New

Incident Investigator

Spectraforce Technologies

$70,100-$126,200

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Apr 21, 2026

Position Title: Incident Investigator

Work Location: Remote

Assignment Duration: 6 months (Possibility to extend or convert )

Work Arrangement: Remote

Work Schedule: Mon-Fri 8am-5pm EST - No OT unless needed - No weekends / holidays

Training Schedule : Mon-Fri 8am-5pm EST - about 4 weeks to complete all training - 1on1 and classroom - NO TIME OFF DURING TRAINING

FTE Salary Conversion Band

$70,100-$126,200

Position Summary:

This role will be responsible for the development, implementation, resolution and oversight of waiver incident reporting at member level and organizational level. The primary functions will include waiver incident reporting education, incident reporting, incident investigation, incident processing and closure. This position ensures our organization's compliance with our Three-Way and Provider Contract along with the Ohio Administrative Code and CMS regulations delegated to our organization through the MyCare Ohio Waiver administered through the MMP in Ohio and other required Incident Reporting in Medical Management as outlined our MCO/MCOP Provider Agreements. The MyCare Ohio Waiver is a 1915 c waiver approved by CMS for Ohio.

Note:

Candidates can reside anywhere but must have knowledge of Ohio's MyCare Waiver WITH OH LICENSE

Education/Certification	Required: degree required in a field of Nursing, Social Work and/or Counseling.	Preferred:
Licensure	Required: RN, LSW, LISW, LPC or LPCC	Preferred:
Years of experience required: 5 years experience in field of licensure with clinical experience/knowledge. Must have knowledge of Ohio's MyCare, Medicaid products & Ohio's incident reporting process Disqualifiers: Additional qualities to look for: Learns quickly, accountable for own actions, team player, but able to thrive independently. (managed care is a plus).
Top 3 must-have hard skills stack-ranked by importance	1	Critical thinking skills & ability to work independently
2	Adequate with Excel, Word, teams and outlook
3	Ability to move quickly through programs / TECH SAVVY