NC Medicaid Consultant at World Relief

Durham, North Carolina, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Non-Profit, Healthcare, Humanitarian AidIndustries

Requirements

Deep knowledge of NC Medicaid managed care, including eligibility criteria, billing codes, and reimbursement rates specific to mental health services for refugees and immigrants (specifically, interactive complexity and other related dynamics)
Data Analysis and Reporting: Skills in collecting, analyzing, and reporting data to track program outcomes and meet NC Medicaid reporting requirements
Familiarity with Electronic Health Records systems

Responsibilities

Conduct an in-depth assessment to strengthen World Relief's capacity and program quality
Collaborate with stakeholders to define specific goals and priority areas, assess the organization's viability for Medicaid managed care integration, and draft a detailed timeline and phased implementation plan
Identify and collaborate with key stakeholders (e.g., NC Medicaid, Alliance Health)
Draft a strategic plan tailored to the specific needs of the organization, outlining goals, priority areas, and a phased implementation timeline
Conduct a thorough review of contracts, job descriptions, policies, procedures, workflow processes, communication structures, IT systems, reporting mechanisms, program management, billing procedures, and specialty services
Provide holistic training for staff in critical areas such as workflow assessment, communication, IT systems, reporting, program management, and billing to ensure compliance and best practices
Lead the collaboration with stakeholders to identify goals and priority areas
Conduct analysis to assess World Relief’s current capacity and benchmarks to meet
Develop a detailed timeline and phased implementation plan
Craft a project schedule that outlines tasks, dependencies, and milestones to ensure a structured approach to the implementation process
Provide comprehensive oversight from inception to conclusion
Develop a detailed project plan delineating tasks, timelines, and resource allocation
Support the review of contracts, job descriptions, policies, and procedures
Collect and analyze data

Skills

Medicaid

Managed Care

Program Assessment

Strategic Planning

Stakeholder Collaboration

Capacity Building

Program Implementation

World Relief

Provides humanitarian aid and refugee support

About World Relief

World Relief provides humanitarian aid and development services to vulnerable populations, particularly refugees and those affected by crises. The organization works by partnering with over 6,000 churches and 95,000 local volunteers to deliver support and resources effectively. Its approach includes private sponsorship programs, such as the Welcome Corps, which enables individuals to sponsor refugees resettling in the U.S. Unlike many other organizations, World Relief emphasizes community involvement and faith-based partnerships to extend its reach. The goal of World Relief is to create sustainable solutions that address pressing global issues and improve the lives of those in need.

Baltimore, MarylandHeadquarters

1944Year Founded

$116.7KTotal Funding

GRANTCompany Stage

Government & Public Sector, Social ImpactIndustries

1,001-5,000Employees

Benefits

Health Insurance

Wellness Program

Risks

Faith-based approach may face scrutiny from secular organizations, affecting partnerships.

Expansion in Spokane and North Texas may strain resources and operations.

Reliance on churches and volunteers could be impacted by declining attendance and volunteerism.

Differentiation

World Relief partners with over 6,000 churches and 95,000 volunteers globally.

The organization offers a faith-based approach to humanitarian aid and development.

World Relief engages in private sponsorship programs like the Welcome Corps for refugee resettlement.

Upsides

Increased focus on digital transformation enhances service delivery and donor engagement.

Community sponsorship models like Welcome Corps provide new funding opportunities.

Growing interest in climate change projects opens new funding avenues for World Relief.

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