Associate Director For Managed Care Business Operations

North Carolina Department of Health and Human Services (DHHS)

North Carolina, US
Salary grade range: $75,925 - $148,054; recruitmen...
Hybrid
Medicaid managed care implementation
Claims management fee payments
Capitation payments
The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care

Job Summary

  • The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care.
  • The position will also interview, hire, train, mentor, and develop and delegate to direct reports.
  • The State of North Carolina offers excellent comprehensive benefits, including health insurance options, retirement plans, NCFlex program, paid leave, and paid parental leave.

Matching Summary

The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care.

Salary

Salary Grade Range: $75,925 - $148,054; Recruitment Range: $75,925 - $112,112; Benefits: Comprehensive state benefits package

Skills & Requirements

Must-have

  • Medicaid Managed Care implementation
  • claims management fee payments
  • capitation payments
  • encounter data validation
  • business process coordination
  • data anomaly identification
  • performance dashboard development

Nice-to-have

  • strategic management and analysis
  • interpreting rules and regulations
  • facilitating process improvements
  • mentoring and developing direct reports

Key Requirements

  • Master's degree and 5 years of experience including 3 years supervisory
  • Bachelor's degree and 7 years of experience including 3 years supervisory
  • Equivalent combination of education and experience

Work Rights

Not specified

Tailored Resume

Cover Letter