North Carolina Department of Health and Human Services
North Carolina, US
$63,927 - $111,871 py
Hybrid
Medicaid appeals and grievances
Provider and beneficiary appeals
Due process compliance
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, troubling shooting issues, and other tasks and items that arise for Medicaid Beneficiary Appeals and grievances and Provider Claim appeals
Job Summary
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, troubling shooting issues, and other tasks and items that arise for Medicaid Beneficiary Appeals and grievances and Provider Claim appeals.
The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees.
The State of North Carolina offers excellent comprehensive benefits including health insurance, retirement plans, NCFlex program, and paid leave.
Matching Summary
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, troubling shooting issues, and other tasks and items that arise for Medicaid Beneficiary Appeals and grievances and Provider Claim appeals.
Salary
$63,927 - $111,871
Skills & Requirements
Must-have
Medicaid appeals and grievances
Provider and beneficiary appeals
Due process compliance
Legal research and analysis
Stakeholder coordination
Nice-to-have
Effective working relationships
Healthcare industry knowledge
Program management understanding
Microsoft Office proficiency
Key Requirements
Master's degree or Bachelor's degree in area of assignment
3-5 years of closely related experience
Equivalent combination of education and experience