at CVS Health builds a world of health by ensuring claim processing and customer service meet safety and quality standards. The Senior Quality Specialist audits processes, drives compliance, and partners with cross‑functional teams to improve service delivery.

Utilization Management team at CVS Health builds a scalable, high‑quality care pathway for Medicare members. The Nurse Consultant reviews clinical data, makes coverage determinations, and collaborates with providers to improve utilization outcomes.

Clinical Case Manager Behavioral Health at CVS Health builds a compassionate health experience by coordinating behavioral and medical care for members. The role conducts comprehensive assessments, crisis interventions, and collaborates with providers to create cost‑effective care plans.

CVS Health’s Clinical Advisor team builds strategic managed‑care solutions for health plans. The role manages clinical relationships, analyzes market data, and collaborates with sales, finance, and trade partners to design formulary and utilization programs.

HM Insurance Group’s Senior Account Support Analyst drives the seamless implementation and ongoing administration of group stop‑loss accounts. The role manages complex sales cycle tasks, resolves RFP and underwriting inquiries, and coordinates benefit enhancements across multiple states.

CVS Health Utilization Management team ensures members receive appropriate healthcare services and benefits. The Utilization Management Nurse Consultant reviews clinical information, makes coverage determinations, and coordinates care across weekend shifts.

Claim Benefit Specialist at CVS Health processes medical claims, verifies coverage, and ensures compliance with coding guidelines. The role handles claim documentation, eligibility checks, and communicates with providers and policyholders to resolve discrepancies.

CVS Health’s Business Consulting team builds data‑driven models to optimize pharmacy benefit management (PBM) pricing and analytics. The Manager leads design, reporting, and knowledge transfer for PBM financial models, coordinating multiple projects and guiding internal partners.

Fraud, Waste & Abuse (FWA) Investigator on CVS Health’s No Surprises Act (NSA) team, driving complex investigations to protect patients and the system from financial loss. Day‑to‑day, the role analyzes healthcare claims, conducts interviews, and reports findings to ensure regulatory compliance and program integrity.

Data Governance Manager at Highmark Health leads the transition from siloed data to Certified Data Products, establishing enterprise standards and managing the Data Marketplace. The role drives cross‑domain collaboration, develops governance councils, and ensures compliance with SOX, SSP, and PHPLC.

Allegheny Health Network’s Intern Program supports day‑to‑day operations by engaging in projects, research, and reporting to improve unit performance. Interns collaborate with colleagues and clients, receive mentorship, and contribute to planning and implementation of initiatives across the organization.

CVS Health’s Customer Service team builds a compassionate health experience by answering complex member inquiries in Japanese. The role handles high‑volume inbound calls, documents interactions, and collaborates with cross‑functional units to resolve issues.

Signify Health’s Digital Product team builds a data governance platform that turns raw health data into trusted insights. The Manager Digital Product defines vision, strategy, and roadmap for cataloging, lineage, and quality standards, ensuring data is discoverable and secure.

Senior Analyst on the Member Communication team at CVS Health builds and executes multi‑channel communications that simplify health care for members. The role manages project timelines, coordinates with internal partners and external vendors, and ensures flawless execution of direct mail, email, IVR, fax, and LOC campaigns.

The Oncology Case Management team at Highmark Inc. drives patient outcomes by managing a panel of members with complex health needs. The RN leads assessment, care planning, and coordination of multidisciplinary resources to improve clinical, financial, and functional results.

Behavioral Health Medical Director — AI Policy & Governance at CVS Health leads clinical oversight of AI in behavioral health, translating enterprise AI governance into BH‑specific guardrails and ensuring safe, equitable deployment. The role partners with AI governance bodies, data teams, and clinical stakeholders to validate models, monitor performance, and embed responsible AI practices across care workflows.