Appeals Manager

NC Department of Health and Human Services (DHHS)

Wake County, NC, United States
Recruitment range: $63,927 - $82,159; salary grade...
Hybrid
Medicaid appeals and grievances
Due process compliance
Provider and vendor compliance monitoring
The Division of Health Benefits Legal Office supports legal and compliance functions for Medicaid and provides executive oversight for the Hearings and Appeals Unit

Job Summary

  • The Division of Health Benefits Legal Office supports legal and compliance functions for Medicaid and provides executive oversight for the Hearings and Appeals Unit.
  • This position will research, analyze, and interpret laws, regulations, and policies to ensure compliance with due process requirements and manage personnel administration.
  • The State of North Carolina offers excellent comprehensive benefits including health insurance, retirement plans, and paid leave.

Matching Summary

The Division of Health Benefits Legal Office supports legal and compliance functions for Medicaid and provides executive oversight for the Hearings and Appeals Unit.

Salary

Recruitment Range: $63,927 - $82,159; Salary Grade Range: $63,927 - $111,871; Benefits: Comprehensive state benefits package

Skills & Requirements

Must-have

  • Medicaid appeals and grievances
  • Due process compliance
  • Provider and vendor compliance monitoring
  • 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 and 3 years of experience or Bachelor's degree and 5 years of experience
  • Equivalent combination of education and experience accepted

Work Rights

Not specified

Tailored Resume

Cover Letter