Provider Network Evaluator I-HCBS (Full-time Remote, Wake County North Carolina Based)

The Provider Network Evaluator I-HCBS works within the Provider Network Evaluation Department to conduct reviews and ensure compliance for Home and Community Based Services (HCBS) placements, including Unlicensed Alternatives to Family Living and member self-directed services. This remote role requires weekly travel to conduct on-site reviews and monitoring in Wake County, North Carolina, while validating service sites and addressing compliance issues. The position involves collaborating with providers, care coordinators, and other stakeholders to maintain regulatory standards and support Medicaid beneficiaries.