Policy Editor of Clinical Policy Development and Operations

Adult Correction; North Carolina; On-site; USD 32,000 - 37,000; Part time

Job summary

The North Carolina Department of Health and Human Services is hiring a temporary Program Coordinator II (S) in the Division of Health Benefits. The position supports policy development, reviews and formats clinical coverage policies, and maintains version control and site content.

Responsibilities include audits, communication with staff, and attending Physician Advisory Group meetings to support policy development.

Qualifications

• Experience in MS Word and editing/review with track changes.
• Previous working experience in Medicaid or with clinical coverage policies.
• Experience managing website content and/or SharePoint sites.

Responsibilities

• Manage version control and track the full life cycle of clinical coverage policies.
• Review, edit, and format clinical coverage policies to ensure clarity and compliance.
• Safeguard and maintain version control for all policies in designated locations.
• Maintain the Clinical Policy Development and Operations team's SharePoint Site and CCP's Hive Site.
• Assist with internal and external audits related to policy development.
• Communicate with internal staff regarding policies in the policy development process.
• Attend monthly Physician Advisory Group meetings related to clinical coverage policies.

Skills

MS Word

Editing & review with track changes

Medicaid/clinical coverage policies

Tools

SharePoint

Job description

Agency

Dept of Health and Human Services

Division

HEALTH BENEFITS

Job Classification Title

Program Coordinator II (S)

Position Number

Grade

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

This is a temporary position and there are no leave or retirement benefits offered with this position. Temporary employees who work an annual average of 30 or more hours per week may be eligible for health insurance coverage under the High-Deductible Health Plan (HDHP). For more information on health benefits offered visit www.shpnc.org.

Knowledge Skills and Abilities/Management Preferences

Job Specific Responsibilities

• Manage version control and track the full life cycle of clinical coverage policies as they move through each stage of the policy development process.
• Review, edit, and format clinical coverage policies to ensure the language is clear, concise, process-aligned, and compliant with applicable General Statutes and legislation.
• Safeguard and maintain version control for all clinical coverage policies, including archived and current versions, within designated locations.
• Maintain the Clinical Policy Development and Operations team's SharePoint Site and CCP's Hive Site.
• Assist with internal and external audits related to policy development.
• Communicate with internal staff in relation to policies within the policy development process to include reporting and tracking.
• Attend monthly Physician Advisory Group meetings in relation to clinical coverage policies.

Hourly Rate: $23.00 to $27.00

Candidates meet the minimum qualifications of a position if they have the minimum education and experience listed from the class specification. The Knowledge, Skills, and Abilities listed within this vacancy announcement will be used only as management preferences and will be used to screen for the most qualified pool of applicants.

Management prefers applicants with the following:

• Experience in Microsoft Word and proficient in editing and reviewing documents utilizing track changes, formatting functions and creating forms and documents
• Previous working experience in Medicaid or with clinical coverage policies
• Experience managing website content and/or managing a site within SharePoint

Resumes may be attached as a supplement to the application but are not a substitute for a complete application.

This posting will close at 11:59 pm the night before the posting end date.

About the NC Division of Health Benefits:

The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and support for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget of over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.

Supplemental and Contact Information:

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/.

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications,