Provider Network Evaluator II-Clinical Quality (Full-time Remote, North Carolina

Alliance Health is a managed care organization (MCO) dedicated to providing public behavioral healthcare for residents in North Carolina, serving over 230,000 Medicaid-eligible individuals across multiple counties, including Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake. As an integral part of the healthcare system, Alliance Health focuses on the delivery of mental health, intellectual/developmental disability, and substance abuse services. With a total service area population exceeding 1.8 million, it emphasizes community-based care and support to improve the health and well-being of the individuals it serves.

The organization aims to be a leader in transforming the provision of whole-person care within the public sector of North Carolina. This is driven by its mission of ensuring effective, user-friendly support and care for its members, encapsulated in their core values of accountability, integrity, collaboration, compassion, dignity, respect, and innovation. Alliance Health manages a network of over 2300 private service providers, ensuring a robust response to community needs. Additionally, it is committed to being an employer of choice with over 800 professional staff, providing them with ample opportunities for growth, satisfaction, and career development. Alliance has also received full URAC accreditation for their Health Network, Health Utilization Management, and Health Call Center, illustrating their commitment to quality in service delivery.