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Medicaid Program Manager Jobs in Utah (NOW HIRING)

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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Utah? For Medicaid Program Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Utah look for? The top searched job categories for Medicaid Program Manager jobs in Utah are:
What cities in Utah are hiring for Medicaid Program Manager jobs? Cities in Utah with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Utah as of July 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Nursing Facility Quality Improvement Program Manager

Utah Division of Human Resource Management

Salt Lake City, UT • On-site

$32.20 - $52.45/hr

Full-time, Part-time

Posted 8 days ago

Job description

Nursing Facility Quality Improvement Program Manager
FT / PT Status - Full-Time
Salary - $32.20 - $52.45 Hourly Wage
Remote Work / In-Office - HybridRecruiter - Angie Rhodes arhodes@utah.gov
Application Deadline - 8/11/2026*
*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
Do you have excellent program management experience and quality improvement or audit experience? The Office of Reimbursement, Coordinated Care and Audit is seeking a candidate with program management and quality assurance to join their team as a Health Program Manager II.
The Health Program Manager develops, manages, and coordinates the existing long term care quality incentive programs, moratorium and bed transfer issues, contractual compliance, and the Upper Payment Limit quality improvement program for nursing facilities. The manager is responsible for reviewing, maintaining and updating the Utah State Plan, and Utah Administrative Rules for assigned programs; plans and allocates resources to ensure Department's policies and state/federal statues are fully compliant and consistent; provides expert consultation services to public and private health care providers; manages assigned programs as directed and collaborates with other state and county agencies, programs, providers and community-based organizations.
Supplemental Information
  • Preference may be given to those with a Bachelor's degree (or higher) or extensive long-term care clinical experience.
  • 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.
  • 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.
  • An offer of employment will be contingent on the applicant successfully passing a DHHS background check.

Day-to-day responsibilities of this position:
  • Plans and manages assigned programs. Writes and reviews program plans, and rules.
  • Sets goals, establishes priorities, manages resources, develops concepts and approaches, reviews projects progress and results; makes management decisions.
  • Develops and coordinates policies, resources and mission as well as goals, visions and expectations of programs.
  • Ensures compliance with applicable federal and/or state laws, regulations and/or agency rules, standards and guidelines, etc.
  • Coordinates and assigns projects; provides assistance in resolving problems; approves system changes and establishes project priorities.
  • Provides consultation, makes recommendations, gives appropriate advice, and/or facilitates decisions.
  • Develops and implements procedures and programs in response to agency policy, state and federal laws, etc.
  • Represents the agency with federal, state and local government units, in the media or with private organizations.
  • Provides presentations and training to the industry regarding programs, policies, rules, and state plans.
  • Ensures compliance with contractual obligations and follow-up with other parties to ensure compliance.
  • Medicaid knowledge.
  • Experience with the nursing home industry quality of care standards.

Qualifications
Minimum or "day-one" qualifications:
(includes knowledge, skills, and abilities required upon entry into position and trainable after entry into position)
  • must have strong and well-developed technical writing skills
  • strong interpersonal, communication, and presentation skills
  • skill and ability to develop and/or implement new policies/procedures/standards and/or rules/regulations
  • knowledge of Medicaid
  • knowledge of the nursing home industry including quality of care standards
  • knowledge of agency and organizational programs, agency objectives, organization structure and mission
  • skill to develop approaches for implementation of an idea, program or change in operations
  • ability to comply with federal and state laws and regulations
  • skill and ability to read, interpret and apply laws, rules, regulations, policies and/or procedures
  • knowledge of principles, methods and techniques of management and leadership
  • critical thinking skills
  • ability to control or direct the operation of a program or function
  • ability to provide consultation and/or expert advice
  • skill and ability to plan, organize and prioritize time and workload in order to accomplish tasks and meet deadlines
  • Plans and manages assigned programs. Writes and reviews program plans, and rules.
  • Sets goals, establishes priorities, manages resources, develops concepts

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 TeamIn 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 AgencyFor more information on the Division of Integrated Healthcare, please visit our website.
EEO StatementThe 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.

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