Associate Director, Provider Compliance

ncdoi.gov

North Carolina, US
Base: $100,641 - $107,816; bonus/equity: not speci...
Hybrid
Provider audits and investigations
Fraud, waste, and abuse prevention
Managed care plan oversight
The Associate Director, Provider Compliance is responsible for establishing and executing effective oversight protocols of the Special Investigations Units of the State’s contracted health plans

Job Summary

  • The Associate Director, Provider Compliance is responsible for establishing and executing effective oversight protocols of the Special Investigations Units of the State’s contracted health plans.
  • This position will ensure NC Medicaid managed care organizations have and follow sound principles and practices for conducting provider audits, investigations and monitoring.
  • The State of North Carolina offers excellent comprehensive benefits, including health insurance, retirement plans, and paid leave.

Matching Summary

The Associate Director, Provider Compliance is responsible for establishing and executing effective oversight protocols of the Special Investigations Units of the State’s contracted health plans.

Salary

Base: $100,641 - $107,816; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Provider audits and investigations
  • Fraud, waste, and abuse prevention
  • Managed care plan oversight
  • Federal and state regulations
  • Policy and procedure development

Nice-to-have

  • Collaboration with law enforcement
  • Data insights into actionable strategies
  • Personnel management and development
  • Vendor relationship management

Key Requirements

  • Master's degree or Bachelor's degree
  • Five years of experience or Seven years of experience
  • Three years of supervisory or consultative capacity
  • Equivalent combination of education and experience

Work Rights

Not specified

Tailored Resume

Cover Letter