[Hiring] Provider Data Management Coordinator @TRILLIUM HEALTH RESOURCES

Role Description

Trillium Health Resources has a career opening for a Provider Data Management (PDM) Coordinator to join our team! The PDM Unit is responsible for and focused on the management of Provider Data. This includes:

• Processing daily provider data
• Monitoring the Provider Enrollment File (PEF)
• Conducting crosswalk analyses between the Provider Electronic Data (PED), PEF, NC Tracks, other state systems, and information located in Trillium Business Systems (TBS)
• Reconciling data inaccuracies
• Mapping provider data
• Identifying trends and patterns in data
• Auditing data
• Adhering to reporting requirements
• Conducting provider outreach and technical assistance

The PDM Coordinator is responsible for providing data analysis and support to the PDM Unit. On a typical day, you might:

• Assist with developing network adequacy analytical reports
• Ensure all assigned project components are completed in a timely manner
• Work with Network Accountability Unit, Contracting Unit, IT, and additional partners to identify and correct Provider Directory issues
• Review daily files and make determinations regarding how changes noted affect contracts, member access, service delivery, etc.
• Provide technical assistance to providers regarding Provider Data Reports, NC Tracks data, or Trillium’s Business System as related to PDM functions
• Ensure that data is presented in a user-friendly format
• Assist with processing daily files as needed

Qualifications

• High School Diploma/GED and six (6) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases,
• OR Associate’s degree in a Mathematical, Technology, Business, Healthcare Administration, Human Service field, or other data related degree program and four (4) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases,
• OR Bachelor’s degree in a Mathematical, Technology, Business, Healthcare Administration, Human Service field, or other data related degree program and two (2) years of experience in the behavioral/mental health, substance use, or developmental disabilities field which includes experience in data management activities, reporting or use of databases,
• OR Equivalent combination of higher education/experience.
• Must have a valid driver’s license
• Must reside in North Carolina
• Must be able to travel within catchment as required.

Benefits

• 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)
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

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.