Network Auditing Coordinator

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in North Carolina, USA
Remote
56K-70K Annually
Junior
Healthtech
The Role
Manage provider network quality and compliance for mental health, developmental disability, and substance use services. Conduct objective audits, monitor corrective action plans, provide technical assistance to providers, ensure adherence to federal, state, and accreditation standards, and maintain inter-rater reliability in reviews.
Summary Generated by Built In

Pay Plan Title: Coordinator

Working Title: Network Auditing Coordinator

FLSA Status: Exempt

Posting Salary Range: $56,270 - $69,898

Office Location: Remote within 75 miles of Trillium’s South Central Region (See requirements section for included counties)


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 Network Auditing Coordinator to join our team! 

The Network Auditing Coordinator will support the development and management of the Provider Network for members who have been identified as having Mental Health, Developmental Disabilities or Substance Use needs and will be responsible for overseeing the monitoring activities of the provider network. This position will be responsible for maintaining knowledge of applicable Federal, State, and Accreditation requirements and ensuring that the organization maintains compliance with these requirements.


On a typical day, you might:



  • Maintain network quality by performing provider monitoring to ensure compliance with rules, regulations and service definition requirements. 
  • Facilitate the resolution of deficiencies through the issuance, review and acceptance of Plans of Corrections (POC) and monitoring implementation of these plans. 
  • Establish a partnership and collaboration with Trillium Health Resources Network providers by providing technical assistance/guidance, facilitating communication, and possible inclusion in various committees as necessary. 
  • Conduct quality audits in an objective, systematic, unbiased manner. Ensure that quality health care determinations are being made based on the provider’s contract/policies and procedures/accreditation standards, as well as federal and state laws/mandates. 
  • Implement and maintain Inter-rater Reliability when conducting reviews. 



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:

  • Must meet Qualified Professional (QP) status. 
  1. Fully licensed by the NC governing board regulating Human Services professions; OR Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served; OR 
  2. A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR 
  3. A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR 
  4. A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. 
  • Must have a valid driver’s license.
  • Must reside within 75 miles of Trillium’s South Central Region, which includes the following counties: Carteret, Craven, Duplin, Jones, Lenoir, Onslow, Pender, Sampson, and Wayne.
  • Must be able to travel within catchment as required.


Preferred:

  • Human Services degree
  • Licensure/certification may be accepted as noted above



Deadline for Application: July 23, 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.


#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

Skills Required

  • Must meet Qualified Professional (QP) status (see listed licensure/education and experience alternatives)
  • Fully licensed by the NC governing board regulating Human Services professions; OR fully licensed RN in NC with four years full-time MH/DD/SA experience; OR Master's in a human service field plus one year MH/DD/SA experience; OR Bachelor's in a human service field plus two years MH/DD/SA experience; OR Bachelor's in non-human service field plus four years MH/DD/SA experience
  • Valid driver's license
  • Reside within 75 miles of Trillium's South Central Region (counties: Carteret, Craven, Duplin, Jones, Lenoir, Onslow, Pender, Sampson, Wayne)
  • Ability to travel within the catchment area as required
  • Pass a drug test as a condition of employment
  • Human Services degree
  • Licensure/certification as noted in QP alternatives
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The Company
Greenville, North Carolina
646 Employees

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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