Tailored Care Management Consultant

Trillium Health Resources is hiring a Tailored Care Management Consultant to support the quality, compliance, and performance of its Tailored Care Management provider network. The role provides technical assistance, monitoring, and performance oversight to support provider compliance and continuous improvement in care management service delivery.

Responsibilities

Monitor provider compliance with Tailored Care Management requirements and standards

Provide technical assistance and guidance to provider organizations

Support development and implementation of corrective action plans

Conduct reviews to assess compliance with regulatory, contractual, and accreditation requirements

Collaborate with internal stakeholders to support network performance and quality outcomes

Analyze performance data and recommends improvement strategies

Preferred

Master's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area

Master’s Degree

Benefits

Flexible work schedules available for some positions with management approval.

Work-from-home options available for most positions.

Health Insurance with no premium for employee coverage.

Flexible Spending Accounts.

24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year.

NC Local Government Retirement Pension (defined-benefit plan).

401k with 5% employer match and immediate vesting.

Public Service Loan Forgiveness (PSLF) qualifying employer.

Quarterly stipend for remote work supplies.

Company

Specialty behavioral health and disability care manager in North Carolina

Greenville, North Carolina, USA

https://www.trilliumhealthresources.org/

Founded in 1972

1001-5000 employees

Qualifications

High school diploma or GED and six (6) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting, including experience leading project plans and overseeing deliverables; OR

Associate's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area and four (4) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting, including experience leading project plans and overseeing deliverables; OR

Bachelor's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area and two (2) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting, including experience leading project plans and overseeing deliverables; OR

Equivalent combination of education and experience

Must have a valid driver's license

Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1)

Master's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area

Required skills

Represents the skills you have, click on the tags, Managed Care, Provider Relations, Network Development, Provider Contracting, Valid Driver’s License

Preferred skills

Project Management

Experience

2+ years