• Job Description

  Req#: 569796
  Employer Industry: Managed Care Organization (MCO) specializing in Behavioral Health
  
  Why consider this job opportunity:
  - Salary range of $54,106 - $67,210
  - Health insurance with no premium for employee coverage
  - Flexible work-from-home options available for most positions
  - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
  - Opportunities for professional growth in a diverse, inclusive culture
  - NC Local Government Retirement Pension and 401k with 5% employer match
  
  What to Expect (Job Responsibilities):
  - Monitor and audit internal departments, contracted network provider agencies, and vendors for compliance with regulations and contractual requirements
  - Conduct quality audits to ensure compliance with health care determinations based on NCQA standards and federal/state laws
  - Perform internal monitoring activities of departmental performance based on regulations
  - Ensure timelines are met and documented for compliance-related tasks
  - Provide technical assistance on compliance monitoring issues and communicate rule/regulation changes
  
  What is Required (Qualifications):
  - High School Diploma/GED and six (6) years of experience in behavioral health/mental health, substance abuse, or developmental disabilities; OR
  - Associate’s degree and four (4) years of relevant experience; OR
  - Bachelor’s degree and minimum two (2) years of relevant experience; OR
  - Equivalent combination of education and experience
  - Must have a valid driver’s license and reside within North Carolina
  - Ability to travel within the catchment area as required
  
  How to Stand Out (Preferred Qualifications):
  - Experience in public speaking, mediation, problem resolution, group facilitation, advocacy, regulations compliance, and project management
  - CHC, AFHI, CFE, and fully licensed in the State of NC (LCMHC, LMFT, LCWS, LCAS, or RN)
  
  #ManagedCare #BehavioralHealth #RemoteWork #CareerOpportunity #Compliance
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

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