Medical Policy Analyst

Medical Policy Analyst

FT / PT Status Full-Time
Salary $29.66 - $47.06 Hourly Wage
Remote Work / In-Office Hybrid

Recruiter Angie Rhodes
Application Deadline 8/9/2026*

*This job posting may close at any time after the minimum advertising period of three (3) business days has passed should a sufficient applicant pool be received. Applicants are encouraged to apply as early as possible.

Key Responsibilities

The Medical Policy Team resides within the Office of HealthcarePolicy and Authorization (OHPA) and is a dynamic and collaborative teamdedicated to shaping evidence-based healthcare coverage policies. OHPA lieswithin the Division of Integrated Healthcare (DIH) that plays a pivotal role indelivering essential healthcare services to eligible Utah residents. We overseecritical programs and focus on developing and implementing policies that ensurecomprehensive coverage support a robust provider network and fostercoordination across the healthcare continuum. Through rigorous policydevelopment data-driven analysis and collaborative partnerships we strive tobuild a healthier Utah. Our work ensures that Medicaid members receivehigh-quality appropriate care while adhering to complex regulatory foster an environment of continuous learning mutual support andaccountability.

Weare seeking an experienced and highly motivated Medical Policy Analyst to joinour team. This is a critical role that will drive the day-to-day developmentanalysis and implementation of medical policies. This position offers a uniqueopportunity to directly impact healthcare quality and access within asupportive 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

Supplemental Information

• This position may currently be a hybrid of both in-office and remote work days. Please note a positions eligibility for remote work is established by agency management and is subject to change at their discretion at any time and for any reason.
• Effective July 1 2021 State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
• Risks found in the typical office setting which is adequately lighted heated and ventilated e.g. safe use of office equipment avoiding trips and falls observing fire regulations etc.
• Typically the employee may sit comfortably to perform the work; however there may be some walking; standing; bending; carrying light items; driving an automobile etc. Special physical demands are not required to perform the work.

Qualifications

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)

About the Role

Location
288 North 1460 West
Salt Lake City Utah 84116
United States
Background Check Required You must successfully pass a criminal history check.
Drug Test Required No
Schedule Code B - Competitive Career Service

Why You Should Join Our Team
In Utah we believe hard work is important but balance is essential. Finding work/life balance is a vital element to our culture. To find out more about WHY Utah click here. Other benefits may include:

• Job Stability: Enjoy the security and reliability of employment within a well-established organization.
• Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
• Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
• Supportive Work Environment: Be part of a team that values cooperation strong work ethics and mutual support.

The Agency
For more information on the Division of Integrated Healthcare please visit our website.

EEO Statement
The State of Utah is committed to equal employment opportunity regardless of race color ancestry religion sex national origin sexual orientation age citizenship marital status disability gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories consistent with legal requirements. For accommodations please contact .

Required Experience:

IC