Appeals Manager

dpi.nc.gov

North Carolina, USA
Base: $63,927 - $111,871; bonus/equity: not specif...
Hybrid
Medicaid appeals and grievances
Due process compliance
Provider and beneficiary coordination
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, troubling shooting issues, and other tasks and items that arise for Medicaid Beneficiary Appeals and grievances and Provider Claim appeals.
  • 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

Base: $63,927 - $111,871; Bonus/Equity: Not specified; Benefits: Comprehensive state benefits package

Skills & Requirements

Must-have

  • Medicaid appeals and grievances
  • Due process compliance
  • Provider and beneficiary coordination
  • Legal research and analysis
  • Personnel administration

Nice-to-have

  • Stakeholder engagement
  • Healthcare industry knowledge
  • Program management expertise
  • Microsoft Office proficiency

Key Requirements

  • Master's degree and 3 years of experience OR Bachelor's degree and 5 years of experience OR equivalent combination
  • Experience in a closely related program
  • Must meet minimum education and experience

Work Rights

Not specified

Tailored Resume

Cover Letter