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 7 mins ago
IT Finance Manager / Finance Budget
Hartford HealthCare Corp.
Farmington, CT
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to…
Added 7 mins ago
Sr. Mgr., Claims Operations - Archimedes
ARCHIMEDES LLC
MIDDLETON, WI
Added 7 mins ago
Sr. Account Manager - Archimedes
ARCHIMEDES LLC
MIDDLETON, WI
Added 7 mins ago
Director, Proposals - Archimedes
ARCHIMEDES LLC
MIDDLETON, WI
Added 7 mins ago
Analyst, Pharmacy Quality
LUMICERA HEALTH SERVICES LLC
MIDDLETON, WI
Added 8 mins ago
Family Medicine Physician
Ascension Health
Greenfield, WI
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
Medical Assistant Central Scheduling
Ascension Health
Glendale, WI
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
OBGYN Physician
Ascension Health
Mount Pleasant, WI
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
Data Governance Specialist - 3054373
APEX SYSTEMS INC
WEST BEND, WI
Added 8 mins ago
2027 Accelerated Development Program - Operations
Trane Technologies
La Crosse, WI
Trane Technologies Accelerated Development Programs (ADPs) provide recent college graduates with challenging assignments, leadership training and valuable exposure to our company's senior…
Added 8 mins ago
Physician Assistant -Janesville CBOC
Veterans Affairs, Veterans Health Administration
Janesville, WI
Added 8 mins ago
Machinist - 2nd Shift
WATTS
Menomonee Falls, WI
The Machinist is to perform precision machining tasks, including CNC program adjustments, machine setup and operation, and troubleshooting, while collaborating with cross-functional teams…
Added 8 mins ago
Product Manager
Meta
Madison, WI
…federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine…
Added 8 mins ago
Product Manager
Meta
Madison, WI
…federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine…
Added 8 mins ago
Director, AI Engineer (Remote Eligible)
Capital One
Madison, WI
Attract and retain top talent in the AI industry and nurture personal and professional development for your team. Foster a culture of learning and staying abreast of the state-of-the-art in…
Added 8 mins ago
Senior Manager Safety
Alliant Energy
Madison, WI
…care and respect, identifying opportunities for growth and development, embracing and modeling a mindset of lifelong learning, ensuring employees report to work fit for duty, adhering to…
Added 8 mins ago
Director HR Solutions
Lumen
Madison, WI
…and change adoption. Leveraging strong change leadership and program execution capabilities, the Director of HR Solutions drives organizational readiness and sustained adoption, helping the…
Added 8 mins ago
Safety Co op
J H FINDORFF & SON INC
MADISON, WI
…supporting safety initiatives on active construction projects while learning industry best practices, regulatory requirements, and risk management principles. This role is designed for…
Added 9 mins ago
Associate Product Manager
FranklinCovey
Madison, WI
2+ years of experience in product management, product operations, technical program management, implementation, solutions consulting, or a similar role at a software or technology company
Added 9 mins ago
Policy Development Analyst - Senior
Intermountain Health
Madison, WI
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…
Added 9 mins ago
Contact Center Operations Supervisor
Intermountain Health
Madison, WI
Responsible for hiring, onboarding, and the development of talent (e.g. training, mentoring, knowledge, skills, tools); provides support, coaching and corrective action, career planning and…
Added 9 mins ago
Commercial Enablement Manager
Norstella
Madison, WI
…across Sales, Customer Success, Solution Consulting, Account Management, and Sales Development, with a focus on measurable commercial…
Added 9 mins ago
Data Science Manager, Gen AI - SFL Scientific
Deloitte
Milwaukee, WI
…hiring a Data Science Manager to support the technical design, development, and deployment of novel AI solutions across healthcare, life sciences, manufacturing, consumer, energy, and other…
Added 9 mins ago
AI Senior Manager - SFL Scientific
Deloitte
Milwaukee, WI
Team Leadership: Support the growth and development of our AI and data science practice, including data science team management and solution delivery
Added 9 mins ago
Life Sciences Experience Design Strategy Senior Manager
Deloitte
Milwaukee, WI
…trends, and design intent with product roadmaps, user stories, development priorities, and implementation…

Closed listing

Intermountain Health

Policy Development Analyst - Senior

Columbia, SC, 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

More about this job

Skills

Policy development
Research
Documentation
Communication skills
Market research
Prioritization
Project management
Medical coding
Product knowledge
Organizational skills
Meet deadlines
Data analysis
Problem solving
Negotiation
Process improvement
Decision making
Attention to detail
Analytical skills
Team leadership
Market analysis

Report this job