Catch up on… Access to Healthy Foods

Apr 4, 2022

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.

2020 and 2021 were big years for access to healthy foods—in both the need and the supports provided. Let’s do a quick run down!

  • Beginning in 2020, the USDA provided dozens of waivers to child nutrition programs, allowing them to serve meals that varied slightly from the meal pattern, had a higher reimbursement, and, perhaps most importantly, allowed them to serve all children at no cost. Those waivers are currently set to expire and we anticipate the perfect storm. Our food insecurity rates are still above pre-pandemic levels, economic growth is trudging along, and the costs of producing a school meal are already exceeding the higher reimbursement provided by the waivers.
  • The budget included statutory changes to limit the amount of indirect costs districts can charge SNPs! For many, many years, School Nutrition Programs (SNPs) have paid significant rates of indirect costs to the districts, sometimes reaching as high as 18% of their unrestricted funds. Many times, these indirect costs have affected the fiscal solvency of the programs and required districts to pay funds back to the programs to balance their budgets.
  • The budget included $40 million in nonrecurring funds for the North Carolina Feeding the Carolinas food banks. The budget also provided $10 million to support community organizations in partnership with food banks.
  • The budget included $2 million in nonrecurring funds for FarmsSHARE! This amazing program was born out of the pandemic and is run by our friends at Carolina Farm Stewardship Association. It provides locally sourced food boxes to families who would benefit from these resources.
  • The budget included $62,500 in nonrecurring funds to support the Safe Plates Program at NC State in developing a set of standard operating procedures and trainings for unserved prepared food recovery across the state. This funding will help create consistency and clarify the regulations around recapturing unserved prepared food, allowing more programs across the state to utilize this method to reduce food insecurity and food waste. This need was originally identified by the local food councils who are involved in network of NC food councils supported by Community Food Strategies. 

And that brings us to 2022. Waivers are currently scheduled to end and the state level policy changes in the last few years are coming into their first year of actual implementation. Where does that take us? 

First, it’s critical that we protect the state level changes and continue to advance schools being hunger free places for children. At the same time, we need to ensure the newest policy changes work for SNPs. Do these changes  help make them more sustainable and more able to fulfill their mission?

Here’s a quick review of our policy priorities for 2022:

  • Promote policies that increase access to healthy food in schools and childcare centers
  • Support policies that prioritize healthy, local food within the Healthy Opportunities pilots
  • Support the retention of COVID flexibilities for SNAP, WIC, CACFP, and other programs
  • Support policies that increase the capacity of food hubs across the state

Finally, we also need to ensure our state maximizes federal reimbursements for school meals and support our partners in the federal policy space as Build Back Better is revisited and Child Nutrition Reauthorization starts.

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