Sanford Health

Systems Engineer

• Implementing, maintaining, and securing enterprise identity infrastructure across both on-premises and cloud environments.
• Deploying and managing Active Directory services, including domain controllers, OU structures, replication health, schema extensions, and trust relationships.
• Overseeing synchronization between AD, Entra ID, and other identity platforms.
• Configuring and managing secure authentication methods, administering enterprise PKI and certificate lifecycles, and enforcing access governance policies.
• Integrating systems via API calls (REST, SOAP, JSON) and automating provisioning workflows.
• Supporting modern authentication protocols such as Kerberos, OAuth, OpenID Connect, and SAML.
• Conducting access audits, supporting compliance with SOX, HIPAA, and GDPR, providing technical expertise during audits.

Identity System Engineer

Analyst

• Responsible for the coordination, documentation, communication and analysis of provider productivity, compensation and benefits.
• Performs quantitative and qualitative analysis of healthcare and financial data to support program management within the physician and advanced practice provider compensation department.
• Responsible for appropriate planning, communication, reporting and implementation of changes that pertain to physician incentives and additional pay programs, pricing and compensation methodologies.
• Summarize provider revenues and work relative value units (WRVUs).
• Gather data for payroll processing and benefit day tracking.
• Describes the concepts behind compensation analysis and implications of data.
• Assist in the overall preparation and design of monthly compensation process, budget, and survey and market analysis through data gathering, entry and validation.
• Assists with financial reporting for physicians, advanced practice providers, as well as executive leadership.
• Works with appropriate personnel to ensure accurate presentation of financial data.
• Prepares statistical reports.
• Accommodates appropriate requests for financial data.
• Maintains financial records and documentation.
• Duties will also include reviewing and validation of time cards, payroll documentation, and obtaining and maintaining required approvals as appropriate.
• Maintain applicable tracking systems on productivity for providers, as well as troubleshoot and modify any compensation plans as needed, ensuring all components are accurate and appropriate.
• Documents government regulations and internal policies related to compensation.
• Demonstrates strong knowledge of mathematical concepts and ability to apply these appropriately to business transactions, planning, and packaging of compensation and benefits.
• Knowledge of and ability to apply appropriate processes, tools, and techniques for assuring a high level of quality in computer software products and systems associated with compensation programs related to physicians, advanced practice providers, and executive leadership within designated markets.

Physician Compensation Analyst

Medical Billing and Coding

• Review medical documentation and assign appropriate codes.
• Ensure compliance with coding standards, regulations, and company procedures.
• Support Medicare and Commercial Carrier workflows related to coding.
• Monitor and validate physician charge capture.
• Participate in coding team meetings and serve as a subject matter expert.
• Provide accurate and timely coding according to official standards.
• Conveying coding guidelines to improve documentation accuracy.

Coder, Medical Oncology, Breast & Rheumatology

Therapist

• Assists patients/residents/clients with therapy activities and exercises scheduled in a treatment plan, under the supervision of an occupational therapist, to improve patients'/residents'/clients' quality of life and ability to perform daily activities.
• Provides, monitors and records therapy services to patients/residents/clients with physical, cognitive, developmental and psychosocial impairments, in line with related standard concepts, practices and procedures.
• Selects, implements, and makes modifications to therapeutic activities and interventions that are consistent with demonstrated competency levels, patient's/resident's/client's goals, and the requirements of the practice setting and/or state licensure.
• The certified occupational therapy assistant contributes to this process by exchanging information with and providing documentation to the occupational therapist about the patient's/resident's/client's responses to and communications during intervention.
• Responsible for being knowledgeable about the patient's/resident's/client's targeted occupational therapy outcomes and for providing information and documentation related to outcome achievement.

Certified Occupational Therapy Assistant, COTA - Full Time

• Assesses clients/patients/residents and designs occupational therapy treatments
• Conducts evaluations and provides interventions for clients with functional, cognitive or behavioral impairments
• Develops therapy goals and administers appropriate occupational therapy programs
• Documents clients' information for evaluation and establishes therapeutic plans

Occupational Therapist

• Review medical documentation from physicians and other healthcare providers;
• Assign modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries, and treatments;
• Ensure compliance with coding standards, regulations, and company procedures;
• Self-motivated with the ability to work independently and problem solve;
• Participate in coding team meetings and serve as a subject matter expert.

Coder, Radiation Oncology and Radiology

Copywriter

• Leads conceptual development and creative strategy across a wide range of specialties and audiences.
• Translates complex health care and insurance concepts into accessible, high-quality content while applying strong information architecture to improve clarity and structure.
• Produces and manages materials across formats, ensuring consistency, accuracy, and alignment with brand standards.
• Collaborates across disciplines and levels, balancing innovation with pragmatism.
• Communicates clearly in all directions, responds to shifting priorities, and maintains momentum on scheduled work.
• Upholds documentation standards, takes ownership of outcomes, and builds strong relationships across teams.

Senior Copywriter

• Review medical documentation, assign appropriate codes, and ensure compliance with coding standards.
• Serve as a resource for providers in understanding covered indications and supporting documentation.
• Support technical and professional services in provider clinics and Ambulatory Surgery Centers (ASC).
• Understand and support the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management.
• Monitor and validate physician charge capture, and participate in coding team meetings.

Coder, Provider Practice – Hospitalist

• Reviews MDS documentation for accuracy and appropriateness.
• Audits resident's chart to monitor that services match needs and documentation reflects categories for case mix/PDPM reimbursement.
• Utilizes Care Watch and Point Click Care reports and any other available tools/reports for accuracy of MDS coding, benchmarks, gaps and potential related reimbursement opportunities.
• Develops work plans with locations to implement appropriate practices/processes to maximize reimbursement.
• Partner with Quality team to monitor and validate quality measures report for accuracy of MDS coding.
• Provides direction on Assessment Reference Date (ARD) process for assigned centers to ensure we are setting the ARD to maximize revenues and submit MDS timely, as applicable to State reimbursement and payer.
• Partners with and assists Compliance with developing and presenting training materials for MDS training sessions.
• Assures that facilities follow Medicare/Medicaid regulatory guidelines related to reimbursement and MDS submission requirements.
• Participates in hiring of MDS Coordinators at location level in partnership with facility operations.
• Assists nursing staff in improving MDS assessment skills through formal and informal training.
• Coordinates training and communication with Clinical Services staff as needed.
• Subject matter expert resource for field operations of regulatory change for Medicare/Medicaid reimbursement and communicates necessary information to appropriate personnel in field and operations.
• Partner with Compliance and other stakeholders in developing and updating Medicare PDPM and Case Mix policies and procedures.
• Attends and participates as needed in regional meetings, scheduled in-service programs, staff meetings and other center meetings and sits on required committees.
• Other work duties as assigned.

Senior Clinical Reimbursement Analyst – RN, Long Term Care

Insurance

• The Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement.
• Must understand and be able to work accounts throughout the entire revenue cycle.
• Prepares and submits claims to payers either electronically or by paper.
• Secures necessary medical documentation required or requested by payers.
• Proactively identifies and performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
• Completes work within authorized time to assure compliance with departmental standards.
• Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility.
• Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims.
• Processes and resolves denials.
• Uses advanced knowledge and understanding to process payer rejections.
• Conducts trend analyses, appeals and resolves low payment or underpaid accounts.
• Provides input for payer-specific meetings.
• Handles difficult account situations and resolves issues delaying or preventing payments from payers.
• Performs miscellaneous job-related duties as requested.
• Consistently demonstrates accuracy in correcting (identified through pre-edits) and submitting claims to payers.
• Ensures accounts are billed in a timely manner.
• Consistently reports to a manager any accounts that cannot be finished in a timely manner.
• When claims are disputed, consistently utilizes the correct resources to ensure the completion of the claim.
• Accurately and completely follows claim through entire billing process.
• Ensures all claims consistently meet compliance regulations.
• Demonstrates accountability by consistently using appropriate resources and channels to problem-solve issues.
• Consistently demonstrates ability to input data accurately into the computer system.
• Consistently answers the telephone courteously.
• Maintains and updates computer skills as needed for work assignments.
• Demonstrates the ability to utilize software applications for maximum efficiency.
• Consistently ensures verbal communication is courteous, complete, and professional whether using phone or personal contact.
• Consistently ensures written communication is accurate, complete and professional in presentation whether word processing or using email.
• Identifies and promptly resolves billing complaints.
• Directs issues to supervisor when unable to resolve.
• Documents in computer system all contacts regarding patient accounts.
• Depending on location, may verify demographics, identify appropriate third-party insurance/payers, set up insurance, initiate patient financial assistance.
• Contact the insured or financially responsible party to obtain missing information.
• Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy.

Insurance Representative

Community Manager

• Collaborates with interprofessional colleagues within the centralized intake model to clinically review, validate, and coordinate home health and hospice referrals.
• Applies strong clinical judgment and the nursing process to assess referral documentation, confirm eligibility, and ensure regulatory and payer requirements are met prior to referral handoff for admission.
• Documents clinical review, findings, and determinations accurately and timely in designated electronic systems in compliance with applicable standards and regulations.
• Utilizes technology and electronic medical record systems to support safe, timely, and high-quality transitions from referral to admission.
• Serves as a clinical resource to intake staff and agency partners, supporting clarification of clinical information, physician orders, diagnoses, medications, and care needs to ensure referrals are admission-ready.
• Coordinates with physicians, referral sources, and agency teams to resolve gaps, discrepancies, or barriers impacting timely initiation of care.
• Maintains accountability for nursing oversight related to referral validation, clinical triage, and prioritization.
• Demonstrates strong clinical reasoning, critical thinking, and problem-solving skills to analyze referral data and respond appropriately to changing or complex clinical situations.
• Supports care coordination and patient education needs as appropriate through communication with referral sources, agencies, patients, and caregivers.
• Functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure.

Clinical Care Leader – Home and Community Based Services, PRN

Human Resources

• Plan, implement, and support new HR applications and integrations to meet changing enterprise needs.
• Perform requirements gathering, documentation, data validation, and testing.
• Responsible for reviewing simple to complex HR related business processes and activities, and providing detailed analyses of processes to isolate, identify, and optimize principles governing various phases of HR related business.
• Recommend, implement, integrate and manage changes to promote optimum efficiency through the use of HR systems.
• Understand and define business requirements for assigned work with minimal dependency impacts and/or cross operational impact analysis upon deployment.
• Translate business requirements to technical specifications to ensure delivered product meets requirements.
• Demonstrate critical thinking skills and the aptitude to translate business needs into technical solutions.
• Challenge assumptions and influence others to consider new approaches to meeting requirements.
• Demonstrate ability to read and understand business processes in systems.
• Responsible to build complex calculated fields and condition rules for utilization in business processes.
• Assess release features and support projects to adopt new functionality or change existing processes.
• Support testing efforts (e.g., regression testing).
• Support Organizational Design and Change Management Specialists with technology changes by providing HR technology content and guidance as appropriate.
• Support process owners in the continuous improvement of current processes.
• Ensure alignment of metadata, classification, and taxonomy.
• Maintain proper security access rights with IT and take steps to ensure data is used within guidelines.
• Facilitate and fulfill data requests in compliance with policies.
• Resolve, as appropriate, any escalated HR technology cases in line with service level agreements.
• Ensure compliance with corporate data administration, security standards, HR policies, and procedures.
• Stay current with new HR technology and trends.
• Work with Continuous Improvement Analyst to deliver technology changes that allow for process improvement.
• Work with Enterprise Data Analytics (EDA) Analysts to define HR reporting requirements.
• Ability to work effectively with end users at all levels in order to understand and gather business requirements.
• Excellent analytical skills.
• Strong attention to detail.
• Ability to handle multiple requests in a timely manner.
• Ability to manage complex requests within tight deadlines.
• Strong customer service focus.
• Strong interpersonal and listening skills.
• Strong communication skills.
• Ability to deal with ambiguity.
• Ability to handle confidential information.
• Ability to work as a team member and collaborate effectively with other members.
• Ability to identify when technology-related issues need to be escalated.
• Ability to maintain objectivity under pressure.

Human Resources Enabling Technologies Analyst – Cornerstone

• Supervises a therapy services department; develops and implements overall therapy policies, procedures, services and programs
• Develops and implements overall designated therapy setting’s rehabilitation policies and procedures and treatment protocols consistent with the health care facility's vision, mission and strategic plan
• Supervises and expands health rehabilitation teams and programs to ensure efficient and effective operations in the rehabilitation services department
• Participates in the measurement, assessment and improvement of rehabilitation services and programs to produce quality patient/resident care with optimal patient/resident outcomes
• Provides input for the annual operating and capital expenditure budgets for the rehabilitation services department
• Assists and encourages in the contribution of strategic planning, day-to-day operations and attainment of the strategic initiatives of the organization
• Provides day-to-day work guidance for a team or work group often in a shift and/or in the completion of tactical processes
• Uses a combination of knowledge and experience to provide technical direction.
• Performs staff work in their area of expertise along with providing formal leadership and provide patient/resident care to meet department needs
• Accountable for expense management and team financial/quality/service/ efficiency targets
• Plans, organizes and delivers specialized therapy programs that help clients/patients/residents recover and improve their mobility, relieve pain, and increase strength.

Supervisor, Therapy and Rehabilitation

• designing, implementing, and optimizing enterprise identity infrastructure across on-premises and cloud environments
• leads the architecture of domain topologies, forest structures, and global replication
• ensuring hybrid identity solutions provide seamless sign-in experiences across platforms
• drives the adoption of modern authentication protocols such as Kerberos, OAuth, OpenID Connect, and SAML
• leads initiatives around just-in-time access, privileged session monitoring, and automated access governance
• integrating systems through API calls (REST, SOAP, JSON)
• managing enterprise PKI and certificate lifecycles
• enforcing security baselines via Group Policy
• ensuring compliance with regulatory frameworks such as SOX, HIPAA, and GDPR
• plays a mentoring role, guiding junior engineers in best practices and fostering team knowledge growth

Senior Identity System Engineer

• Assists patients/residents/clients with therapy activities and exercises scheduled in a treatment plan, under the supervision of an occupational therapist
• Provides, monitors and records therapy services to patients/residents/clients with physical, cognitive, developmental and psychosocial impairments
• Selects, implements, and makes modifications to therapeutic activities and interventions that are consistent with demonstrated competency levels
• Contributes to the process by exchanging information with and providing documentation to the occupational therapist