Appeals Manager

ncdoi.gov

North Carolina, US
$63,927 - $111,871; recruitment range: $63,927 - $...
Hybrid
Medicaid appeals and grievances
Due process compliance
Provider and vendor compliance monitoring
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 unit coordinates with the DOJ, Attorney General’s Office and other external stakeholders.
  • 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

$63,927 - $111,871; Recruitment Range: $63,927 - $82,159; 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
  • Employee management and development

Nice-to-have

  • Effective stakeholder communication
  • Healthcare industry knowledge
  • Medicaid program understanding
  • Program management expertise
  • Proficiency in Microsoft Office Suite

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