Job Description:

Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans.

The Healthy Connections Program Manager reports to a line of business leader or department leader to help successfully manage the daily operations of a specific care management or utilization review program. This role is responsible for communicating and demonstrating the of value of SelectHealth programs to internal and external stakeholders and to members eligible for the program. The manager will serve as a subject matter expert in executing the program and adhering to any applicable regulatory requirements.
This position may lead a team of caregivers in their assigned role.



Essential Functions

Promotes collaboration across functions and establishes effective interfaces with system stakeholders and members toward enhancing performance and program deliveryHires and manages performance of Care Managers, Care Navigators or Utilization Reviewers who support members enrolled in the programAssists in program development and serves as a SME/resource for clinical process and programmatic needs.Promotes a continuous improvement orientation- works to address gaps and promotes program adherence with requirements and monitoring of internal processes and related metricsDemonstrates a strong clinical understanding of all aspects of Care and Disease Management programs or utilization management programs, functions and processes.Creates and presents reports and other information for stakeholders regarding program performance, including outcome measure and return on investment.

Skills

LeadershipCommunicationUtilization review or care managementPerformance managementWorkflow optimizationProcess documentationHealth plan operations

Required Qualifications

Bachelor’s degree in clinical specialty (e.g., Nursing, Social Work, Physical Therapy, Occupational Therapy, Speech Therapy)

OR

Experience in insurance/managed care or care delivery settingsAbility to work complex projects and manage deliverables5 years experience in care management/navigation or closely related field including Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral health, quality, or patient educator job roleStrong written, verbal communication and conflict resolution skillsIntermediate computer software and hardware skills, ability to customize computer settings and use multiple monitors and capable of independent troubleshooting internet and applications.

Preferred Qualifications

Master’s Degree in a clinical, education or business specialtyProject management skills

Physical Requirements:

Physical Requirements

Ongoing need for employees to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with colleagues and providers require employees to verbally communicate and hear and understand spoken information, needs, and issues quickly and accurately.Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.May be expected to sit or stand in a stationary position for a long time.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

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

$44.33 - $68.42

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.

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.