Lead Managed Care Investigator

ncwildlife.gov

Recruitment range: $66,696 - $85,717; grade range:...
Hybrid
Medicaid program compliance
Oversight of vendors and mcos
Investigative and audit activities
The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program

Job Summary

  • The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program.
  • This position is responsible for providing oversight of vendors and Managed Care Organizations (MCOs), supporting investigations, and engaging in audit activities.
  • This position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours.

Matching Summary

The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program.

Salary

Recruitment Range: $66,696 - $85,717; Grade Range: $66,696 - $110,049; Benefits: Not specified

Skills & Requirements

Must-have

  • Medicaid program compliance
  • Oversight of vendors and MCOs
  • Investigative and audit activities
  • Collaboration with external agencies
  • Technical support and quality assurance

Nice-to-have

  • Subject matter expert in Medicaid
  • Consultations with management
  • Hybrid-teleworking schedule eligible
  • Strong organizational skills

Key Requirements

  • Licensed Registered Nurse in North Carolina
  • Two years of clinical experience

Work Rights

Not specified

Tailored Resume

Cover Letter