Medicaid Program Manager

Job Description:

The Medicaid Program Manager reports to the Medicaid Program Director and is responsible for the administration, oversight, and strategic management of Medicaid programs and products. This role develops and maintains effective relationships with key stakeholders, including internal Select Health departments, the Utah Department of Health and Human Services, providers, community advocacy organizations, and other external partners, to support program objectives and ensure successful outcomes.

The Medicaid Program Manager serves as the primary administrative liaison with state Medicaid agencies and leads strategic initiatives that advance Medicaid program goals. The position requires maintaining comprehensive knowledge of Medicaid regulations, contractual obligations, policy updates, and industry developments to ensure ongoing compliance and operational effectiveness.

In addition, the Medicaid Program Manager functions as the organization's subject matter expert for Medicaid policy and procedural guidance. This role provides strategic leadership, resolves issues, and directs the coordination and escalation of Medicaid-related inquiries across departments. Through collaboration and oversight, the Medicaid Program Manager promotes compliance, operational consistency, and the effective administration of Medicaid programs.

Essential Functions

• Ensures assigned products are positioned to meet SelectHealth membership growth goals and NOI targets. Ensure products meet highest levels of market need, administrative efficiency, customer satisfaction, regulatory compliance, and financial performance. Monitor key performance indicators for assigned product lines.
• Implements initiatives, which result in positive program outcomes. Leads cross-functional teams to produce deliverables. Interfaces with a project manager, product team, operational leads, sales team, and other stakeholders. Responsible for the day to day operations related to the assigned product as the internal product expert in support of the operational needs of the product
• Evaluates new product opportunities, geographic/service area expansion, new market entry and potential strategic partnerships to meet growth objectives of SelectHealth. Introduces new products to market.
• Monitors national carrier and local competitor products, positioning, strategies, networks, as well as local and national industry trends. Identify emerging market trends. Utilizes customer research and market/competitive intelligence to ensure optimal product positioning. Provides insurance market and product education to internal teams.
• Manages relationships with vendors, partners, and affiliate contracts as applicable.

Skills

• People Management

• Strategic Planning

• Marketing

• Product Management

• Project Management

• Market Positioning

• Benefits Management

• Market Research

• Product Development

• Strategic Alliances

Qualifications

Minimum Qualifications

• Bachelor's degree in business, marketing, communications, economics, a clinical field, public health, healthcare or public administration; or five years of experience with product development, product management, project management, service line management, network development, strategic planning, marketing, business development or similar experience. Degree must be obtained through an accredited institution. Education is verified.
• Four years of experience in health care, health insurance, managed care, employee health benefits management, or self-insured plan administration (e.g., product development, product management, project management, service line management, network development, strategic planning, marketing, and/or business development.)​

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

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.

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.

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All positions subject to close without notice.