Remote Tailored Care Management Specialist

Trillium Health Resources; United States; Remote; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health Insurance with no premium for 1

Flexible Spending Accounts

24 days PTO + 12 holidays

401k with 5% match

Public Service Loan Forgiveness (PSLF)

Quarterly stipend for remote work

Job summary

Trillium Health Resources is seeking a Tailored Care Management Consultant to join our team. This full-time, exempt role supports the Tailored Care Management provider network, ensuring compliance and quality outcomes across our North Carolina catchment.

Based remotely within our NC counties, the consultant provides technical assistance, monitors performance, develops corrective action plans, and collaborates with stakeholders to improve care delivery and regulatory adherence.

Qualifications

• High school diploma or GED with 6 years in medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; experience leading project plans and deliverables.
• Associate's degree with 4 years in related fields and similar experience; lead projects.
• Bachelor's degree with 2 years in related fields and similar experience; lead projects.
• Equivalent combination of education and experience.

Responsibilities

• Monitor provider compliance with Tailored Care Management requirements and standards.
• Provide technical assistance and guidance to provider organizations.
• Support development and implementation of corrective action plans.
• Conduct reviews to assess compliance with regulatory, contractual, and accreditation requirements.
• Collaborate with internal stakeholders to support network performance and quality outcomes.
• Analyze performance data and recommends improvement strategies.

Education

High school diploma or GED

Associate's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area

Bachelor's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area

Equivalent combination of education and experience

Job description

Trillium Health Resources is seeking a Tailored Care Management Consultant to join our team. This full-time, exempt role supports the Tailored Care Management provider network, ensuring compliance and quality outcomes across our North Carolina catchment.

Based remotely within our NC counties, the consultant provides technical assistance, monitors performance, develops corrective action plans, and collaborates with stakeholders to improve care delivery and regulatory adherence.