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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
  • 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 Healthy, Wealthy and Wise flyer.

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.

NC - External Quality Review (EQR) Specialist
2 positions available – 1 FT, 1 PT

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

Equal opportunity employer of protected veterans
Equal opportunity employer of individuals with disabilities

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