Program Manager I — Health Claims & Customer Support (Temp)

State of North Carolina; Wake Forest (NC); On-site; USD 28,000 - 40,000; Full time

Job summary

State of North Carolina is seeking a Program Manager I (S) for the Office of State Human Resources’ Temporary Solutions division in Raleigh, NC. This temporary role handles health claim assistance and related processes for our Smart NC program with duties including denied claims and insurance-related inquiries.

The position pays $25.00 per hour, based on education and experience. It is a temporary assignment with specific eligibility criteria and no state retirement benefits.

Qualifications

• Bachelor’s degree and three years of program management experience, including one year supervisory.

Responsibilities

• Assist with denied claims, medical appeals, external reviews, and insurance-related complaints.
• Provide direct consumer assistance, addressing questions and concerns related to health insurance denials and coverage issues.

Skills

Call center experience

Insurance plans & claims

Education

Bachelor’s degree + 3 years of program experience (1 year supervisory)

Job description

State of North Carolina is seeking a Program Manager I (S) for the Office of State Human Resources’ Temporary Solutions division in Raleigh, NC. This temporary role handles health claim assistance and related processes for our Smart NC program with duties including denied claims and insurance-related inquiries.

The position pays $25.00 per hour, based on education and experience. It is a temporary assignment with specific eligibility criteria and no state retirement benefits.