FWIW: Community Eligibility Provision

Sep 22, 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.

For what it’s worth (FWIW), we believe that school meals are one of the most essential parts of the school day and that every child in every public school in the state should be able to eat school meals at no cost. But (disclaimer), the school meals program is extremely complicated. In our FWIW blog series, we will attempt to break down the intricacies and confusion around school meals and hopefully shed light on the “worth” of school meals. We’ve looked at how school meals are funded, how school meals are reimbursed, and the household meal application.  In this post, we’ll take a look at the Community Eligibility Provision (CEP). 

In North Carolina and across the country, some schools participate in the Community Eligibility Provision (CEP). CEP is a meal service option that allows eligible schools, school districts, or groups of schools to provide breakfast and lunch at no cost to all students in the school. The goal is of CEP is to ensure access to nutritious school meals in high poverty communities.

Schools, school districts, or groups of school that want to participate in CEP have to be eligible.  Eligibilityis determined by an Identified Student Percentage (ISP) of 40% or higher, which equates to 65-70% of students being eligible for free or reduced-price meals. Schools use what’s known as direct certification to determine their ISP. Direct certification is achieved by data-matching households that receive the Supplemental Nutrition Assistance (SNAP), Temporary Assistance for Needy Families (TANF), Medicaid, and children who are certified for free meals without the family meal application because they are homeless, migrant, enrolled in Head Start, or in foster care. Because school districts and schools participating in CEP use direct certification to determine their identified student percentage (ISP), they no longer have to collect meal applications each year from students and families to provide meals at no cost to all students.

As you can imagine, there are a lot of schools in North Carolina that are eligible to participate in CEP. Some schools choose not to participate in CEP because the numbers don’t work out. It sounds crazy, but remember back to our posts on how school meals are funded and how they are reimbursed? It was complicated, right? Same thing with CEP. The meals actually served get reimbursed at either the reduced-meal price or the free meal price based on the identified student percentage (ISP). Some schools aren’t able to stay in the black because the reimbursements they receive don’t cover the cost of operating the school nutrition program. Those schools typically choose not to participate in CEP even if they are eligible. Another reason a  school or district might not participate is that they don’t fully understand CEP or they assume the numbers won’t work for them. 

The final numbers for how many schools in NC are participating in CEP this school year aren’t in yet. The CEP application process was one federal waiver that did get extended to allow schools and districts more time to apply. We did some of our own quick research and found that there is definitely an increase in schools participating in CEP this school year and that makes us very excited. It means more students in the state have access to school meals at no cost.

Additionally, the proposed federal Healthy Meals, Healthy Kids Act could make CEP an option for more schools and ensure that more students across North Carolina have access to school meals at no cost. This proposed legislation would increase the amount of meal reimbursements, lower the identified student percentage to be eligible for CEP, and create a state-wide option for CEP. If this legislation were to pass, it would be a game changer for CEP and school nutrition programs across the country. 

School meals matter and participation in CEP has been shown to have a positive impact on students. For what it’s worth, we believe that school meals for all are crucial to student success in North Carolina.

Other Posts

North Carolina Alliance for Health Applauds Health and Nutrition Investments in State Budget

Progress made on Medicaid, food security, and healthy opportunities while shifting SNAP costs to counties.The North Carolina Alliance for Health welcomes key investments included in North Carolina’s FY 2026-27 budget, recognizing the work of legislative leaders in...

North Carolina is Stronger with SNAP

For over 1.4 million North Carolinians, SNAP is more than just a program—it’s a vital lifeline. SNAP helps put nutritious food on the table for children, seniors, veterans, people with disabilities, and hard-working families across our state. When our neighbors can afford groceries, our whole community benefits.

Congress Can Act Now Before SNAP Cost Shares Wreck State Budgets 

Kate Hanson, Founder and Executive Director, Meals4Families What Is SNAP? SNAP (Supplemental Nutrition Assistance Program) helps individuals and families with low income or no income afford groceries. It is our nation’s largest anti-hunger program, supporting tens of...

Take Action-Protect Youth from Vaping and Nicotine

Youth vaping is an epidemic and North Carolina is one of the few states without a tobacco retailer permit system or an aligned age-21 sales law. Solly’s Law (HB 430/SB 318) would change that—ensuring stronger protections for our kids. This bill honors Solomon “Solly”...

NCAH Update

On January 6, 2025, Abby Carter Emanuelson will become the next executive director of the North Carolina Alliance for Health. Abby’s skills, expertise, and deep commitment to NCAH’s mission, vision, and values make her the ideal leader to guide NCAH into its next...

2024 Election Results

FEDERALPresidentNorth 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...

Resources for Communities Impacted by Hurricane Helene

We are deeply saddened by the devastation caused by Hurricane Helene across North Carolina. Many of our communities are facing devastating and significant challenges in the storm's aftermath. In this difficult time, we want to share some resources that may provide...

NCAH Statement on S527

Surprise Amendment to ABC Omnibus Bill (S527) Creates Dangerous New Exemption to North Carolina Smoke-Free Law A Statement by Morgan Wittman Gramann, Executive Director, North Carolina Alliance for Health Today, the North Carolina General Assembly passed dangerous...

Short Session Begins

Things change quickly on Jones Street. A few days ago, you may have heard us say that we expected short session to be short. Then the revenue forecast was updated. The State has $1.4 billion more than expected, and, as the saying goes, more money, more problems, and a...

New grants will help public schools provide nutritious school breakfast to more children to support their health, development and learning

Governor Cooper Directs $1.4 Million to Expand School Breakfast Programs New grants will help public schools provide nutritious school breakfast to more children to support their health, development and learning RALEIGH: Today, Governor Roy Cooper announced that he is...

Translate »