2024 Election Results

Nov 7, 2024

Position Title: Health Access Manager

Reports To: Executive Director

Status: Full-time, exempt

Location: North Carolina: hybrid/remote with statewide travel

Hiring Salary Range: $62,000–$68,000

Supervisory responsibilities: None currently

About the North Carolina Alliance for Health

The North Carolina Alliance for Health brings together community voices, bipartisan leaders, businesses, and partners across the state to advance practical policy solutions grounded in local experience and designed for statewide impact. Together, we improve health outcomes while reducing long-term healthcare costs, expanding access to care, strengthening the workforce, and helping communities thrive. 

About the Role

As federal funding cuts and policy shifts threaten public health and Medicaid coverage, the North Carolina Alliance for Health (NCAH) is committed to fighting for North Carolinians’ continued access to affordable care. In alignment with NCAH’s commitment to public health and ensuring health access for all, the Health Access Manager will lead and coordinate Keeping NC Medicaid Strong – a statewide coalition focused on protecting and advancing Medicaid in North Carolina.

This role requires strong skills in coalition management, stakeholder communications, and policy analysis. The ideal candidate is a strategic thinker, a skilled communicator, and committed to access to care in North Carolina.

Key Responsibilities

  • Coalition Management & Leadership

    • Manage NCAH’s health access portfolio, with a primary focus on Medicaid policy and related public health issues. 
    • Convene and grow a diverse coalition of organizations, advocates, and community partners.
    • Facilitate Keeping NC Medicaid Strong coalition meetings by setting agendas, supporting discussions, and ensuring follow-through on action items.
    • Work with the Executive Director to build and maintain relationships with key stakeholders, including advocacy groups and community leaders.
    • Manage project timelines, budgets, deliverables, and grant requirements; identify risks and recommend adjustments to keep work on track. 
    • Engage Medicaid beneficiaries, grassroots organizations, and communities most affected by health access barriers in campaign planning, messaging, and advocacy. 

 

  • Policy & Legislative Work

    • Monitor and analyze federal and state policy developments affecting Medicaid and health access; advise leadership on emerging opportunities and threats.
    • Draft policy briefs, talking points, and testimony targeted to a variety of audiences.
    • Represent the coalition with media and relevant public forums.
    • Work closely with the Executive Director to influence policy outcomes.

  • Advocacy & Campaigns

    • Implement advocacy campaigns, including grassroots mobilization and digital outreach.
    • Prepare coalition members for legislative meetings, press events, and other advocacy opportunities.
    • Track campaign progress and report on outcomes to the coalition and funders.

  • Communications & External Relations

    • Serve as a representative for NCAH’s healthcare access work in meetings with key stakeholders, funders, and the media, providing timely updates, reporting recent developments, and sharing relevant information.
    • Translate complex Medicaid and healthcare policy issues into clear, compelling messages for diverse audiences.
    • Collaborate with the communications team to draft fact sheets, advocacy toolkits, talking points, and digital content.
    • Support coalition members in amplifying unified messaging.

  • Organizational Management

    • Work with the Executive Director to support Medicaid-related grants, including budget tracking, deliverable management, and funder reporting.
    • Ensure projects are executed effectively, on time, and in alignment with NCAH’s strategic goals.
    • Contribute to funding proposals, funder cultivation, grant reports, and sustainability planning for NCAH’s health access portfolio. 
    • Develop annual goals, strategies, work plans, and performance measures for NCAH’s health access portfolio in collaboration with the full team.
    • Establish and track campaign goals, performance indicators, partner engagement, policy progress, and outcomes; use findings to improve strategy and support funder reporting.
  • Team Participation & Collaboration
  • Work closely with NCAH staff, consultants, and coalition partners to align strategies and coordinate communications.

    • Uphold NCAH's mission, vision, and values in your daily work.
    • Foster a collaborative, inclusive team culture that values diverse perspectives and lived experiences.
    • Support colleagues across projects by contributing expertise in policy, advocacy, and coalition management.

 

Qualifications

  • Minimum two to four years of health policy advocacy or NC Medicaid program experience.
  • Strong project-management skills, including the ability to manage multiple deadlines, budgets, and deliverables.
  • Familiarity with the North Carolina General Assembly, state agencies, and state policymaking processes.
  • Demonstrated ability to facilitate diverse groups, navigate differing perspectives, and build consensus.
  • Commitment to racial, geographic, disability, and economic equity.
  • Ability to work independently and adapt to rapidly changing policy conditions.
  • Willingness to travel within North Carolina and occasionally work outside regular business hours.

 

How to Apply: To apply, send your resume and cover letter to admin@ncallianceforhealth.org by September 4, 2026.

FEDERAL
President

North Carolina was one of the battleground states for control of the presidency and, once again, Republican Donald Trump won the state by a safe margin of 50.95% to 47.56%. He appears to have outperformed many of his key suburban/rural districts by at least a point or more compared to 2020, while Democrat Kamala Harris underperformed in a similar fashion compared to President Joe Biden in 2020.

U.S. House
Not surprisingly, there was only one close US Congressional race - US House District 1. Democrat Congressman Don Davis was able to fend off Republican challenger Laurie Buckhout. All other races were decided during the primary. North Carolina Republicans now hold 10 US House seats and Democrats hold 4. For full results, click here.

STATE
Council of State
A result very typical of our purple state, the Council of State races went 50/50 between Republicans and Democrats. As expected, Democrat Josh Stein easily defeated Republican Mark Robinson with an almost 15% margin (one of the largest in several decades). Democrats also did well in the closer races of Lt. Governor (Rachel Hunt defeated Hal Weatherman), Attorney General (Jeff Jackson winning by 3 percentage points against Dan Bishop), Superintendent of Public Instruction (Mo Green succeeded over Michele Morrow in what was a closer race than many initially anticipated), and Secretary of State (long-time incumbent Elaine Marshall won a closer than normal race against Chad Brown).

Republicans succeeded in keeping incumbents in the Commissioner of Insurance (Mike Causey) and Commissioner of Agriculture (Steve Troxler) races. Republican newcomers won the open races for Auditor (Dave Boliek), Commissioner of Labor (Luke Farley), and Treasurer (Brad Briner)

NC General Assembly
The Republicans will retain a comfortable majority in the NC General Assembly, growing the supermajority in the Senate by an additional seat (now holding a 31-19 supermajority) and falling one seat short of a veto-proof majority in the House (now holding a 71-49 majority). Both chambers will see recounts in two close races, one Democratic and one Republican.

 

Thanks to our lobbyists Brubaker & Associates and McGuireWoods for these summaries.

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