Contract Monitoring Coordinator

TRILLIUM HEALTH RESOURCES•Remote in North Carolina, NC, US, NC

8d•$54,106 - $67,210•Remote

About The Position

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. 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, and 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! Trillium Health Resources has a career opening for a Contracts Monitoring Coordinator to join our team! This position is responsible for monitoring contracts with certain providers and contractors in accordance with guidelines set forth within the contract. Monitoring of the contract is also to ensure compliance with the contract, state and federal regulations as well as our agency’s policies and procedures. The position is accountable for contract performance activities for their assigned caseload of providers/contractors. This position will be responsible for maintaining communication with and updating the Associate Vice President of Contracts and the Contracts Manager-Monitoring on legal, regulatory, and other trends and needs, with respect to their caseload. This position is the lead for their assigned caseload and will assist providers as needed in resolving invoicing or other contractual problems including making connections with other Trillium teams. This position facilitates resolution of contractual and operational issues to enhance contract performance.

Requirements

High School Diploma/GED and six (6) years’ experience working in a business, health care or behavioral health care setting or environment where contracts and subcontracts are used extensively to provide services; OR Associate’s degree and four (4) years’ experience working in a business, health care or behavioral health care setting or environment where contracts and subcontracts are used extensively to provide services; OR Bachelor’s degree and two (2) years’ experience working in a business, health care or behavioral health care setting or environment where contracts and subcontracts are used extensively to provide services; OR Equivalent combination of education/experience.
Must have a valid driver’s license
Must reside within North Carolina
Must be able to travel within catchment as required.

Responsibilities

Provide oversight of assigned provider contracts and/or agreements as well as the ongoing contract monitoring of assigned contracts for compliance.
Receive, review, and compile provider reporting to ensure reporting meets the requirements of the contract and participate in annual contract reviews.
Communicate and act as a liaison with assigned providers/contractors regarding problems with contracts and/or payment of contracts.
Perform periodic and specific reviews of metrics in an effort to maximize contract performance and continuous improvement.
Educate providers regarding performance requirements set forth in the contract for program-specific performance measures.