Tailored Care Management Consultant

TRILLIUM HEALTH RESOURCES•Singapore,

12h•$56,270 - $69,898•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 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.

Requirements

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.

Nice To Haves

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.

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.