HEDIS & Performance Specialist

Pay Plan Title: Senior Data Analyst

Working Title: HEDIS & Performance Specialist

FLSA Status: Exempt

Posting Salary Range: $53,045 - $75,361

Office Location: Remote within North Carolina.

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 Senior Data Analyst, HEDIS & Performance Specialist to join our Quality Management (QM) Department. This position conducts data analysis activities for Trillium Health Resources which includes completion of reports in compliance with the DMH and DMA contract requirements, NCQA accreditation, Healthcare Effectiveness data and Information Set (HEDIS) reporting, as well as other external and internal reporting needs. This HEDIS & Performance Specialist supports the day-to-day operations of the QM Department, including managing committee support, data and reports, training, HEDIS measures, and national accreditation.

On a typical day, you might:

• Developing analytical reports, conducting analysis & information synthesis, summarizing and interpreting results, and identifying patterns and trends in data.  
• Ensuring all reports are submitted within assigned deadlines to avoid possible penalties or plans of correction.
• Engaging in activities that support the agencies HEDIS oriented quality improvement program activities.  
• Providing input to manager on each functional area or department's readiness to design and implement NCQA or HEDIS oriented quality improvement activities and identifying knowledge gaps.
• Collaborating with the training department to deliver, develop, and coordinate various training and education for other Trillium employees, members, families, providers or other community stakeholders as necessary or required.

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:

• A remote work option available for most positions
• 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. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education/Experience:
Associate’s degree and four (4) years of experience in data analysis, data reporting, data collection or use of various databases required.

OR

Bachelor’s degree and two (2) years of experience in data analysis, data reporting, data collection or use of various databases required.

OR

Equivalent combination of education/experience.

Preferred Education/Experience:
Prefer a four (4) year degree in Information Technology, Statistics, Analytics, Economics, Mathematics, Business, or the Human Service field (such as Psychology, Social Work, etc.).

Experience in quality improvement activities and HEDIS.

2-4 years working knowledge of Microsoft SQL server, handling large data sets, relational databases, and Microsoft Excel (vlookups, pivot tables, graphs).
 
License/Certification: 
 Must have a valid driver’s license

CSPA, Certified Machine Learning – Specialty (AWS), Predictive Analytics Certificate (SOA), and/or CAHIMS, ITIL v3 or equivalent certifications preferred.  

Location:
 Remote within North Carolina. 
 Must reside in NC to be considered for remote status.

Deadline for application: 4/9/2025 at 11:59 pm  

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
  1. Dates of service (month & year)
  2. Average number of hours worked per week
  3. Essential duties of the job as related to the position you’re applying for
• Education
  1. Degree type
  2. Date degree was awarded
  3. 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.

You will be notified by HR on the status of your application as appropriate.  All applicants will receive a final email when the recruitment cycle for the position has closed.  

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

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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