Program Evaluator Remote Jobs in Utah (NOW HIRING)

Job Description:

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, and Washington.

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings

Schedule

• 40 hours a week, M-F - it may include occasional weekends or holiday work depending on work demands
• This is a remote position with occasional on site meetings
• This position may include occasional business travel

Reports to: Vice President, Medicaid

Job Description Summary

The Strategy and Business Development Consultant supports the development of the Medicaid and CHIP growth strategy by identifying, evaluating, organizing, and advancing business and program development opportunities across Select Health's geography. Under the direction of Medicaid leadership, this role heads up 1) Medicaid procurement readiness, opportunity tracking, RFI/RFP response coordination, market intelligence, proposal content management, and strategic planning activities, and 2) Identification and adoption of best practices that improve cost of care, service delivery, and member experience.

Business Development & Proposal Coordination

• Track Medicaid/CHIP opportunities (RFIs, RFPs, waivers, pilots) and develop and maintain procurement calendars and pipeline trackers.
• Support go/no-go preparation by organizing background research, assumptions, risks, readiness considerations, and decision materials for leadership review.
• Coordinate the collection, organization, and refresh of reusable proposal content, templates, exhibits, performance examples, resumes, forms, and certifications.
• Assist with proposal workplans, compliance matrices, and review schedules, tracking assignments and due dates across SMEs, writers, reviewers, and vendors.
• Coordinate with cross-functional partners to develop response content while maintaining version control and documentation standards for proposal materials.
• Translate lessons learned into improved templates, trackers, playbooks, and workflows.

Medicaid Market Intelligence & State Readiness

• Develop and maintain state-by-state Medicaid and CHIP market intelligence to support procurement readiness, market assessment, growth planning, and best practices.
• Monitor Medicaid policy, procurement schedules, competitor activity, regulatory changes, and state agency priorities.
• Prepare competitor profiles, stakeholder maps, market briefs, procurement readiness summaries, and issue briefs for Medicaid leadership.
• Research Medicaid managed care topics such as behavioral health, rural access, value-based care, HCBS, pharmacy, and network adequacy.
• Support local engagement planning by organizing intelligence on providers, community organizations, advocacy groups, and market partners.
• Help Medicaid leadership build and maintain market and regulatory relationships

Strategic Planning & Business Case Support

• Support Medicaid strategic planning, market growth assessments, and business case development for new and existing geographies.
• Support development of materials for senior leadership, executive sponsors, governance discussions, and cross-functional planning meetings.
• Help translate strategic priorities into actionable workplans, implementation trackers, and follow-up plans.

Operational Improvement & Reporting

• Report on procurement pipeline activity, proposal timelines, content readiness, submission quality, decision status, and lessons learned.
• Identify opportunities to improve consistency, timeliness, quality, and coordination of procurement, proposal, and business development processes.

Best Practices, Cost, and Member Experience

• Research and benchmark how high-performing Medicaid MCOs reduce total cost of care, improve access, and elevate member experience, and monitor state waivers, value-based models, and competitor programs for approaches worth adopting.
• Support analysis of cost drivers, utilization patterns, and avoidable spending, and build business cases for high-value interventions such as care management and pharmacy optimization.
• Convert selected best practices into standardized playbooks, workflows, and implementation trackers so improvements are adopted consistently, measured, and fed back into RFP responses and future program design.
• Partner with Clinical, Network, and Operations teams to embed adopted best practices into day-to-day workflows and confirm sustained adoption and measurable impact.

Minimum Qualifications

• Bachelor's degree in Hospital Administration, Business Administration, or related field.
• 1-2 years of healthcare or strategy experience (or equivalent internships/projects).
• Knowledge of healthcare delivery models, market trends, and community demographics.
• Experience supporting group facilitation or planning processes.

Preferred Qualifications

• Experience with Medicaid managed care, CHIP, Medicare Advantage, Duals, or other government-sponsored health programs.
• Experience supporting RFI/RFP responses, proposal development, government procurement, business development operations, complex projects, or cross-functional planning processes.
• Familiarity with health plan operations, including network, quality, compliance, clinical programs, finance, actuarial, product, and operations functions.
• Experience with quality and member experience measures (e.g., CAHPS, HEDIS), value-based care models, or cost-of-care improvement initiatives.
• Knowledge of Medicaid policy, state procurement processes, regulatory environments, managed care market dynamics, and state agency priorities.
• Master's degree in healthcare administration, business administration, public health, public policy, finance, or a related field.
• Strong research, writing, analytical, and organizational skills, with the ability to manage multiple deadlines, synthesize complex information, track decisions and risks, and prepare executive-ready materials.
• Proficiency with proposal, content, and project management or procurement tracking tools, and Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams).

Skills

• Medicaid business development; RFI/RFP and proposal coordination
• Procurement pipeline tracking; market, competitor, and stakeholder intelligence
• Medicaid policy and regulatory research; strategic thinking, issue escalation, and problem solving
• Project coordination and deadline management; cross-functional collaboration and matrix team support
• Executive communication and report writing; content organization, version control, and document management
• Data analysis, dashboards, and status reporting; financial and business case analysis
• Process improvement and workflow documentation; vendor, writer, and reviewer coordination
• Best-practice identification, benchmarking, and adoption; cost-of-care, utilization, and value-based care analysis

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.

$51.73 - $79.87

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 usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain 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.