Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Provider Network Management Care Management Regulatory Compliance Contract Management Data Management Practice Management Performance Management Project Management Process Engineering Contract Management +11 more

Other Skills

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Team Leadership
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Virtual Collaboration
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Training And Development
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Relationship Building
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Communication
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Leadership
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Time Management
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Teamwork
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Customer Service
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Detail Oriented
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Social Skills
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Problem Solving

Trillium Health Resources

Insurance

About Trillium Health Resources

Trillium Health Resources manages specialty behavioral health care for eastern North Carolinians across 28 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission. We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time. By joining Trillium, you are doing more than going to work…you are transforming lives. We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life. Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.

Company type: SME

Industry: Insurance

Founded: 2018

Company size: 501 - 1000

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Job description

Pay Plan Title: Unit Manager

Working Title: Tailored Care Management Provider Network Manager

FLSA Status: Exempt

Posting Salary Range: $67,632 - $90,457

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 Tailored Care Management (TCM) Provider Network Manager to join our team! The TCM Provider Network Manager is responsible for maintenance of the TCM provider network through effective contract monitoring, relationship development, and provider support. This role collaborates with Advance Medical Home Plus (AMH+) and Care Management Agency (CMA) providers to ensure that Trillium meets all required benchmarks. The TCM Provider Network Manager is responsible provider oversight and compliance, including meeting facilitation, technical assistance, and monitoring. The TCM Provider Network Manager supervises a team of TCM Coordinators and develops processes and protocols to ensure uniformity in supporting, monitoring, and ensuring contract compliance of all certified and contracted TCM Providers.

On a typical day, you might:

Lead and manage TCM Coordinators to facilitate effective management and support of provider-based TCM. Drive the development and maintenance of a robust provider-based TCM network by supporting the recruitment and development of Care Management Agencies (CMAs) and Advanced Medical Homes (AMH+s).

Build relationships with TCM providers to assess delivery of TCM, guide successful implementation, and provide technical assistance to ensure compliance with TCM requirements.
Collaborate with providers to identify and implement process improvements and best practices to ensure high-quality care.
Effectively facilitate project meetings with providers and staff to provide technical assistance, continually assess provider capacity and determine readiness to provide TCM.
Participate in TCM Readiness Reviews for certified providers as part of a cross-functional team, as required by contract.
Participate in and lead training meetings, conference calls, and web-based programs to stay updated on TCM requirements and guidelines.
Engage in relevant trainings and meetings with organizations such as NCDHHS, AHEC, and NCQA.

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:

Associate’s degree and three (3) years of experience in network management, contracting, data management, practice management, or related healthcare operations; OR
Bachelor’s degree and one (1) year of experience in network management, contracting, data management, practice management, or related healthcare operations; OR
Equivalent combination of education/experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.

Preferred:

Master’s degree in a Human Services field.

Supervision of two (2) or more employees.
Fully licensed in the State of North Carolina as an LCSW, LCMHC, LMFT or LPA.

Deadline for Application: Thursday, May 28, 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

lina #BehavioralHealth

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