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Utilization Management Data Analyst

Role overview

Qualifications

  • High School Diploma/GED and two (2) years’ experience in a healthcare data or technology environment
  • Must reside within North Carolina
  • Experience with statistical and visualization tools and techniques for data extraction and analysis
  • Valid driver’s license

Responsibilities

  • Collaborate with medical directors, business leadership, and utilization management staff to improve reporting design and requirements
  • Develop, test, and train users on new dashboards and visualization tools
  • Conduct analyses, summarize, and interpret results using SQL and BI tools
  • Assist in the development and implementation of standard operating procedures for reporting needs and user training

Key facts

Other skills

  • Mentorship
  • Collaboration
  • Presentations
  • Problem Solving

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: Utilization Management Data Analyst 

Working Title: Utilization Management Data Analyst

FLSA Status: Non-Exempt

Posting Salary Range: $42,765 - $61,546

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 Utilization Management Data Analyst to join our team! The Utilization Management Data Analyst supports operational, financial, and health outcome performance improvement initiatives within the Utilization Management team. This role gathers and documents requirements from clinical and business stakeholders, develops and tests dashboards and reports, and helps ensure ongoing data quality and integrity. The role collaborates with IT and informatics teams to align work with enterprise data strategy and needs. Additionally, the Utilization Management Data Analyst assists in training colleagues on the use and interpretation of dashboards as they are produced.


On a typical day, you might:


  • Collaborate with medical directors, business leadership, and utilization management staff to develop and continuously improve reporting design and requirements.
  • Develop, test, and train users on new dashboards, visualization tools, and perform ad hoc in-depth data analysis in support of Utilization Management and change management objectives.
  • Conduct analyses, summarize, and interpret results, using structured query language (SQL), BI tools, or other analytics tools.
  • Internalize business problems, translate them into actionable analyses or solutions, develop reports, and prepare presentations of complex analytic concepts and research results to non-analytical audiences.

Assist in the development and implementation of standard operating procedures (SOPs) and documentation for reporting needs and user training.


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 two (2) years’ experience working in a healthcare data or technology environment, including using statistical and visualization tools and techniques for data extraction and analysis; 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
  • Degree in health administration, informatics, biostatistics, or similar field
  • Experience working in a healthcare data and/or technology environment, within a payer organization
  • Experience with process improvement, statistical methods, or total cost management in healthcare
  • Experience supervising, mentoring, or training colleagues in dashboarding development, testing and utilization
  • SQL, Power BI, or equivalent Microsoft data systems certifications


Deadline for Application: Monday, August 31, 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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