Pay Plan Title:Tailored Care Management Consultant
Working Title:Tailored Care Management Consultant
FLSA Status:Exempt
Posting Salary Range:$56,270 - $69,898
Office Location:Remote within Trillium’s catchment area of North Carolina (See requirements section for included counties)
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
A collaborative, mission-driven work environment
Competitive benefits and work-from-home options for most positions
Opportunities for professional growth in a diverse inclusive culture
Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources has a career opening for a Tailored Care Management Consultant to join our team! The Tailored Care Management Consultant supports the quality, compliance, and performance of the 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.
On a typical day, you might:
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.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
Typical working hours: 8:30 am – 5:00 pm; 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
Qualifications
Required:
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 reside within Trillium’s catchment area, which includes the following counties: Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans, Warren, Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, Wilson, Carteret, Craven, Duplin, Jones, Lenior, Onslow, Pender, Sampson, Wayne, Bladen, Brunswick, Columbus, Hoke, Lee, Moore, New Hanover, Robeson, Scotland, Anson, Guilford, Montgomery, Randolph, and Richmond.
Must be able to travel within catchment as required.
Preferred:
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
Employer name, dates of service (month/year), average hours worked per week, and essential job duties
Education details (degree type, date awarded, institution, field of study)
Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
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Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. The organization manages comprehensive services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/developmental disabilities (IDD). Their mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Trillium provides specialized managed care services that enable children to thrive through early intervention and school-based therapies, while supporting adults with severe mental illness to live independently and contribute to their communities.
