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University of Utah HealthUH

UNAVAILABLE

The University of Utah is a public research university in Salt Lake City, Utah, and the state's flagship institution of higher education. Founded in 1850, it is a top-tier research university offering a wide range of undergraduate and graduate programs.

University of Utah Health

Employee count: 5000+

United States only

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The Health Plans Policy Specialist is responsible for researching, developing, and maintaining policies to ensure compliance with state and federal regulations, accreditation standards, and organizational objectives.

Requirements

  • Research and draft medical, administrative, and reimbursement policies based on clinical evidence, regulatory requirements, and industry standards.
  • Ensure policies align with company guidelines, NCQA standards, and applicable laws.
  • Collaborate with internal stakeholders to review and approve policies.
  • Monitor legislative and regulatory changes impacting health plan policies.
  • Support governance committees for policy review and approval.
  • Maintain accurate documentation and version control of all policies.
  • Provide subject matter expertise for policy interpretation and application.
  • Assist in remediation of gaps in existing processes related to policy compliance.
  • Respond to inquiries regarding policy requirements.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level

Location requirements

Hiring timezones

United States +/- 0 hours

About University of Utah Health

Learn more about University of Utah Health and their company culture.

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The University of Utah, often referred to as the U, is a public research university located in Salt Lake City, Utah. Established on February 28, 1850, as the University of Deseret, it is the state's oldest institution of higher education and its flagship university. The institution adopted its current name in 1892, four years before Utah achieved statehood. Situated on a 1,534-acre campus on the east bench of the Salt Lake Valley, the university is close to the Wasatch Range and downtown Salt Lake City, offering a unique blend of urban and natural environments. The university is a member of the prestigious Association of American Universities and is classified among 'R1: Doctoral Universities – Very high research activity,' reflecting its commitment to groundbreaking research and innovation. It is home to the state's only academic medical center, University of Utah Health, which includes four hospitals and numerous clinics, and is a major hub for patient care, education, and research in the Intermountain West.

The University of Utah offers a comprehensive range of academic programs, with over 100 undergraduate majors and more than 90 graduate degree programs across 18 colleges and schools. The university fosters an environment of intellectual integrity and scholarship, preparing students from diverse backgrounds for impactful lives as leaders and citizens. Its mission is to generate and share new knowledge, discoveries, and innovations, while engaging with local and global communities to promote education, health, and quality of life. The university has a significant economic and cultural impact on the state, being one of the largest employers in Utah. It has a rich history of pioneering achievements, particularly in computer science, being one of the original four nodes of ARPANET, the precursor to the internet. The university continues to be a leader in technology commercialization, launching numerous companies and products based on its research. With a vibrant campus life, a strong commitment to sustainability, and a wide array of cultural and athletic offerings, the University of Utah provides a holistic and dynamic educational experience.

Employee benefits

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Paid Time Off

Generous paid leave time.

Paid Holidays

11 paid Holidays per year.

Commuter Benefits

Free transit on most UTA services.

Paid Parental Leave

Offers paid parental leave in addition to FMLA.

View University of Utah Health's employee benefits
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University of Utah Health

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University of Utah Health hiring UNAVAILABLE • Remote (Work from Home) | Himalayas