
1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.
🕒 July 18
🌲 North Carolina – Remote
💵 $67.5k - $83.1k / year
⏰ Full Time
🟠 Senior
💸 Financial Planning and Analysis (FP&A)
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1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.
• 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, validate payment accuracy, and ensure compliance with established policies, procedures, and regulatory requirements. • Perform 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. • Work 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. • Prepare financial reports, payment reconciliations, and operational analyses that support decision-making and strengthen internal controls within the claims payment system. • Assist with testing system enhancements, validating claims payment calculations, monitoring check write activity, and developing reporting tools to improve financial oversight and operational efficiency. • Review and analyze weekly provider check write activity for accuracy and completeness. • Research and resolve claims payment discrepancies and out-of-balance conditions.
• 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.
• 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) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies
Apply Now🕒 July 18
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