Pay Plan Title: MCO Senior Accountant
Working Title: Financial Operations Senior Associate
FLSA Status: Exempt
Posting Salary Range: $61,900 - $82,790
Office Location: Remote within North Carolina.
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
- A collaborative, mission-driven work environment
- Competitive benefits and work-from-home options for most positions
- Opportunities for professional growth in a diverse inclusive culture
Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources has a career opening for a Financial Operations Senior Associate to join our team! The Financial Operations Senior Associate provides analysis within the Finance Department of payments made for professional contracts with vendors, non-UCR contracts with providers, and purchase orders, apply principles of accounting to analyze financial information and prepare financial reports by compiling information and utilizing appropriate accounting control procedures. This position is responsible for timely and appropriate payments to vendors and providers by ensuring the accuracy of expenditures through the review and interpretation of contract terms.
On a typical day, you might:
- Review expenditures to ensure that they are complete and timely.
- Review monthly provider/vendor invoices and supporting documentation for accuracy, completeness, and compliance.
- Work with the Financial Operations Team on assignments, tasks, and guiding the workflow.
- Review processes and procedures to ensure they are operating effectively and efficiently.
- Preparation of monthly journal entries as needed.
- Review, investigate, and correct errors in payables entries, documents, and reports.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
- 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) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Qualifications
Required:
- High School Diploma/GED and six (6) years of experience working with a health plan or other managed care entity, behavioral health services provider, or hospital entity in accounting field or financial analysis; OR
- Associate’s degree and four (4) years of experience working with a health plan or other managed care entity, behavioral health services provider, or hospital entity in accounting field or financial analysis; OR
- Bachelor’s degree and two (2) years of experience working with a health plan or other managed care entity, behavioral health services provider, or hospital entity in accounting field or financial analysis; 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:
- Degree in Accounting, Finance, or Business, including mathematics or statistics.
- Four (4) years of experience working in accounts payable with a health plan or other managed care entity or behavioral health services provider, or hospital entity.
Deadline for Application: Thursday, June 18, 2026 at 11:59pm
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
- Employer name, dates of service (month/year), average hours worked per week, and essential job duties
- Education details (degree type, date awarded, institution, field of study)
- Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
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Skills Required
- High School Diploma or GED with six years of relevant accounting/financial analysis experience in a health plan/managed care/behavioral health or hospital entity (or equivalent combination of education/experience)
- Associate's degree with four years of relevant accounting/financial analysis experience in a health plan/managed care/behavioral health or hospital entity (alternative to above)
- Bachelor's degree with two years of relevant accounting/financial analysis experience in a health plan/managed care/behavioral health or hospital entity (alternative to above)
- Valid driver's license
- Must reside within North Carolina
- Ability to travel within catchment area as required
- Pass pre-employment drug test (drug-free workplace requirement)
- Degree in Accounting, Finance, Business, mathematics, or statistics
- Four years of accounts payable experience with a health plan, managed care entity, behavioral health provider, or hospital
What We Do
Trillium Health Resources manages specialty behavioral health care for North Carolinians across 46 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission. We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time. By joining Trillium, you are doing more than going to work…you are transforming lives. We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life. Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.
