Lead Management Visa Sponsorship Jobs in South Dakota
Lead management roles in South Dakota are concentrated in Sioux Falls and Rapid City, where financial services firms like Wells Fargo and Citibank, healthcare organizations, and regional tech employers have hired internationally. Employers in this state do sponsor work visas for qualified lead management professionals, though the market is smaller than major metro hubs.
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Reporting to the Executive Director of Revenue Integrity (RI), the Lead Director – Revenue Integrity (Medicaid) is responsible for driving segment-level performance across Medicaid risk adjustment and revenue integrity initiatives. This role leads strategic program execution, performance management, and data-driven decision-making to ensure complete, accurate, and compliant revenue capture in a highly matrixed environment.
As a senior leader within the Revenue Integrity Center of Excellence (RI CoE), this role partners closely with enterprise, regional, and market stakeholders to identify performance risks, implement scalable solutions, and improve outcomes across Medicaid markets. The Lead Director plays a critical role in advancing performance office governance, optimizing program effectiveness, and ensuring alignment with enterprise revenue integrity strategy.
This position requires a results-oriented leader with deep Medicaid expertise, strong analytical capabilities, and the ability to drive cross-functional alignment in a complex, regulated environment.
Key Responsibilities
1. Program Leadership & Governance (45%)
- Lead executive and performance governance forums to proactively identify risks and performance gaps impacting revenue integrity outcomes.
- Design, implement, and continuously refine national Medicaid RI programs aligned to enterprise strategy and regulatory requirements.
- Partner with RI CoE leaders, clinical leadership, and network organizations to strengthen program effectiveness and drive measurable outcomes.
- Establish scalable processes, workflows, and operational frameworks to support program execution and sustainability.
- Lead and deliver high-impact strategic initiatives that improve revenue accuracy, compliance, and overall performance.
2. Performance Analytics & Reporting (20%)
- Partner with Informatics, Technology, and Performance Office teams to develop and operationalize robust performance reporting.
- Define and monitor key performance indicators (KPIs), leading indicators, and dashboards to drive actionable insights.
- Synthesize complex data into executive-level insights and recommendations.
- Ensure data integrity, reporting accuracy, and alignment across systems supporting Medicaid revenue integrity programs.
3. Market Strategy & Performance (25%)
- Provide strategic leadership and oversight of Medicaid market performance across regions.
- Collaborate with regional and local leaders to identify risks, remove barriers, and implement targeted interventions.
- Serve as a trusted advisor to market leadership, driving accountability for revenue integrity performance.
- Champion adoption of enterprise programs while tailoring strategies to local market dynamics.
4. Talent Leadership & Organizational Development (10%)
- Lead and develop a high-performing team with clear accountability for outcomes.
- Set performance expectations aligned with enterprise objectives and foster a culture of continuous improvement and innovation.
- Coach and mentor team members to build strategic, analytical, and leadership capabilities.
Required Qualifications
- A minimum of 10 years of experience in Medicaid risk adjustment / revenue integrity.
- Demonstrated expertise in Medicaid regulatory requirements, including risk adjustment methodologies and encounter data processes.
- Proven ability to develop and execute strategic initiatives that deliver measurable business outcomes.
- Strong leadership capabilities with advanced problem-solving and decision-making skills in complex, matrixed environments.
- Experience leading large-scale, cross-functional programs with significant enterprise-wide impact.
- Skilled at influencing senior stakeholders and driving change within highly regulated environments.
- Consistent attendance and flexibility to travel as required.
Preferred Qualifications
- Master’s degree (e.g., MBA, MPH) or completion of a management development program.
- Deep understanding of enterprise Medicaid markets and state-specific regulatory environments.
- Experience working within a large national health plan or payer organization.
- Prior experience in a highly matrixed, enterprise-scale organization.
Education
Bachelor's degree preferred or a combination of professional work experience and education.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Lead Management Job Roles in South Dakota
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Search Lead Management Jobs in South DakotaLead Management Jobs in South Dakota: Frequently Asked Questions
Which companies sponsor visas for lead management roles in South Dakota?
Sioux Falls-based financial institutions, including Wells Fargo and Citibank regional operations, have sponsored work visas for lead management and related roles. Healthcare systems such as Sanford Health and Avera Health also hire in operations and management tracks. Sponsorship is not universal, so confirming a specific employer's willingness before applying is always worthwhile.
Which visa types are most common for lead management roles in South Dakota?
The H-1B visa is the most frequently used visa for lead management positions in South Dakota, as these roles typically require a bachelor's degree in business, marketing, or a related field, satisfying the specialty occupation requirement. The L-1A is relevant for managers transferring within a multinational company. TN visas apply to Canadian and Mexican nationals in qualifying management classifications.
Which cities in South Dakota have the most lead management sponsorship jobs?
Sioux Falls accounts for the majority of lead management sponsorship activity in South Dakota, driven by its concentration of financial services, healthcare, and regional corporate offices. Rapid City is a secondary market with opportunities tied to healthcare and government contracting. Pierre has limited private-sector sponsorship given its role as the state capital with a largely public-sector workforce.
How to find lead management visa sponsorship jobs in South Dakota?
Migrate Mate filters job listings specifically by visa sponsorship availability, making it straightforward to browse lead management roles in South Dakota without sifting through postings from employers who don't sponsor. You can filter by state and job category to see which South Dakota employers are actively hiring internationally for lead management positions, saving significant research time.
Are there any state-specific considerations for lead management visa sponsorship in South Dakota?
South Dakota has no state income tax, which affects how employers structure compensation discussions, but does not alter federal visa requirements. The H-1B prevailing wage determination for lead management roles is set by the Department of Labor based on Sioux Falls or Rapid City wage data, which tends to be lower than coastal markets. Employers must still meet federal prevailing wage obligations regardless.
What is the prevailing wage for sponsored lead management jobs in South Dakota?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.