ZipRecruiter

Log In

1

Nc Medicaid Jobs (NOW HIRING)

Intellibee

APD Writer, Raleigh, NC, US

Raleigh, NC · On-site

$90 - $130/hr

This position develops Advanced Planning Documents (APDs) for the Medicaid Enterprise System (MES) and NC HIEA, along with other documentation supporting MES planning, implementation, and operational ...

HealthKeeperz, Inc.

CAP Case Manager

Wadesboro, NC · On-site

... NC Medicaid certified training program within 90 calendar days of employment; OR * 2. Bachelor's degree in a human services or equivalent field from an accredited college or university with two or ...

Healthkeeperz

CAP Case Manager

Wadesboro, NC · On-site

... NC Medicaid certified training program within 90 calendar days of employment; OR * 2. Bachelor's degree in a human services or equivalent field from an accredited college or university with two or ...

HealthKeeperz, Inc.

CAP Case Manager

Wadesboro, NC · On-site

... NC Medicaid certified training program within 90 calendar days of employment; OR * 2. Bachelor's degree in a human services or equivalent field from an accredited college or university with two or ...

previous pagenext page

Showing results 21-40

All JobsGovernment JobsFederal Government JobsMedicaid Specialist JobsNc Medicaid Jobs

Nc Medicaid information

See salary details

$15

$27

$42

How much do nc medicaid jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for nc medicaid in the United States is $27.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What is NC Medicaid?

NC Medicaid is a health insurance program in North Carolina that provides medical coverage to eligible low-income individuals and families, including children, pregnant women, seniors, and people with disabilities. Funded jointly by the federal and state government, NC Medicaid covers a wide range of health services such as doctor visits, hospital care, prescriptions, and preventive care. Eligibility for NC Medicaid depends on several factors, including income, family size, and specific health needs. The program helps ensure that vulnerable populations in North Carolina have access to essential healthcare services.

What are the key skills and qualifications needed to thrive as an NC Medicaid specialist?

To thrive as an NC Medicaid Specialist, you need a solid understanding of Medicaid regulations, eligibility criteria, and case management, often supported by a background in social work, public administration, or healthcare. Familiarity with Medicaid Management Information Systems (MMIS), state eligibility portals, and relevant certification such as Certified Medicaid Planner (CMP) is commonly required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex cases and assisting applicants. These abilities ensure accurate processing, compliance with regulations, and positive outcomes for beneficiaries relying on Medicaid services.

What are some typical challenges faced by professionals working in North Carolina Medicaid roles, and how can they be addressed?

Professionals in NC Medicaid roles often encounter challenges such as navigating complex and frequently changing regulations, coordinating care across multiple providers, and ensuring accurate documentation for compliance and billing. Staying current with policy updates and participating in regular training sessions can help address these challenges. Additionally, collaborating with interdisciplinary teams and utilizing available technology tools can streamline communication and improve service delivery, ensuring better outcomes for both beneficiaries and the organization.

What is the difference between Nc Medicaid vs Nc Medicaid Eligibility Specialist?

AspectNc MedicaidNc Medicaid Eligibility Specialist
CertificationsNone required, but knowledge of Medicaid policies helpsTypically requires knowledge of Medicaid rules, possibly certifications in healthcare or social services
Work EnvironmentGovernment offices, healthcare facilities, community agenciesOffice settings, community outreach, client interaction
Employer & IndustryState government, healthcare providersState Medicaid offices, social service agencies
Job FocusProgram administration, policy implementationAssessing eligibility, assisting applicants, processing cases

While Nc Medicaid involves managing Medicaid programs and policies, Nc Medicaid Eligibility Specialists focus on evaluating individual eligibility and assisting clients with applications. Both roles are essential in delivering Medicaid services but differ in responsibilities and daily tasks.

More about Nc Medicaid jobs

What cities are hiring for Nc Medicaid jobs?

Cities with the most Nc Medicaid job openings:

What states have the most Nc Medicaid jobs?

States with the most job openings for Nc Medicaid jobs include:

What job categories do people searching Nc Medicaid jobs look for?

The top searched job categories for Nc Medicaid jobs are:

Nc Medicaid jobs near you
Infographic showing various Nc Medicaid job openings in the United States as of August 2026, with employment types broken down into 50% Part Time, and 50% Contract. Highlights an 100% In-person job distribution, with an average salary of $57,922 per year, or $27.8 per hour.

OPT/Assessor Full-time Greenville

Pathways to Life, Inc

Greenville, NC • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

OPT/ Assessor

Pathways to Life, Inc.
Behavioral Health Services - Greenville, North Carolina

Join Our Team

Pathways to Life, Inc. is seeking a dedicated and detail-oriented OPT/ Assessor to join our growing behavioral health team. This position plays a critical role in ensuring individuals receive appropriate behavioral health services through comprehensive assessments, person-centered recommendations, and coordination with internal teams and referral sources.

The ideal candidate is organized, clinically knowledgeable, compassionate, and experienced in completing behavioral health assessments in accordance with NC Medicaid and service definition requirements.


Position Summary

The OPT Assessor is responsible for conducting comprehensive behavioral health assessments and making clinical recommendations for appropriate levels of care and services. This role works closely with consumers, families, referral sources, care teams, and leadership to support timely access to services and regulatory compliance.

The OPT Assessor must maintain strong documentation standards, demonstrate clinical professionalism, and ensure all assessments meet NC Medicaid, Tailored Plan, and organizational requirements.

Essential Responsibilities

  • Complete comprehensive behavioral health assessments and screenings

  • Conduct clinical interviews and gather psychosocial history information

  • Determine medical necessity and recommend appropriate services

  • Complete and submit all required documentation within required timelines

  • Maintain compliance with NC DHHS service definitions and Medicaid requirements

  • Coordinate with referral sources, care managers, hospitals, and providers

  • Collaborate with internal clinical teams regarding admissions and service recommendations

  • Maintain accurate electronic health record (EHR) documentation

  • Participate in supervision, staff meetings, and training activities

  • Ensure confidentiality and HIPAA compliance at all times

  • Assist with audit preparation and quality assurance activities as needed


QualificationsEducation

  • Master's degree in Social Work, Counseling, Psychology, Human Services, or related field preferred

  • Bachelor's degree with qualifying experience may be considered depending on credentials and service requirements

Licensure/Certification Preferred

One or more of the following preferred:

  • LCSW / LCSW-A

  • LCMHC / LCMHC-A

  • LCAS / LCAS-A

  • LMFT / LMFT-A

  • RN

  • Other qualified behavioral health professional credentials recognized by NC Medicaid

Experience

  • Experience conducting behavioral health assessments preferred

  • Knowledge of NC Medicaid and Tailored Care behavioral health services

  • Experience working with children, adolescents, adults, and families

  • Strong documentation and organizational skills

  • Experience with EHR systems preferred

Knowledge, Skills & Abilities

  • Strong clinical interviewing and assessment skills

  • Knowledge of behavioral health diagnoses and treatment recommendations

  • Ability to manage multiple referrals and deadlines

  • Excellent written and verbal communication skills

  • Ability to work independently and collaboratively

  • Strong attention to detail and compliance standards

  • Professional demeanor and customer service skills


Schedule & Work Environment

  • Full-Time

  • Monday-Friday

  • Hybrid/Community-based travel may be required depending on service area

  • Some local travel may be required

Benefits

Pathways to Life, Inc. offers a competitive benefits package that may include:

  • Health Insurance

  • Dental & Vision Insurance

  • Paid Time Off

  • Paid Holidays

  • Retirement Plan Options

  • Voluntary Supplemental Benefits

  • Professional Development Opportunities

Why Pathways to Life?

At Pathways to Life, we are committed to improving lives through compassionate, person-centered behavioral healthcare. We believe in supporting our employees through teamwork, professional growth, and a mission-driven culture focused on making a difference in the communities we serve.

Apply Today

Interested candidates should submit click Apply.


Employment Type: FULL_TIME

Apply