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CCME: Careers

The Carolinas Center for Medical Excellence (CCME) is an Equal Opportunity Employer and does not discriminate in employment activities based on race, color, religion, creed, national origin, gender, age, sexual orientation, or marital status.  We are an Equal Opportunity Employer of protected veterans and individuals with disabilities.  Approximately 120 people are employed in CCME’s offices in Cary, NC, and Columbia, SC.

Many members of CCME’s staff have been with the organization for more than a decade. As an employer, CCME offers a competitive benefits package which includes a broad array of insurance coverage, holidays and time off, and a generous retirement plan. Employees work in a team environment and have the opportunity to broaden their skills and knowledge through participation in cross-functional teams.

Summary of Benefits

CCME is proud to offer a generous benefits package to our employees. The benefits are designed to enhance our employees’ lives, both at work and at home. They address health and social needs, such as insurance and retirement security, and family and personal needs, such as time off to relax, bond with a new baby, or take care of errands. Employees who work 30 or more hours a week are covered on all of CCME’s insurance plans.

  • Health Insurance
  • Dental Insurance
  • Long-Term Disability Insurance
  • Short-Term Disability Insurance
  • Life Insurance
  • Holidays - 10 per year
  • Vacation - 12 days per year
  • Sick Leave - 6 days per year
  • Personal Leave - 2 hours per month for non-exempt employees
  • Retirement Benefits - CCME provides a generous company-funded 401(k) plan with no matching requirements. Employees may contribute voluntarily if they wish.
  • Flexible Reimbursement Plan - Reduces taxable income for certain eligible expenses.
  • Employee Assistance Program (EAP) - The EAP is available to assist employees with personal and work related problems.

For more information on our benefits, please view the Your Benefits AT CCME.

Positions Available

View a list of all available positions. Please note:  To apply online, our job applicant website will open in a new browser. 

If you are an individual with a disability and require an accommodation, please contact our Human Resources Representative at 919-461-5510.

EOE, M/F
Equal Opportunity Employer of protected veterans
Equal Opportunity Employer of individuals with disabilities


NC - Director, Review Programs & Services

The Carolinas Center for Medical Excellence seeks a seasoned, dynamic leader for our Utilization and Quality Review Department. The Director manages existing utilization and quality review contracts, as well as identifies additional state contracting and grant opportunities that support CCME’s mission, vision and goals. The successful candidate will be responsible for developing goals, objectives and measures for all utilization and quality review services; overseeing the operations of contracts within the unit; establishing requirements for current and future staff competencies, certifications and skills; and increasing the business portfolio of utilization and quality review contracts and services. Some travel required within and outside of North Carolina.

Applicants should meet the following requirements:

  • Bachelor’s Degree, Master’s preferred
  • Registered Nurse preferred
  • CPHQ preferred
  • Minimum of ten years related experience in quality and utilization review; experience with public sector (state or federal) preferred
  • Minimum of seven years of supervisory experience
  • Extensive knowledge of the healthcare delivery system
  • Knowledge of utilization and quality review methods and processes
  • Knowledge of quality improvement methodologies
  • Knowledge of federal healthcare programs, especially Medicaid
  • Experience in government relations
  • Excellent communication skills including public speaking and writing

Apply Online at http://thecarolinascenter.applicantstack.com/x/openings


NC - Medical Director Opportunity

The Carolinas Center for Medical Excellence seeks a full time Medical Director to provide clinical expertise and support to operations. This individual will be involved in the startup of a major state Medicaid utilization management contract. He/she will oversee all clinical and medical aspects of the program and participate in client and provider appeals. Most participation in meetings and appeals can be done telephonically, but some travel outside North Carolina will be required.

Applicants should be a licensed MD with 2 or more years of experience in state Medicaid programs with a focus on clinical care processes and outcomes, clinical guidelines, medical economics research, population-based care practices, and provider billing practices.

Please send resume to nterry@thecarolinascenter.org. or contact Nikita Terry at 919-461-5510.


NC - Director of Business Development

In search of a Director of Business Development! The Carolinas Center for Medical Excellence is searching for a leader with the ability to seek out and develop new business opportunities in the health care arena, while maintaining and growing our existing lines of business. The Director identifies contracting and grant opportunities and leads our proposal development process. The successful candidate will have skills in establishing and maintaining relationships with potential partners, subcontractors, stakeholders and customers, to enhance opportunities for business development. Responsibilities include overseeing the proposal development process, performing market research and analysis, evaluating operational issues, and monitoring the internal and external environments for development of new market segments. Some travel is required within and outside of state. Additionally, this position has the possibility to receive incentives!

Applicants should meet the following requirements:

  • Degree in related field; MBA preferred
  • Ten years of marketing and business development experience
  • Seven years of supervisory experience
  • Must have experience in proposal development
  • Experience in government contracting
  • Extensive knowledge of the healthcare delivery system
  • Extensive knowledge or current and potential customers
  • Knowledge of quality improvement methods and models
  • Knowledge of state and federal healthcare programs
  • Excellent communication skills including public speaking and writing
  • Experience with MS Project software

Apply Online at http://thecarolinascenter.applicantstack.com/x/openings


NC or SC - External Quality Review (EQR) Specialist
Cary, NC or Columbia, SC

The Carolinas Center for Medical Excellence seeks EQR Specialists to conduct annual and readiness external quality review activities. The positions conduct review activities for managed care plans, prepaid inpatient health plans and medical homes networks in accordance with State Medicaid policies, federal regulations and CMS protocols. The successful incumbents will maintain professional working relationships with health plans, Medicaid agency contract staff and program leaders; proactively assist with the development of plans and activities to increase EQR contract opportunities; and provide maximum value to the customer. Travel required throughout NC and SC.

Applicants should meet the following requirements:

  • Degree from an accredited college or university in related field with at least 3 years of related experience
  • RN with active nursing license preferred
  • Experience in quality assessment and improvement methodologies
  • Knowledge of MCO and/or PIHP delivery systems and financing
  • Experience with Medicaid populations, programs and policies
  • Experience with Medicaid managed care compliance
  • Excellent communication skills including public speaking and writing
  • Background in behavioral or mental health preferred
  • Knowledge of URAC or NCQA accreditation standards and/or HEDIS certification a plus

Apply Online at http://thecarolinascenter.applicantstack.com/x/openings


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