Provider Network Evaluator II-Targeted (Full-time Remote, North Carolina based)
Alliance HealthHighlight
Summary
About the Role
About You
- Master’s degree in human services/social sciences from an accredited College/University.
- Five (5) years post-Master’s experience in healthcare compliance, monitoring, policy development, auditing, or related fields.
- Current, active NC license as a LCSW, LCMHC, LPA, LMFT, or LCAS.
- National Certified Investigator and Inspector Training (NCIT) preferred, but not required.
- Knowledge of the healthcare industry and/or Medicare/Medicaid/Behavioral Health.
Benefits
- Medical, Dental, Vision, Life, Long and Short Term Disability coverage.
- Generous retirement savings plan.
- Flexible work schedules including hybrid/remote options.
- Paid time off including vacation, sick leave, holiday, and management leave.
- Dress flexibility.
Alliance Health is a public managed care organization serving Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake counties in North Carolina. Working with a network of more than 4,000 private providers, Alliance has responsibility for 470,000 Medicaid-eligible and uninsured individuals among a population of over 3.5M. The Alliance Medicaid Behavioral Health and Intellectual/Developmental Disability Tailored Plan manages all the health care needs – physical, behavioral, and pharmacy – for people with complex mental illnesses, substance use disorders, and long-term care needs including intellectual/developmental disability and traumatic brain injury. With a mission to improve the health and well-being of the people in our communities with complex needs, our work is shaped by our core organizational values of accountability and integrity, collaboration, compassion, dignity and respect, innovation, and customer service.