Chief Operating Officer

State of North Carolina•1915 Health Services Way Wake, NC

6d•$150,000 - $185,000•Onsite

About The Position

The Chief Operating Officer (COO) for the North Carolina Medicaid program is a key executive leader responsible for overseeing the operational strategy, performance, and administration of one of the largest health programs in the state. The COO ensures that Medicaid operations are efficient, compliant, data‑driven, and aligned with departmental goals, federal and state regulations, and the needs of beneficiaries, providers, and partners. This role leads cross‑functional teams to drive operational excellence, system modernization, and continuous improvement across the program.

Requirements

Bachelor’s degree in Business Administration, Public Administration, Healthcare Administration, or other discipline related to the area of assignment and five years of related operations management and leadership experience, including three years of supervisory/management experience; or equivalent combination of training and experience.
Degrees must be from appropriately accredited colleges or universities.

Nice To Haves

Deep understanding of Medicaid operations, regulatory requirements, and health system delivery.
Strong operational management skills, including process improvement, performance measurement, and risk management.
Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders.
Excellent oral and written communication skills.
Proven ability to establish and articulate a vision, set goals, develop and execute strategies, and track and measure results.