Substance Use Disorder Policy Consultant

Health & Human Services; North Carolina; Hybride; USD 58 000 - 101 000; Plein temps

Avantages offerts par ce poste

Hybrid work option

Résumé du poste

North Carolina Department of Health and Human Services (DHHS) is seeking a Human Services Program Consultant III (NS) to support Medicaid SUD policy development and coverage decisions. This role focuses on adolescent and adult beneficiaries, guiding policy through ASAM criteria, regulatory standards, and inter-divisional collaboration.

Under supervision of Behavioral Health Policy Manager, the consultant analyzes data, ensures compliance, and engages stakeholders to implement high-quality

Qualifications

• Experience applying working knowledge of mental health and substance use disorder service delivery in North Carolina to inform policy development and program evaluation.
• Documented experience in substance use disorder treatment and ASAM Criteria to support clinical policy decisions.
• Proven experience interpreting state and federal programs governing mental health or substance use services to guide policy and ensure regulatory compliance.
• Documented experience conducting compliance monitoring, program reviews, utilization management, or care-management activities to assess service quality and identify opportunities for improvement.
• Established experience building and sustaining relationships with internal and external stakeholders to support policy development and implementation.

Responsabilités

• Develop and implement Medicaid SUD clinical coverage policies and State Plan Amendments for adolescents and adults.
• Plan and support policy development activities by researching requirements and interpreting guidance related to SUD treatment and service delivery.
• Monitor the clinical quality of SUD services delivered by providers and health plans to ensure compliance with regulations.
• Conduct regulatory oversight activities to verify SUD services adhere to policy standards and program expectations.
• Collaborate with internal divisions, external partners, and stakeholders to inform development and implementation of SUD policies and State Plan provisions.
• Analyze service data, regulatory, and program requirements to guide updates and improvements to Medicaid coverage policies.
• Review SUD-related program information and service models to assess policy alignment and inform decisions.
• Document policy development processes and maintain records to support compliance and transparency.
• Provide expertise on SUD service delivery considerations to ensure policies promote high-quality behavioral health statewide.

Connaissances

Mental health policy

ASAM Criteria

Regulatory compliance

Policy development

Stakeholder relations

Description du poste

Agency, Job Classification & Position Number

Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Human Services Program Consultant III (NS) Position Number 60042690 Grade NC16

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

The Substance Use Disorder (SUD) Policy Consultant serves within the Mental Health and Substance Use Disorder Clinical Policy Section and supports the planning and development of Medicaid SUD clinical coverage policies and State Plan Amendments for adolescent and adult beneficiaries. The SUD Policy Consultant provides regulatory oversight of SUD services by monitoring clinical quality, ensuring compliance with state and federal policy requirements, and guiding the development of coverage policies. The consultant collaborates with internal and external stakeholders, including other divisions, to advance high‑quality behavioral health services across North Carolina. The consultant contributes subject‑matter expertise throughout the policy development process to advance the implementation and delivery of high‑quality behavioral health services. This role operates under the supervision of the Behavioral Health Policy Manager.

Key Duties Include

• Develop and implement Medicaid SUD clinical coverage policies and State Plan Amendments for adolescent and adult beneficiary populations.
• Plan and support policy development activities by researching requirements and interpreting guidance related to SUD treatment and service delivery.
• Monitor the clinical quality of SUD services delivered by providers and health plans to ensure compliance with federal and state regulations.
• Conduct regulatory oversight activities to verify that SUD services adhere to applicable policy standards and program expectations.
• Collaborate with internal divisions, external partners, and stakeholders to inform the development, and implementation of SUD policies and State Plan provisions.
• Analyze service data, regulatory, and program requirements to guide updates and improvements to Medicaid coverage policies.
• Review SUD‑related program information and service models to assess policy alignment and inform decision‑making.
• Document policy development processes and maintain accurate records to support compliance and program transparency.
• Provide expertise on SUD service delivery considerations to ensure policies promote consistent, high‑quality behavioral health care statewide.

Knowledge, Skills, and Abilities / Management Preferences

Salary Grade Range: $57,983.00 - $101,470.00 Recruitment Range: $57,983.00 - $74,160.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required.

Applicants who possess the following skills are preferred:

• Experience applying working knowledge of mental health and substance use disorder service delivery in North Carolina to inform policy development and program evaluation.
• Documented experience in substance use disorder treatment and utilization of the ASAM Criteria to support clinical policy decisions.
• Proven experience interpreting state and federal programs governing mental health or substance use services to guide policy and ensure regulatory compliance.
• Documented experience conducting compliance monitoring, program reviews, utilization management, or care‑management activities to assess service quality and identify opportunities for improvement.
• Established experience building and sustaining effective working relationships with internal and external stakeholders to support collaborative policy development and implementation efforts.

The Posting Will Close At 11:59 P.M. The Night Before The End Date

This Position Is Funded In Part Through Federal Funds

This Position Is Eligible For A Hybrid Work Option EHRA: Per G.S. 126-5(c1) (37)

This Position Is EXEMPT From All Provisions Of NC General Statute Chapter 126 (State Human Resources Act) With The Exception Of Articles 6 And 7

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 supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget 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.

All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.

Compensation and Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit the website forState Benefits.

Supplemental Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employerthat 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.

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.