Clearance LevelNoneCategoryMedical AffairsLocationRaleigh, North CarolinaHybrid Workplace
Requisition Type: Regular
Your Impact
Own your opportunity to work alongside federal civilian agencies. Make an impact by providing services that help the government ensure the well being of U.S. citizens.
Job Description
Job Title: Optician
We are GDIT. We support and secure some of the most complex government, defense, and intelligence projects across the country. At GDIT, cyber security is not just a singular part of our mission—it connects every one of us because it’s embedded into every aspect of what we do.
GDIT is your place. You make it your own by bringing your ideas and unique perspective to our culture. By owning your opportunity at GDIT, you are helping us ensure today is safe and tomorrow is smarter. Our work depends on an optician joining our team to support the NCMMIS program activities in Raleigh North Carolina.
At GDIT, people are our differentiator. As a optician supporting the NCMMIS Program, you will be trusted to review and provide expert analysis of PA requests of visual aid services. Request submitted are from providers of services to North Carolina Medicaid beneficiaries. The optician will be responsible for determining the medical necessity of requested services by following the NC Division of Health Benefits Clinical Coverage Policy and by following GDIT contractual administrative services agreements. The GDIT contractual administrative services include representing PA denials in mediations and at Appeal Court Hearings.
- Collaborating with NC Division of Health Benefits to solve North Carolina Medicaid beneficiaries needs
- Review and attend optical appeals and mediations
- Review complex cases within NCTracks
- Respond to second level provider questions
- Your success will be measured through closing out mediations and complex cases appropriately and within defined timelines
- Licensed in the state of North Carolina as an Optician.
- Required Experience: 3+ years of related experience
- Required Technical Skills: Knowledge of Microsoft word, excel, and other basic computer skills
- Required Skills and Abilities: Excellent communication and problem solving skills
- Location: Remote with onsite initial training
- US Citizenship Required
GDIT IS YOUR PLACE:
- Internal mobility team dedicated to helping you own your career
- Diverse, highly collaborative teams
- Professional development and training opportunities