Pay Plan Title: Deputy Chief Medical Officer
Working Title: Vice President of Utilization Management and Benefits
FLSA Status: Exempt
Posting Salary Range: $265,225 - $371,315
Office Location: Remote in Catchment area
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals, and their families strengthen well-being and build foundations for a healthy life.
Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.
At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.
What We’re Looking For:
Trillium Health Resources is seeking a physician to serve as the Vice President of Utilization Management and benefits. This position will provide operational lead and clinical oversight for the functional area of UM/UR for Medicaid, Utilization Management for state dollars, and Innovations Waiver and B3 services. The VP UM Director directly supervises the physical health UM Director and the BH/IDD Utilization Management Director including the Transitions of Care unit and Benefits Unit. This position monitors performance and service delivery, staff productivity, and quality assurance and may develop procedures and recommend policies and procedures for the Chief Medical Officer.
On a typical day you might :
- Oversee physical health and behavioral health service activities in UM
- Develop goals and objectives
- Review processes to ensure members receive necessary medical services
- Oversee staff
- Ensure Trillium meets all contractually required metrics
- Review and analyze reports
Employee Benefits:
Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:
- Flexible Work Schedules
- Health Insurance - no premium for employee coverage
- Flexible Spending Accounts
- Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
- NC Local Government retirement pension, plus 401k with 5% employer match & immediate vesting
- Public Service Loan Forgiveness Qualifying Employer
Qualifications:
Minimum Education: Medical Degree (M.D.) or Doctor of Osteopathy (D.O.) with completion of residency as a psychiatrist or Primary Care Physician
Required Experience: Minimum of five (5) years demonstrated utilization review and management experience in physical health, behavioral health, and IDD benefits; including two (2) years in a managed care organization/environment.
Preferred Experience: Prefer one year of supervisory experience
License/Certification: Must be a M.D. or D.O., with an unrestricted State of North Carolina medical license.
Must have a valid driver’s license
Must reside in North Carolina in order to be considered for remote status.
Deadline for application: Thursday, September 26, 2024 at 11:59 p.m.
To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:
- Employer Name
- Dates of service (month & year)
- Average number of hours worked per week
- Essential duties of the job as related to the position you’re applying for
- Education
- Degree type
- Date degree was awarded
- Institution
- Licensure/certification, if applicable
After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.
The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.
Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.
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