Substance Use Disorder Policy Consultant

Dept of Health and Human Services

HEALTH BENEFITS

Human Services Program Consultant III (NS)

60042690

NC16

The Substance Use Disorder (SUD) Policy Consultant serves within the Mental Health and Substance Use Disorder Clinical Policy Section and supports the planning and development of Medicaid SUD clinical coverage policies and State Plan Amendments for adolescent and adult beneficiaries.

The SUD Policy Consultant provides regulatory oversight of SUD services by monitoring clinical quality, ensuring compliance with state and federal policy requirements, and guiding the development of coverage policies. The consultant collaborates with internal and external stakeholders, including other divisions, to advance high‑quality behavioral health services across North Carolina.

The consultant contributes subject‑matter expertise throughout the policy development process to advance the implementation and delivery of high‑quality behavioral health services. This role operates under the supervision of the Behavioral Health Policy Manager.


Key Duties Include:
– Develop and implement Medicaid SUD clinical coverage policies and State Plan Amendments for adolescent and adult beneficiary populations.

– Plan and support policy development activities by researching requirements and interpreting guidance related to SUD treatment and service delivery.

– Monitor the clinical quality of SUD services delivered by providers and health plans to ensure compliance with federal and state regulations.

– Conduct regulatory oversight activities to verify that SUD services adhere to applicable policy standards and program expectations.

– Collaborate with internal divisions, external partners, and stakeholders to inform the development, and implementation of SUD policies and State Plan provisions.

– Analyze service data, regulatory, and program requirements to guide updates and improvements to Medicaid coverage policies.

– Review SUD‑related program information and service models to assess policy alignment and inform decision‑making.

– Document policy development processes and maintain accurate records to support compliance and program transparency.

– Provide expertise on SUD service delivery considerations to ensure policies promote consistent, high‑quality behavioral health care statewide.

Bachelor's degree in a discipline relative to the program area from an appropriately accredited institution and six years of relatedexperience

An equivalent combination of education and experience.

Tresha Walker