Senior Financial Analyst

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

6d•$67,524 - $83,101•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 Senior Financial Analyst to join our team. The Senior Financial Analyst provides financial analysis, auditing, and operational oversight functions related to provider claims payments and check write processes. This position is responsible for reviewing and analyzing claims payment activity, monitoring financial transactions, validating payment accuracy, and ensuring compliance with established policies, procedures, and regulatory requirements. The Senior Financial Analyst performs detailed analysis of claims payment data, credit memos, recoupments, hardship repayments, levy withholdings, and provider payment activity to ensure the integrity of financial reporting and payment processing. This role works closely with Claims, Information Technology, Provider Relations, and Finance teams to research payment discrepancies, identify process improvements, and support the timely and accurate distribution of provider payments. The position is responsible for preparing financial reports, payment reconciliations, and operational analyses that support decision-making and strengthen internal controls within the claims payment system. The Senior Financial Analyst also assists with testing system enhancements, validating claims payment calculations, monitoring check write activity, and developing reporting tools to improve financial oversight and operational efficiency. The employee is expected to work independently within established procedures, exercise sound judgment when analyzing payment-related issues, and provide recommendations to leadership regarding financial impacts, payment processing trends, and operational improvements.

Requirements

High School Diploma/GED and six (6) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; OR Associate’s degree and four (4) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; OR Bachelor’s degree and two (2) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; 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.

Nice To Haves

Bachelor’s degree in Accounting, Finance, or Business.
At least two (2) years in public accounting or four (4) years in accounting role(s) in the private or public sector.
Certified Public Accountant (CPA) license or in active pursuit of certification.
Experience with healthcare claims payment processing, provider payment operations, financial reconciliations, and Microsoft Dynamics 365 or a similar financial system.

Responsibilities

Review and analyze weekly provider check write activity for accuracy and completeness.
Monitor and reconcile claims payments, credit memos, recoupments, hardships, levies, and payment adjustments.
Research and resolve claims payment discrepancies and out-of-balance conditions.
Perform financial analysis of claims payment trends and provider payment activity.
Prepare and present claims payment summaries and financial reports to leadership.
Validate payment files, EFT transactions, remittance advice (RA), and 835 files prior to distribution.
Collaborate with Claims, IT, and operational teams to test and implement system enhancements.
Develop and maintain reporting tools, dashboards, and reconciliations supporting claims payment operations.
Ensure compliance with accounting standards, internal controls, and regulatory requirements related to provider payments.
Support audits, financial reviews, and special projects involving claims payment processing and financial operations.