Provider Network Evaluator I-HCBS (Full-time Remote, Wake, Johnston, Harnett, and Cumberland Counties, North Carolina Based)

The Provider Network Evaluator I-HCBS works as part of the Provider Network Evaluation (PNE) Department on the Home and Community Based Services (HCBS) team. Home and Community Based Services provide opportunities for Medicaid beneficiaries to receive services in their own home or in community settings instead of institutional settings.

The Home and Community Based Services team is responsible for conducting reviews of Unlicensed Alternatives to Family Living placements for Alliance members, and reviews of member self-directed services (Employee of Record) as described in CCP8P, Attachment H, and service delivery under 1915(i) waiver. The PNE I-HCBS will also be involved in ensuring that HCBS final rule requirements are followed, to include ensuring validation of agency self-assessments an