Medicaid Program Manager

Manages insurance products of low-to-moderate complexity, including performance, marketability, and strategic positioning. Oversees associated vendor and partner relationships and contracts.

About the Role

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 SelectHealth 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.

Serves as the primary administrative liaison with state Medicaid agencies and leads strategic initiatives that advance Medicaid program goals. Maintains comprehensive knowledge of Medicaid regulations, contractual obligations, policy updates, and industry developments to ensure ongoing compliance and operational effectiveness. Functions as the organization's subject matter expert for Medicaid policy and procedural guidance, providing strategic leadership, resolving issues, and directing the coordination and escalation of Medicaid-related inquiries across departments.

Responsibilities

• Ensures assigned products are positioned to meet SelectHealth membership growth goals and NOI targets.
• Ensures products meet highest levels of market need, administrative efficiency, customer satisfaction, regulatory compliance, and financial performance.
• Monitors key performance indicators for assigned product lines.
• Implements initiatives resulting in positive program outcomes.
• Leads cross-functional teams to produce deliverables.
• Interfaces with project managers, product teams, operational leads, sales teams, and other stakeholders.
• Handles day-to-day operations related to assigned products as the internal product expert, supporting operational needs.
• Evaluates new product opportunities, geographic/service area expansion, new market entry, and potential strategic partnerships to meet growth objectives.
• Introduces new products to market.
• Monitors national carrier and local competitor products, positioning, strategies, networks, and industry trends.
• Identifies 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.

Skills

• People Management
• Strategic Planning
• Marketing
• Product Management
• Project Management
• Market Positioning
• Benefits Management
• Market Research
• Product Development
• Strategic Alliances

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, or business development. Degree must be obtained through an accredited institution.
• 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).

Pay

$44.99 - $69.44 per hour, dependent upon experience.

Benefits

Comprehensive benefits package covering a wide range of programs to foster wellness, including health, happiness, security, connection, and engagement.

Location: SelectHealth - Murray, Utah. Scheduled weekly hours: 40.