Appeals Manager

o s h r . n c . g o v

North Carolina, USA
$63,927 - $111,871 py
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 due process compliance and will engage in 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

$63,927 - $111,871

Skills & Requirements

Must-have

  • Medicaid appeals and grievances
  • Due process compliance
  • Provider and vendor compliance monitoring
  • Stakeholder coordination
  • Legal research and analysis

Nice-to-have

  • Effective working relationships
  • Healthcare industry knowledge
  • Program management understanding
  • Judgment and discretion
  • 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

Work Rights

Not specified

Tailored Resume

Cover Letter