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Provider Data Management (PDM) Support Specialist

Roles & Responsibilities

  • High school diploma or GED with at least 1 year of credentialing and/or healthcare record management or medical billing experience, or an equivalent combination of higher education and experience.
  • Must reside within North Carolina.
  • Must have a valid driver's license and be able to travel within the catchment as required.
  • Preferred: Associate degree or experience in medical office management and medical terminology training.

Requirements:

  • Process confidential and complex information with discretion and professionalism.
  • Prepare, process, and review oral and written material.
  • Review provider data in the Provider Enrollment File (PEF) and NC Tracks for accuracy and completeness, and make corrections as required.
  • Review PEF change reports daily to ensure consistency and make corrections as needed.

Job description

Pay Plan Title: Support Specialist

Working Title: Provider Data Management (PDM) Support Specialist 

FLSA Status: Non-Exempt

Posting Salary Range: $39,900 - $50,673

Office Location: Remote within North Carolina


POSTING DETAILS:


Make an Impact


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.


Why Work for Us


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
  • 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!


What We’re Looking For


Trillium Health Resources has a career opening for a Provider Data Management (PDM) Support Specialist to join our team! The PDM Support Specialist is responsible for providing guidance and support to the PDM Unit. The PDM Unit is responsible and focused on the management of Provider Data. This includes processing daily provider data, monitoring the Provider Enrollment File (PEF), conducting crosswalk analyses between the Provider Electronic Data (PED), PEF, NC Tracks, other state systems, and information located in Trillium Business Systems (TBS), reconciling data inaccuracies, mapping provider data, identifying trends and patterns in data, auditing data, adhering to reporting requirements and conducting provider outreach and technical assistance. The PDM Unit is responsible for reducing provider data errors in reporting and ensuring that provider data on the PEF and in TBS are aligned. 


On a typical day, you might:


  • Process confidential and complex information with discretion and professionalism.
  • Prepare, process, and review oral and written material. 
  • Review provider data information received on the Provider Enrollment File (PEF) or as loaded in NC Tracks for accuracy and completeness and make corrections as required. 
  • Ensure accurate and timely completion of provider demographic data entry.
  • Review PEF change report daily to ensure consistent information and make corrections as required. 
  • Receive and process correspondence from internal staff and external Providers with promptness. 
  • Provide prompt technical assistance and support for both in-network providers and community stakeholders, as needed. 


Employee Benefits:


Trillium knows that work/life balance is essential. That’s why we offer:


  • Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
  • Work-from-home options available for most positions
  • Health Insurance with no premium for employee coverage
  • Flexible Spending Accounts
  • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
  • NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
  • 401k with 5% employer match and immediate vesting
  • Public Service Loan Forgiveness (PSLF) qualifying employer
  • Quarterly stipend for remote work supplies


Qualifications


Required:

  • High school diploma or GED and a minimum of one (1) year credentialing and/or healthcare record management or medical billing experience required, OR
  • Equivalent combination of higher education/experience.
  • Must have a valid driver’s license
  • Must reside within North Carolina
  • Must be able to travel within catchment as required.


Preferred:

  • Associates degree
  • Experience in medical office management and medical terminology training.


Deadline for Application: Monday, April 6th, 2026 at 11:59pm.


How to Apply


To 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 duties
  • Education details (degree type, date awarded, institution, field of study)
  • Licensure/certification information, if applicable


After 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 an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.


#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

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