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Added 1 hour ago
CM
Actuary – Value-Based Care
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
…models for VBC arrangements, analyze savings opportunities and program/vendor value, provide analytical support during external vendor negotiations, and partner with Medicare/Marketplace…
Added 4 hours ago
CH
LPN - Per Diem
CentraState Healthcare System
Freehold, NJ
- $27 to $43.2 USD / hour
…overall quality rating – five stars – from the Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System. Only the top 10 percent of nursing homes in the country are…
Added 4 hours ago
CC
Director I Safety Quality Patient Experience
Cleveland Clinic
Warrensville Hts, OH
- $112,110 to $170,955 USD / year
…of Safety, Quality and Patient Experience (SQPE), you will partner with executive, physician, nursing, and operational leaders to improve clinical outcomes, strengthen patient safety,…
Added 4 hours ago
VP Network Operations
Devoted Health Services, Inc
Remote, United States
You'll join Devoted's Network team, which builds and supports the provider networks that care for more than 538,000 Medicare Advantage members, and which is expanding to 1,341 counties…
Added 5 hours ago
Home Health RN - Registered Nurse
Supplemental Health Care
Corpus Christi, TX
Supplemental Health Care is hiring experienced RNs with recent Medicare-certified visits experience for home health contracts in Corpus Christi, Texas and the surrounding areas.
Added 5 hours ago
Assistant/Associate Professor -SOM Family Medicine
University of Maryland, Baltimore
Baltimore, MD
Partner with the Clerkship Director to oversee the Family Medicine clerkship.
Added 6 hours ago
Senior Product Manager, Value realization
Humana
Baton Rouge, LA
…Action (NBA) and to assist with measurement tracking across the program. This is a hands-on execution role that turns the measurement strategy into shipped, trusted reporting by partnering…
Added 6 hours ago
VH
Bilingual Patient Engagement Representative
Vitae Health Systems
Miami, FL
- $15 to $25 USD / hour
Founded in 2018 and headquartered in Chicago, we partner with skilled nursing facilities across the Midwest and East Coast. Our providers deliver integrated clinical services including…
Added 12 hours ago
DH
Director, Utilization Management Operations
Devoted Health Services, Inc
Remote, United States
- $182,000 to $248,000 USD / year
…pave the way towards realizing the next generation of our UM program, driving improvements in effectiveness, efficiency, and experience for our members and provider…
Added 13 hours ago
Primary Care APRN-Nurse Practitioner or
FROEDTERT
MANITOWOC, WI
Added 14 hours ago
VP of Sales and Marketing HomeHealth
PruittHealth
NORCROSS, GA
…revenue growth, and profitable performance through disciplined program development, field execution, and accountability…
Added 15 hours ago
Director, Program Management, Graduate Medical Education (GME)
Kaiser Permanente
Pasadena, CA
…Residency Application Service, the National Resident Matching Program, and the Centers for Medicare & Medicaid Services and their interactions with…
Added 20 hours ago
SO
Assistant State Auditor 1, 2, or 3 (Bellingham)
State of Washington
Bellingham, WA
- $4,406 to $8,583 USD / month
The mission of the Office of the Washington State Auditor is to partner with entities to increase trust in government. We do that by producing efficient and high-quality audits their…
Added 20 hours ago
SO
Correctional Officer 1 (CO2), Clallam Bay and Olympic Correction Centers
State of Washington
Clallam Bay, WA
- $6,452 to $7,476 USD / month
…CORE (Academy) and the Correctional Officer Field Training…
Added 20 hours ago
SO
Correctional Officer 1 (CO2), Clallam Bay and Olympic Correction Centers
State of Washington
Clallam Bay, WA
- $6,452 to $7,476 USD / month
…CORE (Academy) and the Correctional Officer Field Training…
Added 22 hours ago
Home Health RN - Registered Nurse
Supplemental Health Care
Vienna, WV
Supplemental Health Care is hiring experienced RNs with recent Medicare-certified visits experience for home health contracts in Vienna, West Virginia and the surrounding areas.
Added 1 day ago
Admissions Specialist I
Texas Health Resources
Bedford, TX
…completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of…
Added 1 day ago
Lead VBC Quality Consultant
Centene Corporation
Tallahassee, FL
…strategies, and partners with provider organizations to improve Medicare Stars, HEDIS, CAHPS, and other quality outcomes. The consultant serves as the primary quality liaison between…
Added 1 day ago
Senior Recruiter
Humana
Tallahassee, FL
As a strategic talent acquisition partner, the Senior Recruiter collaborates with business leaders, hiring managers, and recruiting teams to develop innovative recruiting solutions, build…
Added 1 day ago
PM
Registered Nurse RN Medical/Oncology Infusion (Full Time/Days)
Penn Medicine
Lancaster, PA
- Full-time
A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any…
Added 1 day ago
CC
Manager, Risk Adjustment
Centene Corporation
Harrisburg, PA
- $87,700 to $157,800 USD / year
Identify and partner with various departments to implement assigned products business requirements
Added 1 day ago
HABILITATION NURSE II
Arizona Department of Administration
AZ
Added 1 day ago
Director, Global Value and Health Economics and Outcomes Research
Jazz Pharmaceuticals, Inc.
Remote, United States
Early Payer & Access Evidence Integration: Partner proactively with Clinical Development Leads, Biostatistics, and Clinical Operations from Phase 2 planning through Phase 3 protocol freeze…
Added 1 day ago
Payer Contracting Executive
Lumicera Health Services
Cape Girardeau, MO
Added 1 day ago
Sr. Manager, Specialty Client Support (RPh)
Navitus Health Services
Jefferson City, MO

Closed listing

Intermountain Health

Medicare Program Partner

Trenton, NJ, United States

$59.50 - $91.84

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

Pay: $59.50 - $91.84
Posting language: English
Posted: Oct 29, 2026

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Original job description

Archived listing. The details below describe a past opening.

Fully Remote

SelectHealth - Murray

SelectHealth - Idaho

SelectHealth - Fort Collins

SelectHealth - Lone Tree

SelectHealth - Nevada

Full time

R169472

Job Description:

This role manages Medicare Advantage related programs (e.g. healthy living, wellness, and transportation related programs) for Select Health. This role partners with Medicare P&L leadership, Product Leadership, and Market Presidents to ensure the end-to-end operational performance of the organization’s Medicare Advantage line of business. This role ensures operational excellence, regulatory compliance, and alignment with CMS requirements while driving efficiency, quality outcomes, and member satisfaction.

Job Essentials

Lead and oversee daily market operations of the Medicare Advantage program, ensuring compliance with CMS regulations and internal policies
Develop, implement, and optimize operational strategies to support enrollment, product development, member services, claims, utilization management, and care coordination
Ensure operational readiness for CMS audits, program reviews, and regulatory changes as it relates to the annual product development cycle
Partner with Compliance and Legal teams to interpret and operationalize CMS guidance, HPMS memos, and federal/state regulations
Drive performance improvements related to Star Ratings, member experience, quality measures, and operational KPIs with Market Presidents, Product Leadership, and Medicare P & L leadership
With compliance, support oversight and delegated entity performance, vendor performance, including contract compliance and reporting
Collaborate with Finance on budgeting, forecasting, and cost management related to MA operations
Foster local market accountability and continuous improvement
Support growth initiatives, including new market entry, benefit design changes, and annual enrollment periods (AEP)
Leverage data and reporting to identify trends, risks, and opportunities for operational enhancement

Skills

Medicare Operations
Leadership
Project Management
Data analytics
Strategic planning
Communication
Analytical skills
Communication skills
Problem Solving

Minimum Qualifications

Bachelor’s degree
5+ direct years of Medicare Advantage experience
Relevant experience such as working with CMS audits, STAR ratings optimization, and/or quality improvement initiatives
Background in payer operations, health plans, or value-based care organizations
Knowledge of delegated and vendor management models
Lean, Six Sigma, or other process improvement certification

Preferred Qualifications

Program management experience

Additional Information

This is an exempt, full-time position. Pay offers are determined by prior years of relevant experience within the established pay range. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity.
This position can be performed remotely with business travel as-needed. Intermountain Health maintains employment registration in Utah, Idaho, Nevada, Colorado, Montana, and Wyoming. Candidates in other locations may be considered. Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, MA, MN, NY, PA, RI, VT, and WA.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Physical Requirements

Interact with others requiring the employee to communicate information.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

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

$59.50 - $91.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm_source=Workday&utm_medium=Redirect&utm_campaign=CareerHome_workday) .

Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!

About employer

More about this job

Skills

Leadership
Regulatory compliance
CMS
Reporting
Budget management
Forecasting
Cost management
Process improvement
Project management
Data analysis
Strategic planning
Communication skills
Analytical skills
Problem solving
Vendor management
Lean manufacturing
Program management
Microsoft Teams
Interact with others
Circulate information
Office equipment
Market analysis

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