Medical Policy Analyst
About The Position
The Medical Policy Team resides within the Office of Healthcare Policy and Authorization (OHPA) and is a dynamic and collaborative team dedicated to shaping evidence-based healthcare coverage policies. OHPA lies within the Division of Integrated Healthcare (DIH) that plays a pivotal role in delivering essential healthcare services to eligible Utah residents. We oversee critical programs and focus on developing and implementing policies that ensure comprehensive coverage, support a robust provider network, and foster coordination across the healthcare continuum. Through rigorous policy development, data-driven analysis, and collaborative partnerships, we strive to build a healthier Utah. Our work ensures that Medicaid members receive high-quality, appropriate care while adhering to complex regulatory frameworks. We foster an environment of continuous learning, mutual support, and accountability. We are seeking an experienced and highly motivated Medical Policy Analyst to join our team. This is a critical role that will drive the day-to-day development, analysis, and implementation of medical policies. This position offers a unique opportunity to directly impact healthcare quality and access within a supportive and forward-thinking environment. The Medical Policy Analyst will focus on the execution and technical oversight of our policy functions, including: Policy research and analysis Coverage policy development and content Policy implementation and operational coordination Communication and stakeholder engagement Project management and quality assurance
Requirements
- Possession of a nursing degree and a current, unrestricted license as a: Registered Nurse (RN), or Advanced Practice Registered Nurse (APRN)
- Minimum of 5 years’ experience as a Registered Nurse (RN), or Advanced Practice Registered Nurse (APRN)
- Must successfully pass a criminal history check.
- Must reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
Responsibilities
- Policy research and analysis
- Coverage policy development and content
- Policy implementation and operational coordination
- Communication and stakeholder engagement
- Project management and quality assurance
Benefits
- Job Stability
- Career Growth
- Meaningful Work
- Supportive Work Environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
