Pisgah Legal Services (PLS) is a community-based non-profit legal aid agency governed by a local Board of Directors. Located in the Blue Ridge Mountains of Western North Carolina (WNC), Pisgah Legal Services provides free civil legal assistance to low-income people in WNC. The organization currently has offices in Asheville, Brevard, Burnsville, Hendersonville, Highlands-Cashiers, Marshall, Newland, and Rutherfordton. With over 120 dedicated staff, including over 30 attorneys plus program staff, and an active group of 200 volunteer attorneys, the program provides free services to over 20,000 people per year to meet their basic needs, primarily in the poverty law areas of housing, public benefits, domestic violence prevention, health care, immigration, and consumer law.
The North Carolina Medicaid Ombudsman role will:
• Answer inbound calls and online intakes to assist individuals in search of answers/solutions to Medicaid-related health care questions.
• Provide referrals and engage in resolving disputes with Medicaid health insurance plans in English and/or Spanish when applicable.
• Assist with outreach in WNC to educate people about coverage changes and their rights under NC Medicaid;
• Provide referrals to appropriate agencies for applicants and enrollees with grievances, complaints, questions, or need for other Social Determinants of Health;
• Document detailed notes and enter data into a case management system to assist with identifying trends and systemic issues;
• Provide all information and services in a manner that is culturally and linguistically appropriate and ensure accessibility for individuals with disabilities
For more information about this position and how to apply, click here. Salary ranges from $40,533 – $58,666 depending on experience. Additional bilingual language skills that are applicable to this role may qualify for up to an additional $3k upon completing a language assessment test.
The deadline to apply is March 1, 2025.
