Find work in the United States.

5,990,803 jobs across our US network. How we count

Jobs in the United States

25+ jobs

Save this search

Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at Seymour
Heartlinks ABA IN
Seymour, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Board Certified Behavior Analyst (BCBA) HYBRID POSITION In Indianapolis
Heartlinks ABA IN
Indianapolis, IN
Your job at Heartlinks ABA as a Board Certified Behavior Analyst/BCBA:
Added 37 mins ago
Register Behavior Technician (RBT) EVENING Position at Indianapolis
Heartlinks ABA IN
Indianapolis, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at Mooresville
Heartlinks ABA IN
Mooresville, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) EVENING Position at Avon
Heartlinks ABA IN
Avon, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at North Vernon
Heartlinks ABA IN
North Vernon, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at Madison
Heartlinks ABA IN
Brooksburg, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at Greenwood
Heartlinks ABA IN
Greenwood, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 37 mins ago
Register Behavior Technician (RBT) DAYTIME Position at Westfield
Heartlinks ABA IN
Westfield, IN
Heartlinks ABA is a growing, multi-state company owned and operated by a Board-Certified Behavior Analyst since 2018. Our focus is on providing quality ABA therapy, which is a clinically…
Added 53 mins ago
Associate, Analytics and Insights
Deloitte
Omaha, NE
…Government Solutions and Innovation is looking for a Product Analyst to support our AI platforms - helping turn stakeholder needs into clear product requirements and working side-by-side…
Added 53 mins ago
Program Analyst (Informatics)-Nursing
Veterans Affairs, Veterans Health Administration
Omaha, NE
Added 53 mins ago
Program Analyst (Informatics)-Nursing
Veterans Affairs, Veterans Health Administration
Omaha, NE
Added 53 mins ago
EG
Data Analyst
Eliassen Group
Lincoln, NE
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 1 hour ago
SUPERVISORY PROGRAM ANALYST
U.S. Pacific Fleet, Commander in Chief
Pearl Harbor, HI
Added 1 hour ago
SENIOR INTELLIGENCE ANALYST
Defense Intelligence Agency
Pearl Harbor Naval Base, HI
…DoD Direct Deposit/Electronic Fund Transfer of Pay (DD/EFT) Program. DIA employees and applicants for employment are protected by federal laws, from discrimination. Employees and applicants…
Added 1 hour ago
EG
Data Analyst
Eliassen Group
Honolulu, HI
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 1 hour ago
EG
Data Analyst
Eliassen Group
Cheyenne, WY
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 1 hour ago
EG
Data Analyst
Eliassen Group
Concord, NH
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 2 hours ago
Senior Analyst, Product Development
CVS Health
Providence, RI
As a Senior Analyst on the Pharmacy Services Automation and Campaign Execution team, you will support the development, delivery, and operational support of technology-enabled solutions that…
Added 2 hours ago
EG
Data Analyst
Eliassen Group
Providence, RI
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 3 hours ago
Business Analyst - Hospitality Systems
Capgemini
Atlanta, GA
We are seeking a highly motivated Business Analyst to support hospitality technology transformation initiatives. In this role, you will partner with Guest Services, Dining, Hotel…
Added 3 hours ago
Program Analyst (Informatics)
Veterans Affairs, Veterans Health Administration
Fargo, ND
Added 3 hours ago
Program Analyst (Informatics)
Veterans Affairs, Veterans Health Administration
Fargo, ND
Added 3 hours ago
EG
Data Analyst
Eliassen Group
Bismarck, ND
- $40 to $45 USD / hour
Our client seeks a Data Analyst to partner with business stakeholders to translate needs into data solutions. The role will design metrics and dashboards, deliver business intelligence…
Added 3 hours ago
Senior Billing Analyst
ServiceTitan, Inc.
Remote, United States
We are seeking an experienced and detail-oriented Senior Billing Analyst to help manage and optimize our end-to-end billing operations. As our Senior Billing Analyst, you will assist with…

Closed listing

Intermountain Health

Policy Development Analyst - Senior

Charleston, WV, United States

$31.01 - $48.84

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: $31.01 - $48.84
Posting language: English
Posted: Oct 31, 2026

Similar jobs hiring now

Search current openings

Original job description

Archived listing. The details below describe a past opening.

Fully Remote

SelectHealth - Murray

Full time

R186581

Job Description:

Leads the development and implementation of health plans policies, which are used to develop adjudication rules, define coverage for benefits, program the claims payment system and develop provider reimbursement schedules. Leads the implementation process which affects or are affected by the policies. Bridges the gap between broad policy and product concepts and operational practice throughout Select Health.

Essential Functions

Leads the research process which includes initial request for policy development or modification through analysis and development of recommended policy to senior management, and implementation of approved policy.
Develops policies. Considers the fit with organizational goals and strategies, impact on organization's initiatives, long-term marketing strategies, and the amount of clinical input required to determine if the request fits the scope policy process.
Presents recommendations, answers questions about the analysis as well as impacts and ease of implementation. Presents issues and recommendations based on findings.
Oversees the implementation of approved policy/product changes and coordinates the efforts of an implementation team with affected management and their functional areas of responsibility.
Provides support and acts as a resource for projects or teams needing extensive input from a policy specialist.
Stays current on changes, practices, policies, and all aspects of the business to provide accurate information about benefit quoting and proper adjudication. Learns about policies and procedures associated with each functional area.
Oversees the coding review process, makes coverage and benefit determinations on each individual code. Implements coding determination changes through documentation, system set up and, if necessary, provider communication.
Champions and leads initiative for policies requiring change.
Participates in functional area committees to ensure consistent policy development.
Assists in other product development activities and projects, such as benefit design research, member satisfaction research and market research, as well as project tracking, prioritization, and other related project management activities.

Minimum Qualifications

Four years of policy experience.
Two years of experience in a medical benefits or insurance setting, or other related work experience to gain a good understanding of claims and eligibility issues, basic medical coding expertise, and insurance product knowledge.
Experience managing projects that require strong interpersonal and organizational skills and the ability to perform under stress and to meet deadlines.
Excellent oral, written, and interpersonal communication skills.
Intermediate skills in computer-based word processing and spreadsheets

Preferred

Bachelor's Degree in a business or healthcare related field.
Four years of project management experience in a regulatory or insurance setting.
Demonstrated intermediate knowledge with claims adjudication systems.
Strong organizational, data gathering, and data analysis skills.
Excellent problem solving, negotiation, and process improvement skills.
Experience with policy, research, operations or analytics within a pharmacy or PBM setting
Experience with medication-centric utilization management or formulary management platforms and applications (including knowledge of pharmacy benefit configuration and/or claims adjudication)
Familiarity with regulatory and industry standards (such as NCPDP) and demonstrated understanding of formulary and benefit design, prior authorization, step therapy, quantity limit, and other drug utilization rules

Skills

Health Care Regulation
Communication
Project Management
Decision Making
Attention to Detail
Analytical Thinking
People Management
Cultivates Necessary Relationships
Initiative
Accountability

Physical Requirements

Ongoing need for employee to see and read information, documents, monitors, and be able to assess internal customer needs.
Frequent interactions with colleagues, that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
Expected to stand or sit in a stationary position at a desk for an extended period of time.

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.

$31.01 - $48.84

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

Report this job