Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added 1 min ago
SE
(USA) Member Specialist
Sam's East, Inc.
Fort Worth, TX
- $17 to $25 USD / hour
…Promotes Sam's Club products and services. Provides guidance and support to members regarding self-service technology. Processes member purchases. Assists with payments, returns, refunds,…
Added 1 min ago
CO
Deputy Director Engineering Resources
City of Santa Rosa
Santa Rosa, CA
- $83.43 to $102.44 USD / hour
…demonstrate exceptional analytical, problem-solving, and project management skills, with the ability to lead multiple complex initiatives simultaneously. They will be an effective…
Added 1 min ago
CO
Civil Engineering Technician I/II/III - Capital Projects Engineering- CPE
City of Santa Rosa
Santa Rosa, CA
- $47.1 to $57.19 USD / hour
…and expertise contribute to high-quality public services that support a vibrant, resilient, and inclusive City for our community and visitors. We celebrate a diverse workforce and welcome…
Added 1 min ago
CO
Senior Maintenance Worker - Aquatics
City of Santa Rosa
Santa Rosa, CA
- $37.73 to $44.89 USD / hour
The City of Santa Rosa is looking for a Senior Maintenance Worker – Aquatics to perform essential maintenance and support operations at the City’s aquatic facilities, helping ensure safe,…
Added 2 mins ago
SUPV MILITARY & FAMILY COMMUNITY READINESS CONSULTANT
Air Combat Command
Davis Monthan AFB, AZ
…Volunteer Resources, Voting Assistance, Exceptional Family Member Program-Family Support (EFMP-FS), Air Force Families Forever and other work/life services and activities provided to…
Added 2 mins ago
Human Resources Manager
Somerton School District #11
Somerton, AZ
Added 2 mins ago
TRAINING TECHNICIAN T5
Air National Guard Units
Davis Monthan AFB, AZ
Added 2 mins ago
MSL or Sr. MSL Respiratory Non-Alliance - S CA, HI, AZ, NM
Sanofi Group
Phoenix, AZ
…Commercial, Regulatory, and Market Access on therapeutic solutions to support patients’ needs. The US Medical NextGen Immunology team is proud to support Sanofi’s deep commitment to chasing…
Added 2 mins ago
Director - Customer Response Engineering
Trellix
Phoenix, AZ
You also work well across teams. CRE succeeds only when Technical Support, Customer Success, Sales Engineering, Product Management, and Engineering pull in the same direction.
Added 2 mins ago
Manager, CAM Business Operations Lead
CVS Health
Phoenix, AZ
5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions
Added 2 mins ago
Public & Labor Proposal Associate
CVS Health
Remote, United States
The Specialty Sales Support Associate provides pre-sale and post-sale support for specialty benefits business, serving as a liaison between Sales, Underwriting, Implementation, Account…
Added 2 mins ago
Disease Investigation Specialist
NAVAJO COUNTY GOVERNMENT
Show Low, AZ
Added 2 mins ago
CUSTOMER SERVICE REPRESENTATIVE 3
State of Arizona
PRESCOTT VALLEY, AZ
Categories: Administrative Support/Customer Service
Added 2 mins ago
DH
Respiratory Therapist
Dignity Health
Prescott Valley, AZ
- $30.91 to $45.98 USD / hour
…breathing techniques and nebulizer treatments to ventilator management, oxygen therapies, and external ventilation…
Added 2 mins ago
CASE MANAGER 2
State of Arizona
PRESCOTT VALLEY, AZ
…motivated individual to join our team as a Case Manager 2 for Support Coordination. DDD provides individuals with developmental disabilities, and their families, services and supports that…
Added 2 mins ago
DH
Family Birthing Center Nurse
Dignity Health
Prescott Valley, AZ
- $35 to $58.63 USD / hour
…dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career…
Added 2 mins ago
DH
Family Birthing Center Nurse
Dignity Health
Prescott Valley, AZ
- $35 to $58.63 USD / hour
…dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career…
Added 2 mins ago
CH
Full Time PCT Med Surg Nights
Community Health Systems
Oro Valley, AZ
- Full-time
Participates in performance improvement initiatives, risk management reporting, and compliance with National Patient Safety Goals and Core Measures.
Added 2 mins ago
PRN PCT Med Surg Days
Community Health Systems
Oro Valley, AZ
Participates in performance improvement initiatives, risk management reporting, and compliance with National Patient Safety Goals and Core Measures.
Added 2 mins ago
Behavioral Health Specialist Requires LCSW LPC or LMFT
CVS Health
Sun City, AZ
The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with…
Added 2 mins ago
BENEFITS AND ELIGIBILITY SUPERVISOR
State of Arizona
BUCKEYE, AZ
Categories: Administrative Support/Customer Service,Management/Supervisor
Added 2 mins ago
Jr. Business Development & Estimating Associate
All Things Metal
Surprise, AZ
First-time homebuyer program with $500 bonus and optional realtor/mortgage support
Added 2 mins ago
Business Banker (LO) Goodyear, AZ
Wells Fargo
GOODYEAR, AZ
…customer base; collaborate with all internal banking channels to support business owners to gain entire…
Added 2 mins ago
Training Content Specialist
Insight Global
Glendale, AZ
…training content that enables workforce readiness across the program. This role partners closely with Training Operations Leads, Technical Trainers, Subject Matter Experts (SMEs),…
Added 2 mins ago
CH
Project Coordinator (4076)
CHILDRENS HUNGER FUND
Sylmar, CA
- $20 to $26.26 USD / hour
…Project Coordinator will facilitate effective project and vendor management, maintain and enhance department processes and procedures, and ensure deadlines are communicated and met across…

Intermountain Health

Medicare Program Partner

Jefferson City, MO, United States

$59.50 - $91.84

Apply About employer

Applications open in a new tab.

Job details

Pay: $59.50 - $91.84
Posting language: English

Original job description

Summary

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\_...

Apply About employer

Report this job