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Added 2 mins ago
Senior Hardware Engineer
NVIDIA Corporation
North District, IL
Experience in data-center switches products design for high volume manufacturing
Added 2 mins ago
Manager, Networking Firmware Engineering
NVIDIA Corporation
North District, IL
…enabling the AI revolution, cloud, HPC and storage. We drive the data growth of the world’s biggest companies. With talented engineers around the globe, the work environment is dynamic,…
Added 2 mins ago
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Added 2 mins ago
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Analyse and summarize thermal performance data and fluid dynamics results to support design reviews and decision-making.
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Added 2 mins ago
DPU Performance Validation Engineer
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…future NVIDIA silicon devices. You will collaborate with Chip Design, Verification, FW, and Architecture teams to ensure successful product development with bold product cycles. The…
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Senior System Design Test Architect
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Analyzing and monitoring the manufacturing data and find / prevent quality issues based on big data using Machine learning, statistical tools, and AI (artificial intelligence)
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Senior Software Architect, GPU Networking
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Analyze requirements, evaluate design alternatives, and document technical decisions and trade-offs.
Added 2 mins ago
Advanced Software Development Engineer
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…focuses on AI infrastructure, distributed computing, and modern data centers, our mission is to tackle the technologies that will matter next. We investigate, prototype, and deliver…
Added 2 mins ago
Senior IC Failure Analysis Engineer
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Added 2 mins ago
Senior Business Intelligence Analyst
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Leading the architectural design of complex, scalable data solutions for enterprise-level environments
Added 6 mins ago
Senior Software E2E Architect
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Author architecture documents, design specifications, technical requirements, and technical publications.
Added 6 mins ago
Senior Software Engineer, Chip Design
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North District, IL
NVIDIA is looking for a passionate Senior Software Engineer to join our Chip Design CAD team. In this role, you will contribute and work at the interesting junction of electrical and…
Added 6 mins ago
Senior PHY System Integration Engineer
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North District, IL
…software to support networking technologies. Our products optimize data center performance and deliver industry-leading bandwidth and scalability. In addition, we serve a wide range of…
Added 6 mins ago
Senior Hardware Network Engineer
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North District, IL
…role, you will own critical qualification tooling, drive the design-in process with leading hardware partners, and collaborate across NVIDIA's R&D organization to accelerate hardware…
Added 6 mins ago
Software and System Architect
NVIDIA Corporation
North District, IL
…a dynamic, technology-focused company shaping the future of data-centers…
Added 6 mins ago
Senior System Validation Engineer
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…software to support networking technologies. Our products optimize data center performance and deliver industry-leading bandwidth and scalability. In addition, we serve a wide range of…
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Senior Board Design Hardware Engineer
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Our Hardware team in Israel is looking for a highly experienced System and Board Design Technical Leader to join NVIDIA’s Hardware Switch Group. The team leads the development of networking…
Added 6 mins ago
Senior Software Engineer - Infrastructure and Tools
NVIDIA Corporation
North District, IL · South District, IL
NVIDIA is looking for a talented Senior Software infrastructure and tools Engineer to join the Data Processing Unit (DPU) SW Group. As a part of the team, you will lead complicated…
Added 6 mins ago
Senior System Software Architect, AI and GPU Networking
NVIDIA Corporation
North District, IL
Co-design hardware features (e.g., in GPUs, DPUs, or interconnects) that accelerate data movement and enable new capabilities for inference and model serving.
Added 6 mins ago
Senior Pre Silicon Reliability Engineer
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North District, IL
…transfer Network Silicon ICs products (Switch, NIC, SmartNic) from design engineering to mass production while ensuring clean design and optimized…
Added 6 mins ago
Senior Director/Executive Director, Biostatistics
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South San Francisco, CA
Design and deliver interim, dose-escalation and dose-decision analyses and frequent data cuts for congresses, data monitoring committee reviews and Board updates; safeguard iDSMB…
Added 8 mins ago
Senior Opto-Mechanical Failure Analysis Engineer
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North District, IL
…generation high-performance Telecommunication solutions for data centers. This key position includes close interaction with HW, NPI, Thermal, Layout, Quality and Supply chain…

Closed listing

Intermountain Health

Policy Development Analyst - Senior

Augusta, ME, United States

$31.01 - $48.84

This opening has closed.

The original listing is kept below for reference.

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Job details

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

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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!

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