General Counsel – Chief Compliance Officer

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $252k - $352.8k / year

⏰ Full Time

🔴 Lead

⚖️ Legal Counsel / General Counsel

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance • Mental Health • Substance Use

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.

📋 Description

• Advise and assist staff with respect to reconsideration reviews, appeals, complaints, grievances, incidents, and inquiries/investigations/audits conducted by regulatory authorities • Develop and review contracts and agreements with state agencies, counties, providers, vendors, stakeholders or other entities and individuals • Supervise the appeals unit, which facilitates all in-house reviews of appeals of agency decisions, including actions on authorization requests, actions with providers, and claims denial appeals • Prepare employees for depositions and court appearances, respond to subpoenas directed to the organization and/or employees, and coordinate with judicial and legal authorities • Oversee requests for documents under the NC Public Records law and assist as needed with responses to external requests for information from governmental or non-governmental organizations • Oversee the management and monitoring of Trillium’s subcontracting of Tailored Plan core services to ensure adherence to Trillium’s Tailored Plan contract and related NC DHHS guidelines, laws, rules and regulations

🎯 Requirements

• Juris Doctor (JD) from an ABA accredited law school • Minimum seven (7) years of progressively responsible legal experience in healthcare, managed care, and/or federal or state government representing a health plan or provider, including two (2) years supervisory experience • Licensed as an attorney in good standing in North Carolina • Must have a valid driver’s license • Must reside within North Carolina • Must be able to travel within catchment as required • Specialization in Medicaid, managed care, behavioral health, and/or administrative law (preferred)

🏖️ Benefits

• 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