Appeals Manager

North Carolina Department of Health and Human Services (DHHS)

Unknown, North Carolina, US
$63,927 - $111,871 py
Hybrid
Medicaid beneficiary appeals
Provider claim appeals
Due process compliance
The purpose of the Division of Health Benefits Legal Office is to support the legal and compliance functions for Medicaid within the State of North Carolina

Job Summary

  • The purpose of the Division of Health Benefits Legal Office is to support the legal and compliance functions for Medicaid within the State of North Carolina.
  • The purpose of this position is to work as an integral member of the Medicaid Appeals team that provides oversight of appeal and grievance functions, processes, and initiatives.
  • The State of North Carolina offers excellent comprehensive benefits including health insurance, retirement plans, and paid leave.

Matching Summary

The purpose of the Division of Health Benefits Legal Office is to support the legal and compliance functions for Medicaid within the State of North Carolina.

Salary

$63,927 - $111,871

Skills & Requirements

Must-have

  • Medicaid beneficiary appeals
  • provider claim appeals
  • due process compliance
  • stakeholder coordination
  • legal and compliance functions

Nice-to-have

  • effective working relationships
  • healthcare industry knowledge
  • program management understanding
  • Microsoft Office proficiency

Key Requirements

  • Master's degree or Bachelor's degree
  • 3-5 years of related experience
  • Equivalent combination of education and experience

Work Rights

Not specified

Tailored Resume

Cover Letter