Remote HCBS Quality & Compliance Specialist II

Trillium Health Resources; Greenville (NC); Remote; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health Insurance with no employee-prem

Work-from-home options

Paid Time Off + holidays

401k with employer match

PSLF eligible employer

Remote work stipend

Job summary

Trillium Health Resources in North Carolina is seeking a Quality Management Specialist II - IDD to ensure that HCBS services in Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, and to supervise Innovations Waiver services for final HCBS rule compliance.

The role emphasizes proactive assessment, monitoring, and collaboration with the Care Management team to maintain high-quality support and waiver adherence across settings.

Qualifications

• Must meet Qualified Professional (QP) status per NC requirements.
• Must reside within Trillium’s North Central Region and be able to travel within catchment.
• Must have a valid driver’s license.
• Experience with IDD or related MH/DD/SA services is preferred.

Responsibilities

• Monitor HCBS services for compliance with state standards and Medicaid regulations.
• Review service documentation and claims to ensure accuracy.
• Perform announced/unannounced monitoring visits including nights/weekends.
• Collaborate with Care Management to ensure quality support and waiver adherence.

Skills

QP status

Valid driver’s license

North Central Region residency

Travel within catchment

Education

Master’s degree in human service field

Bachelor’s degree in human service field

RN license in NC (optional)

Bachelor’s in non-human-services with 4+ years MH/DD/SA experience

Job description

Trillium Health Resources in North Carolina is seeking a Quality Management Specialist II - IDD to ensure that HCBS services in Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, and to supervise Innovations Waiver services for final HCBS rule compliance.

The role emphasizes proactive assessment, monitoring, and collaboration with the Care Management team to maintain high-quality support and waiver adherence across settings.