Pay Plan Title: Senior Director
Working Title: NC ROOTS Hub Lead Executive Director
Position Number: 91389
FLSA Status: Exempt
Posting Salary Range: $144,763 - $180,479
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 an NC ROOTS Hub Lead Executive Director to join our team! The NC ROOTS Hub Lead Executive Director is responsible for the strategic leadership, operational execution, and regional impact of the NC ROOTS Hub. This individual will lead a multi-sector, multi-county transformation effort focused on improving rural health outcomes through coordinated investments in perinatal health, chronic disease management, workforce development, and “Food is Medicine” initiatives. The Executive Director operates as the regional convener, systems integrator, and accountable leader responsible for aligning healthcare systems, community-based organizations (CBOs), public health, and other stakeholders to achieve measurable outcomes.
*Recruitment for this position is being conducted in anticipation of program funding approval. The position is contingent upon receipt and continuation of funding through the NC Roots effective June 1, 2026. The organization reserves the right to delay hiring, modify, or withdraw the position based on funding status.
On a typical day, you might:
- Serve as the primary leader and public face of the NC ROOTS Hub across any regions awarded to Trillium.
- Oversee implementation of required initiatives, including perinatal health (including CHW/Doula coordination models), chronic disease prevention and management, and Food is Medicine programs.
- Design and operationalize a sub-awardee model for hospitals, providers, and CBOs.
- Oversee multi-million-dollar regional budgets and funding allocations.
- Build trust across diverse stakeholders, including historically underserved communities.
- Build and lead a high-performing regional team, including operations, Community engagement, program implementation, and data and analytics.
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 available for some positions 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:
- Bachelor’s degree and six (6) years of progressive leadership experience in healthcare, public health, Medicaid, or large-scale community initiatives, including experience managing complex, multi-stakeholder initiatives and/or overseeing large budgets and grant-funded programs. Must include minimum two (2) years of supervisory experience; OR
- Master’s degree and three (3) years of progressive leadership experience in healthcare, public health, Medicaid, or large-scale community initiatives, including experience managing complex, multi-stakeholder initiatives and/or overseeing large budgets and grant-funded programs. Must include minimum two (2) years of supervisory experience.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
Preferred:
- Master’s degree in Public Health, Healthcare Administration, Business Administration, or a related field.
- Experience with North Carolina healthcare systems and regional dynamics.
- Experience serving in a hub, convener, or backbone organization role.
- Familiarity with federal grant compliance (e.g., Uniform Guidance / 2 CFR 200).
- Experience working with CBO networks and health equity initiatives.
Deadline for Application: Thursday, July 16, 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
- Bachelor's degree and six years progressive leadership experience (including minimum two years supervisory) OR Master's degree and three years progressive leadership experience (including minimum two years supervisory)
- Valid driver's license
- Must reside within North Carolina
- Must be able to travel within catchment as required
- Pass a pre-employment drug test
- Master's degree in Public Health, Healthcare Administration, Business Administration, or related field
- Experience with North Carolina healthcare systems and regional dynamics
- Experience serving in a hub, convener, or backbone organization role
- Familiarity with federal grant compliance (e.g., Uniform Guidance / 2 CFR 200)
- Experience working with community-based organization (CBO) networks and health equity initiatives
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.
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