Provider Data Management (PDM) Coordinator
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 Health Resources has a career opening for a Provider Data Management (PDM) Coordinator to join our team! The PDM Unit is responsible for and focused on the management of Provider Data. This includes processing daily provider data, monitoring the Provider Enrollment File (PEF), conducting crosswalk analyses between the Provider Electronic Data (PED), PEF, NC Tracks, other state systems, and information located in Trillium Business Systems (TBS), reconciling data inaccuracies, mapping provider data, identifying trends and patterns in data, auditing data, adhering to reporting requirements and conducting provider outreach and technical assistance. The PDM Coordinator is responsible for providing data analysis and providing support to the PDM Unit.
Requirements
- High School Diploma/GED and six (6) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases, OR
- Associate’s degree in a Mathematical, Technology, Business, Healthcare Administration, Human Service field, or other data related degree program and four (4) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases, OR
- Bachelor’s degree in a Mathematical, Technology, Business, Healthcare Administration, Human Service field, or other data related degree program and two (2) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases, OR
- Equivalent combination of higher education/experience.
- Must have a valid driver’s license
- Must reside in North Carolina
- Must be able to travel within catchment as required.
Responsibilities
- Assists with developing network adequacy analytical reports.
- Ensure all assigned project components are completed in a timely manner.
- Work with Network Accountability Unit, Contracting Unit, IT, and additional partners to identify and correct Provider Directory issues.
- Review daily files and makes determinations regarding how changes noted affect contracts, member access, service delivery, etc.
- Provide technical assistance to providers regarding Provider Data Reports, NC Tracks data, or Trillium’s Business System as related to PDM functions.
- Ensure that data is presented in a user-friendly format.
- Assist with processing daily files as needed.
Benefits
- Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles 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) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook [https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook]
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
251-500 employees
