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: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 positionsHealth Insurance with no premium for employee coverageFlexible Spending Accounts24 days of Paid Time Off (PTO) plus 12 paid holidays in your first yearNC Local Government Retirement Pension (defined-benefit plan)401k with 5% employer match and immediate vestingPublic Service Loan Forgiveness (PSLF) qualifying employerQuarterly stipend for remote work suppliesQualificationsRequired: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; ORAssociate'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; ORBachelor'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; OREquivalent combination of education and experience.Must have a valid driver’s licenseMust 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: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.Deadline for Application: Wednesday September 2, 2026 at 11:59pm.How to ApplyTo 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 dutiesEducation details (degree type, date awarded, institution, field of study)Licensure/certification information, if applicableAfter 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 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.Trillium believes that empowering others begins with supporting our team. We offer our employees:A collaborative, mission-driven work environmentCompetitive benefits and work-from-home options for most positionsOpportunities for professional growth in a diverse inclusive culture
15 days ago