Role overview

Qualifications

High School Diploma/GED and six (6) years of experience in Accounting/Finance/Business or financial analysis related field
Associate’s degree and four (4) years of experience in Accounting/Finance/Business or financial analysis related field
Bachelor’s degree and two (2) years of experience in Accounting/Finance/Business or financial analysis related field
Must have a valid driver’s license and reside within North Carolina

Responsibilities

Provide financial analysis, auditing, and operational oversight functions related to provider claims payments and check write processes
Review and analyze claims payment activity, monitor financial transactions, and ensure compliance with policies and regulations
Prepare financial reports, payment reconciliations, and operational analyses
Collaborate with various teams to research payment discrepancies and support timely distribution of provider payments

Key facts

Remote from: Indiana (USA), North Carolina (USA)
Full time
Senior (5-10 years)
Financial Analyst
English

Hard skills

Financial Analysis Auditing Accounting Corporate Financial Reporting Microsoft Dynamics 365

Other skills

Collaboration
Problem Solving
Decision Making
Time Management

About the company

Trillium Health Resources

Health Insurance (Payers)

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 details

Company typeSME

IndustryHealth Insurance (Payers)

Company size501 - 1000

Links

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Job description

Pay Plan Title: Senior Financial Analyst

Working Title: Senior Financial Analyst

FLSA Status: Exempt

Posting Salary Range: $67,524 - $83,101

Office Location: Remote in 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 Senior Financial Analyst to join our team. The Senior Financial Analyst provides financial analysis, auditing, and operational oversight functions related to provider claims payments and check write processes. This position is responsible for reviewing and analyzing claims payment activity, monitoring financial transactions, validating payment accuracy, and ensuring compliance with established policies, procedures, and regulatory requirements.

The Senior Financial Analyst performs detailed analysis of claims payment data, credit memos, recoupments, hardship repayments, levy withholdings, and provider payment activity to ensure the integrity of financial reporting and payment processing. This role works closely with Claims, Information Technology, Provider Relations, and Finance teams to research payment discrepancies, identify process improvements, and support the timely and accurate distribution of provider payments.

The position is responsible for preparing financial reports, payment reconciliations, and operational analyses that support decision-making and strengthen internal controls within the claims payment system. The Senior Financial Analyst also assists with testing system enhancements, validating claims payment calculations, monitoring check write activity, and developing reporting tools to improve financial oversight and operational efficiency.

The employee is expected to work independently within established procedures, exercise sound judgment when analyzing payment-related issues, and provide recommendations to leadership regarding financial impacts, payment processing trends, and operational improvements.

On a typical day, you might:

Review and analyze weekly provider check write activity for accuracy and completeness.
Monitor and reconcile claims payments, credit memos, recoupments, hardships, levies, and payment adjustments.
Research and resolve claims payment discrepancies and out-of-balance conditions.
Perform financial analysis of claims payment trends and provider payment activity.
Prepare and present claims payment summaries and financial reports to leadership.
Validate payment files, EFT transactions, remittance advice (RA), and 835 files prior to distribution.
Collaborate with Claims, IT, and operational teams to test and implement system enhancements.
Develop and maintain reporting tools, dashboards, and reconciliations supporting claims payment operations.
Ensure compliance with accounting standards, internal controls, and regulatory requirements related to provider payments.
Support audits, financial reviews, and special projects involving claims payment processing and financial operations.

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/GED and six (6) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; OR

Associate’s degree and four (4) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; OR
Bachelor’s degree and two (2) years of experience in Accounting/Finance/Business or financial analysis related field including analyzing financial data and preparing financial reports or preparing journal entries and performing account reconciliations; 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:

Bachelor’s degree in Accounting, Finance, or Business.
At least two (2) years in public accounting or four (4) years in accounting role(s) in the private or public sector.
Certified Public Accountant (CPA) license or in active pursuit of certification.
Experience with healthcare claims payment processing, provider payment operations, financial reconciliations, and Microsoft Dynamics 365 or a similar financial system.

Deadline for Application: July 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.

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