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State of North Carolina

Public sector employer delivering state services

Overview

North Carolina State Government employs over 81,000 people across agencies and universities to deliver public services in areas like arts, transportation, IT, environment, public safety, and healthcare. Its offerings are public-sector careers and programs that serve residents and visitors. It differs from private competitors by being a state-run institution with a broad, unified mission and government-funded services, offering benefits and advancement within a public framework. The goal is to provide reliable public services, strengthen communities, grow the economy, invest in public schools, and raise middle-class incomes.

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About State of North Carolina

Simplify's Rating
Why State of North Carolina is rated
B
Rated A on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Company Size

5,001-10,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Raleigh, NC

Founded

1789

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What believers are saying

  • On November 2, 2026, CMS released an initial $100 million Year 2 award.
  • North Carolina already obligated all Year 1 funds, proving execution speed under pressure.
  • The new dashboard increases transparency, improving accountability for employers and contractors statewide.

What critics are saying

  • CMS changed Year 2 funding rules on October 31, 2026, adding federal dependency.
  • H.R. 1 cuts could strip North Carolina tens of billions over ten years.
  • If Medicaid losses overwhelm reforms, rural hospital closures will outpace the transformation program.

What makes State of North Carolina unique

  • North Carolina controls a $213 million rural health transformation platform across six regions.
  • NC ROOTS Hubs coordinate providers, counties, and local priorities statewide since November 2026.
  • The state can move policy, grants, and implementation faster than fragmented health systems.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Holidays
  • Conference Attendance Budget
  • Training Programs
  • Student Loan Assistance
  • Remote Work Options
  • Hybrid Work Options

Company News

South Raleigh News
Nov 2nd, 2026
North Carolina launches dashboard for rural health transformation program projects.

North Carolina launches dashboard for rural health transformation program projects. North Carolina has launched a dashboard tracking projects funded by its Rural Health Transformation Program after receiving new federal support for Year 2 efforts. State leaders say investments aim at improving access and outcomes across more than three million residents living in rural areas. 3h ago Monday, Nov 2 By P. S. Duncan The North Carolina Department of Health and Human Services announced on Nov. 2 the launch of a new dashboard displaying all projects awarded funds in Year 1 of the Rural Health Transformation Program, including details about counties served, committed amounts, and project descriptions. The announcement follows an initial $100 million award from the U.S. Centers for Medicare & Medicaid Services to North Carolina for Year 2 funding under the program. Governor Josh Stein said, "We will continue to put these dollars to work for rural North Carolinians. Every North Carolinian should have access to high-quality health care close to where they live. By investing in the people, services, and technology that rural communities need, we can make it easier for families to get the care they need." In its first year, North Carolina established statewide and regional structures needed for a five-year transformation plan while leveraging proven programs to deliver investments and services quickly into rural areas. The second year is expected to shift focus from planning and start-up toward implementation across the state. More than 3.5 million residents live in rural communities in North Carolina - the second-largest such population nationwide - where challenges include shortages of healthcare providers, hospital closure risk, higher rates of chronic conditions, and disparities in access or outcomes. NC Health and Human Services Secretary Dev Sangvai said, "Our work is rooted in reaching people where they are. In our rural communities, that means using our Rural Health Transformation Program funding to make sure people can get what they need to be healthy close to home. The NCRHTP work is in direct alignment with the department's goal to transform rural health in North Carolina." NC ROOTS Hubs will continue collaborating with providers and organizations at a local level; staff have been assessing needs over recent months ahead of upcoming project funding rounds targeting local healthcare challenges. The federal government established this program so states could improve technology use, strengthen their healthcare workforce, and develop new ways of delivering care over five years; future federal funding depends partly on state progress as well as broader federal decisions. However, officials noted that H.R. 1 - the same law establishing this initiative - also reduces overall federal Medicaid support: projections indicate North Carolina could lose tens of billions of dollars over ten years due to these reductions.

Office of the Governor of North Carolina
Nov 2nd, 2026
State launches new Rural Health Transformation Program dashboard.

State launches new Rural Health Transformation Program dashboard. NC Awarded $100M for Year 2, Funding to Come in Phases The NC Department of Health and Human Services today launched a new dashboard sharing all projects that were awarded Rural Health Transformation Program funds in Year 1, along with the counties served, the amounts committed, and brief descriptions of the work. The announcement comes after the U.S. Centers for Medicare & Medicaid Services (CMS) awarded an initial $100 million to North Carolina for Year 2 Rural Health Transformation Program funding, with additional funding to follow. The program aims to improve health care in rural communities, help people get better care, and maintain rural health services. "We will continue to put these dollars to work for rural North Carolinians," said Governor Josh Stein. "Every North Carolinian should have access to high-quality health care close to where they live. By investing in the people, services, and technology that rural communities need, we can make it easier for families to get the care they need." In the first year of the program, North Carolina built the statewide and regional structure needed to carry out a five-year transformation plan while also leveraging proven programs to get investments and services into rural communities quickly. The second year will build on that foundation, moving more of the work from planning and start-up into implementation throughout the state. More than 3.5 million North Carolinians live in rural communities, giving North Carolina the second-largest rural population in the country. Many rural communities face health care challenges, including insufficient numbers of health care providers, risk of hospital closures, high rates of chronic health conditions, and differences in access to care and health outcomes. The state obligated all funds allocated to North Carolina within the first year of the Rural Health Transformation Program. These investments will strengthen the rural health care workforce, improve technology, and help communities connect people to the care and support they need. NCDHHS recently released an Annual Report highlighting the work of the program for the first year. "Our work is rooted in reaching people where they are," said NC Health and Human Services Secretary Dev Sangvai. "In our rural communities, that means using our Rural Health Transformation Program funding to make sure people can get what they need to be healthy close to home. The NCRHTP work is in direct alignment with the department's goal to transform rural health in North Carolina." NC ROOTS Hubs will continue to help carry out the work on the ground in rural communities. Over the past four months, Hub staff have worked with health care providers, community organizations, and residents to assess needs and identify priorities in each region. NC ROOTS Hubs will soon begin funding projects and creating new opportunities for rural providers and community organizations that best address local challenges in health care access and delivery. During the four months allotted for implementation of Year 1 programming, North Carolina: * Built regional infrastructure: Established NC ROOTS Hub Leads serving six regions across the state. Hubs formed regional governing bodies, convened partners, and completed needs assessments to guide local priorities. * Expanded opioid treatment: Invested $10 million in 39 local EMS agencies to help paramedics start medication treatment for opioid use disorder, connect patients to ongoing care, and provide support in their homes. * Expanded behavioral health care: Increased access to telehealth treatment and support for young adults experiencing a first episode of psychosis. Announced funding to expand school-based health centers, bringing critical health care directly to students in rural North Carolina. * Expanded diabetes prevention: Brought an evidence-based diabetes prevention program to 18 southeastern counties to help people at high risk prevent or delay type 2 diabetes. Information about funding opportunities for NCRHTP can be found on the grant opportunities website. For the latest updates on NC's Rural Health Transformation Program and additional engagement opportunities, sign up for the NCRHTP newsletter. The federal government created the Rural Health Transformation Program to help states improve health care in rural communities. States can use the funding to improve technology, strengthen the health care workforce, and develop new ways to provide care. In the first year, North Carolina was awarded more than $213 million. The federal program will provide funding for five years, with future funding based in part on state progress and federal funding decisions. North Carolina is maximizing the funding awarded by the Rural Health Transformation Program. However, the same federal law that created the program, H.R. 1, also reduces federal Medicaid funding to states. North Carolina is projected to lose tens of billions of dollars for health care over the next 10 years as a result. Stevens Amendment Disclosure: This press release is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $213,008,356.47 with 100% funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS or the U.S. Government. Related topics:

EducationNC
Oct 22nd, 2026
NC announces $17 million in federal funds to improve rural mental health services.

NC announces $17 million in federal funds to improve rural mental health services. October 22, 2026 Gov. Josh Stein and the North Carolina Department of Health and Human Services (NCDHHS) announced funding earlier this month for "investments to improve mental health services" through the state's Rural Health Transformation Program, totaling more than $17 million, according to a press release. This funding is a part of the $213 million awarded for the 2026-27 fiscal year to NCDHHS by the U.S. Centers for Medicare & Medicaid Services in order to carry out the first year of Rural Health Transformation Program. According to NCDHHS, North Carolina has the second-largest rural population in the U.S., and the program is designed to improve the health outcomes of over 3.5 million North Carolinians who live in rural communities, including through the expansion of behavioral healthcare and substance use services. "Every North Carolinian deserves the opportunity to live a healthy and fulfilling life," Stein said in the release. "Nearly 1.5 million North Carolinians struggle with mental health issues, and too many people in rural areas cannot access the care they need. These investments will connect more families to high-quality care in their communities." NCDHHS Secretary Dev Sangvai emphasized the importance of the department's mission of "addressing whole-person well-being," acknowledging that mental health is an inseparable part of health. "There is no health without mental health," he said in the release. "Our goal is to build a comprehensive system that delivers high-quality services to residents no matter where they live. These initiatives expand access to care and support whole-person well-being, directly advancing the NCDHHS mission to provide essential services that improve the health, safety, and well-being of all North Carolinians while developing a sustainable healthcare workforce for the future." According to the release, the $17 million will fund the following initiatives: * $4 million for Certified Community Behavioral Health Clinics * $3 million to expand Medications for Opioid Use Disorder Access * $4 million to expand Mobile Outreach, Response, Engagement, and Stabilization teams * $3 million for Coordinated Specialty Care for First-Episode Psychosis response * $2.9 million to establish regional Rural Crisis Partnerships * $800,000 to expand NC MATTERS You can read more about each of these initiatives here. More on the Rural Health Transformation Program. by Chantal Brown | September 15, 2026 by Sophia Luna | January 22, 2026 Programs for children and youth. The investment in rural mental health programs will help many children - but the $3 million for Coordinated Specialty Care (CSC) for First-Episode Psychosis response is a service specifically designed for young people. According to the press release, "CSC is a team-based, early intervention for young people experiencing early psychosis." A 2022 report to the legislature from NCDHHS on First Psychotic Symptom Treatment said, "Untreated psychosis increases a person's risk for suicide, involuntary emergency care, and poor clinical outcomes." However, research has found that early intervention through a CSC program "can alter the illness trajectory and enable individuals experiencing First-Episode Psychosis to live in community settings and participate fully in family and community life." While a young person's first episode of psychosis is often jarring for many families, the treatment the program provides can alleviate some of the stress, according to Kelly Crosbie, NCDHHS assistant secretary for mental health. During the NC Chamber's Business Summit on Mental Health in May, she said the results of the program so far are "tremendous." "These young people are getting the treatment they need, the right medication after their first hospitalization that scared the Jesus out of all of you," said Crosbie. "Families are getting the support they need." According to the October press release, the Rural Health Transformation Program will implement a "rural adaptation" of CSC that will that will include a "Hub & Spoke Model that incorporates tele-psychiatry with community-based teams to reduce geographic barriers." The implementation of CSC in rural communities is projected to help reduce the "number of children staying overnight in emergency departments by 8% to 10% each year through 2031," the release says.

Spot On North Carolina
Oct 13th, 2026
NC launches Fuel Check as 41-cent gas tax suspension takes effect.

NC launches Fuel Check as 41-cent gas tax suspension takes effect. RALEIGH - North Carolina Attorney General Jeff Jackson has launched a new reporting system aimed at making sure drivers receive savings from the state's tempora |!| Raleigh New Ber...

Business Wire
Jul 29th, 2026
flyExclusive secures $30M North Carolina grant to expand maintenance facilities and launch pilot training centre

flyExclusive has secured a $30 million grant from North Carolina to expand its maintenance operations and build a pilot training facility at the North Carolina Global TransPark in Kinston. The project is expected to create over 100 aviation jobs in Lenoir County. The new facility will enable the company to bring in-house more than $5 million in annual pilot training costs currently spent outside the state, alongside 8,000 hotel room nights yearly. The expansion will also allow flyExclusive to complete more of its $75 million annual maintenance spend internally. The funding was authorised under Senate Bill 257, signed into law on 7 July 2026. The North Carolina Global TransPark Authority will own the facility, which flyExclusive will operate under a long-term lease. The company will contribute additional private investment alongside the state grant.

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