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Quality Analyst I

Role overview

Qualifications

  • High School diploma/GED and six (6) years of experience in data analysis, data reporting, data collection, or use of databases
  • Associate’s degree and four (4) years of experience in data analysis, data reporting, data collection, or use of databases
  • Bachelor’s degree and two (2) years of experience in data analysis, data reporting, data collection, or use of databases
  • Must have a valid driver’s license. Must reside within North Carolina.

Responsibilities

  • Conduct data analysis activities for compliance with DMH and DMA contract requirements, NCQA accreditation, and HEDIS reporting
  • Develop analytical reports and ensure submission within assigned deadlines
  • Analyze and report statistical data on populations, disabilities, and cultural factors
  • Assist and support the development of HEDIS oriented plans for compliance with national accreditation standards

Key facts

Other skills

  • Data Reporting
  • Quality Assurance
  • Microsoft Excel
  • Problem Solving
  • Detail Oriented
  • Communication
  • Teamwork

About the company

Trillium Health Resources logo

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

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Job description

Pay Plan Title: Quality Analyst I

Working Title: Quality Analyst I

FLSA Status: Exempt

Posting Salary Range: $67,524 - $85,222

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 Quality Analyst I to join our team! The Quality Analyst I is responsible for conducting data analysis activities for Trillium Health Resources, which includes completion of reports in compliance with the DMH and DMA contract requirements, NCQA accreditation, HEDIS reporting, as well as other external and internal reporting needs. The Quality Analyst I is a member of the Quality Management Department and is responsible for various quality assurance and quality improvement activities throughout the organization. This position supports the day-to-day operations of the QM Department, such as managing committee support, data/ reports, training, HEDIS measures, and national accreditation. This position handles and processes sensitive, complex, and confidential information with discretion and professionalism.


On a typical day, you might:


  • Develop analytical reports, including conducting analysis, information synthesis, summarizing and interpretation of results, to include the identification of patterns and trends in data. 
  • Ensure all reports are submitted within assigned deadlines to avoid possible penalties or plans of correction. Supports established schedule of external reporting per contracts and internal reporting (as requested). 
  • Ensure that data from reports are presented in a user-friendly format and made accessible to staff, consumers and community members. Ensure all reports include appropriate references to data sources so that reports can be replicated, if requested.
  • Analyze and report statistical data on populations, disabilities and cultural factors. Work to integrate available physical health and pharmacy data into the QM/QIC process. Identify matters of significance that could impact the agency.
  • Assist and support the development of HEDIS oriented plans assuring the agency's compliance with national accreditation standards, as well as implementing improvements throughout the organization to ensure efficient and quality care. 


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 available for some positions 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 data analysis, data reporting, data collection, or use of databases; OR
  • Associate’s degree and four (4) years of experience in data analysis, data reporting, data collection, or use of databases; OR
  • Bachelor’s degree and two (2) years of experience in data analysis, data reporting, data collection, or use of databases; 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:

  • 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.
  • Two – four (2-4) years working knowledge of Microsoft SQL server, handling large data sets, relational databases, and Microsoft Excel (vlookups, pivot tables, graphs).
  • CSPA, Certified Machine Learning – Specialty (AWS), Predictive Analytics Certificate (SOA), and/or CAHIMS, ITIL v3 or equivalent certifications preferred. 


Deadline for Application: Tuesday, August 18, 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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