Senior Health Policy & Benefits Analyst - Remote

Intermountain Healthcare Inc.; Pierre (SD); Remote; USD 43.000 - 67.000; Vollzeit

Zusammenfassung

Intermountain Health in Murray, Utah, is seeking a policy leader to develop and implement health plan policies that shape benefits, adjudication rules, and provider reimbursement schedules. You will bridge policy concepts with operational practice across SelectHealth.

You will drive policy research, coordinate implementations with relevant teams, oversee coding reviews, and participate in governance committees to ensure compliant, effective design and quoting.

Qualifikationen

• Four years of policy experience.
• Two years in a medical benefits or insurance setting, with understanding of claims and eligibility.
• Experience managing projects with strong interpersonal and organizational skills.
• Excellent oral, written, and interpersonal communication skills.
• Intermediate skills in computer-based word processing and spreadsheets.

Aufgaben

• Leads the development and implementation of health plans policies and adjudication rules.
• Oversees policy development with alignment to organizational goals and strategy.
• Presents recommendations and coordinates implementation with affected areas.
• Manages policy/product implementation teams and ensures project tracking.
• Stays current on changes to provide accurate benefit quoting and adjudication.
• Oversees coding review and determines coverage/benefit changes.
• Champions policy changes and participates in committees for consistency.
• Assists in product development activities such as benefit design and market research.

Kenntnisse

Health Care Regulation

Communication

Project Management

Decision Making

Attention to Detail

Analytical Thinking

People Management

Cultivates Necessary Relationships

Initiative

Accountability

Ausbildung

Bachelor's Degree in business or healthcare

Four years of project management experience in regulatory or insurance

Jobbeschreibung

Intermountain Health in Murray, Utah, is seeking a policy leader to develop and implement health plan policies that shape benefits, adjudication rules, and provider reimbursement schedules. You will bridge policy concepts with operational practice across SelectHealth.

You will drive policy research, coordinate implementations with relevant teams, oversee coding reviews, and participate in governance committees to ensure compliant, effective design and quoting.