Medical Policy Analyst

FT / PT Status – Full-Time Salary – $28.94 - $45.91 Hourly Wage Remote Work / In-Office – Hybrid Recruiter – Angie Rhodes | arhodes@utah.gov | Application Deadline – 5/31/2026

Key Responsibilities

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.

Key Responsibilities

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 position's 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

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)
  
  

Skills

• Exceptional research, analytical, and critical thinking abilities.
• Superior written and verbal communication skills, with the ability to distill complex information into clear, actionable insights.
• Strong organizational skills and attention to detail.
• Ability to manage multiple priorities and deadlines effectively.
• Demonstrated ability to work collaboratively in a team environment
  
  

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

Benefits

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 (801) 957-9390.