Program Coordinator of Clinical Policy Development and Operations

State of North Carolina; Raleigh (NC); On-site; USD 30,000 - 36,000; Full time

Job summary

The North Carolina Department of Health and Human Services (DHHS) Division of Health Benefits seeks a Program Coordinator II (S) to support clinical policy development and operations. The role includes managing SharePoint content and guiding consultants through policy workflows.

Responsibilities include coordinating policy reviews, maintaining version control, and assisting with audits. A bachelor’s degree and related experience are required; Medicaid knowledge is preferred.

Qualifications

• Bachelor’s degree and one year of related experience.
• Equivalency possible between education and experience.
• Experience with Medicaid or clinical coverage policies preferred.
• Strong communication and teamwork skills required.

Responsibilities

• Provide support to the Clinical Policy Development and Operations section.
• Manage version control and life cycle of clinical coverage policies.
• Review and format policies for clarity and compliance.
• Maintain SharePoint Content and CCP Hive Site.
• Assist with internal and external audits related to policy development.
• Lead CCP communications within the policy development process.

Skills

Medicaid knowledge

Clinical policy

Teamwork

Education

Bachelor's degree

Tools

SharePoint

Microsoft Word

Job description

Agency

Dept of Health and Human Services

Division

HEALTH BENEFITS

Job Classification Title

Program Coordinator II (S)

Grade

NC10

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. Note: Permanent and time-limited NC State Government employees must separate from their permanent or time-limited position to work in a temporary position. Temporary Solutions cannot accommodate dual employment.

This position will provide support to the Clinical Policy Development and Operations section of The Division of Health Benefits (DHB). The Program Coordinator will be responsible for clinical policy compliance, assisting with policy-related workflows, managing and updating content on team SharePoint sites, and providing day-to-day guidance and training to consultants throughout the policy development process.

Knowledge Skills and Abilities/Management Preferences

Job Specific Responsibilities:

• Complete special projects assigned by the Clinical Policy Development & Operations Program Manager


• 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.


• Lead efforts to safeguard and maintain version control for all clinical coverage policies, including archived and current versions, within designated locations.


• Assist with maintaining 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.


• Lead on CCP communication related to policies within the policy development process to include reporting and tracking.


• Attend monthly Physician Advisory Group meetings in relation to clinical coverage policies.


• Complete all special projects that are assigned by the Clinical Policy Development & Operations Program Manager.

Hourly Rate

$22.00 to $26.00

(Based on education and/or years of relevant work experience reflected on the application)

_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:

• Microsoft Office proficiency specifically in Word with 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 federallaws, 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, internal equity, and budgetary considerations pertinent to the advertised position.

In accordance with the Governor’s Executive Order 303, our agency supports second‑chance employment for individuals who were previously incarcerated or justice‑involved. We invite all potential applicants to apply for positions for which they may be qualified.

Minimum Education and Experience

Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.

Bachelor’s degree from appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.