Teams at Trillium Health Resources

Lead clinical operations for LTSS programs, setting strategy and overseeing care management, clinical quality, compliance, and program performance. Manage managers and teams, develop and evaluate clinical policies and programs, ensure appropriate service delivery, and drive continuous improvement in member outcomes and regulatory adherence.

Processes and reviews accounts payable transactions, analyzes invoices, validates account coding, compares invoices with contract and policy requirements, resolves discrepancies, maintains payment documentation, and supports reconciliation activities. The role ensures accurate, compliant, and timely disbursement of funds and maintains financial record integrity. It is remote within North Carolina and requires a valid driver's license.

Manages appeals, grievances, and complaints from intake through resolution. Investigates cases by gathering records and interviewing stakeholders, evaluates findings, determines appropriate actions, prepares acknowledgment and resolution communications, and maintains compliant case files. The role supports regulatory and accreditation requirements within a managed care organization serving behavioral health, substance use, traumatic brain injury, and intellectual/developmental disability populations.