FWIW: Household Meal Applications

Sep 15, 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 and how school meals are reimbursed. In this post, we’ll take a look at household meal applications. 

In North Carolina, there are some schools that participate in the Community Eligibility Provision or CEP (which is also complicated but that’s for a future blog post). CEP provides meals at no cost to all students in the school and families do not have to complete household school meal applications to determine if they are eligible for free or reduced-price meals. Schools that are eligible for CEP have high percentages of students from low-income families. 

Schools that do not participate in CEP send home household applications and some also post them online for families to complete to determine if they are eligible for free or reduced-price meals. Eligibility is based on a number of factors, including household size, federal poverty level, and household income. Based on these figures, families will fall into one of three categories: eligible for reduced-price meals, eligible for free meals, or ineligible for either, meaning students must pay full price for school meals. In 2011, the North Carolina General Assembly passed legislation that provided funding to cover the co-pay amount for reduced-price breakfast. This summer, the General Assembly included funding in the budget to cover the copay for reduced-price school lunches for the 22-23 school year. So families who are eligible for either reduced-price or free school meals based on their household application will be able to eat both breakfast and lunch for free this school year.

It’s important to note that because of the COVID-19 pandemic and federal waivers, families have not had to fill out the household application for the last two years. Schools and school districts across the state are working to communicate the importance of completing the application since some families have never had to do this and others may not know that the waivers have ended and they must submit an application.

The household application is actually more than just a meal application. It benefits students and families in ways that most people don’t know about. The most obvious benefit to students is that the application is used to determine if they are eligible to receive school meals at no cost. Eligible students can also receive discounted fees for the SAT, ACT, and other academic tests, as well as discounted college application fees. Sports and other extracurricular activity fees can also be discounted or even free for students who qualify. Families can also qualify for discounted internet services. All of these benefits are available with just one application! Students also benefit from increased school funding that is based on data from family meal applications. It really is more than just a meal application.  

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