Trillium Health Resources

Operations

• Developing policies, procedures, practices, and systems that support the provision of care management services
• Demonstrating clinical expertise for specific complex and/or rising risk member populations
• Identifying members that are appropriate for population health programs utilizing data informatics
• Providing interventions and education to promote health prevention and promotion
• Managing, reviewing, and analyzing operations and services provided for adherence to program goals and objectives
• Collaborating with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations
• Serving as a subject matter expert regarding identified special populations, regulatory requirements, policies, procedures, programs and staff support; provide staff education and training on relevant program components
• Overseeing utilization of resources used by specialty population

Population Health Operations Clinical Oversight Clinician

Financial Planning and Analysis

• 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
• Responsible for timely and appropriate payments to vendors and providers by ensuring the accuracy of expenditures through the review and interpretation of contract terms.
• 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.

Senior Financial Operations Associate

Network Engineer

• Administer, maintain and support the Agency’s data, voice & security systems infrastructure, including the Wide Area Network (WAN), Local Area Network (LAN), all servers, PCs, switches, routers, printers and miscellaneous peripheral equipment; make recommendations for future hardware or software additions or enhancements.
• Maximize network performance by monitoring performance; troubleshooting network problems and outages; scheduling upgrades; collaborating with network architects on network optimization.
• Secure network systems by establishing and enforcing policies, defining and monitoring access.
• Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
• Report network operational status by gathering, prioritizing information, managing projects.
• Monitor problem/change activities and coordinates involvement of technical and staff and vendors to ensure effective implementation of new or enhanced systems and resolution of user problems.

IT Network Engineer

Systems Engineer

• Design, build, test, deploy, document, and maintain Power BI reporting solutions and semantic models, including the SQL queries, data pipelines, and dependent systems that power them—continuously assessing platform capabilities, performance, and governance.
• Work with IT Leadership, Informatics - Data Management, IT Operations and IT - Business Systems on researching, developing, testing, deploying and documenting new methods and tools for ingestion, processing, sending and sharing of data.
• Plan, coordinate and implement security measures (including regular audits) to safeguard information in reporting platforms and computer files against accidental or unauthorized damage, modification or disclosure.
• Specify users and user access levels for each segment of the reporting platforms, as needed.
• Select, develop and deploy code to monitor reporting platform performance
• Develop reference and workflow documents for documentation purposes.
• Revise agency definition of data as defined in data dictionary in regards to reporting and visualizations.

Business Intelligence Data Systems Architect

Bilingual

• Provide non-clinical administrative support to the Member Services Department.
• Answer inbound calls and assist callers by connecting them to the appropriate party.
• Share information, provide technical assistance, and handle/resolving complaints.
• Maintain the highest level of customer satisfaction by seeking first call resolution.
• Interact with callers to deliver information, answer frequently asked questions, and address complaints.
• Gather and/or update data related to member and recipient services.

Member and Recipient Services Agent, Bilingual

Data Analyst

• Develop and implement payer analytics and economics strategies around provider rates.
• Analyze behavioral health, physical health, and pharmacy data and rates using a variety of data sources and programs including but not limited to Excel, SQL, Access, etc.
• Utilize industry trends and Medicaid fee schedules and data concepts to drive decision-making.
• Prepare presentations and other collateral materials to support rate initiatives.
• Participate in rates process improvement projects.
• Provide technical training and support to team members.

Senior Medical Economics Data Analyst

Data Engineer

• Perform strategic leadership and oversight of data management staff
• Direct performance, security, and scalability of enterprise data environments
• Establish strategic roadmap for database and data warehouse services
• Establish governance structures, policies, and standards for data management and architecture
• Collaborate with senior leadership to align data initiatives with business objectives
• Oversee administration of enterprise databases

Director – Enterprise Data Platforms

Director

• Develop, implement, and maintain reporting and analytical (Business Intelligence) systems — including functional architecture, systems design, and program specifications that meet organizational and user needs
• Analyze complex business needs and recommend technical solutions — translating requirements from end users, clients, and leadership into actionable IT deliverables
• Manage IT-led projects — overseeing scope, cost, schedule, internal staffing, vendor relationships, and contractual deliverables
• Develop and validate project scope, resource estimates, and completion timelines — including oversight of system tests, releases, and turnovers with advance notification of outages
• Develop data models, stored procedures, and business rules — including database modifications, data dictionaries, and middleware implementations
• Design and maintain data reporting platforms and tools — including SQL/SSRS, Power BI, SSIS, SSMS, and third-party solutions for both operational and strategic reporting

Director – IT Data & Reporting Technology

Product Manager

• Work with the business partners to assess efficiencies and effectiveness of enterprise responsibilities, not just IT, to ensure business requirements are met in a timely and cost-effective manner.
• Collaborate with stakeholders to understand their business needs and then translate the information into product requirements for the development team.
• Conduct comprehensive analysis to produce complex documents that clearly define quality assurance, testing criteria, prototypes and mock-ups, measure results in sufficient detail.
• Identify and recommend information or technology or process solutions which have enterprise-wide applications.
• Provide feedback to IT organization from business partners on how to improve IT services and operations.
• Understand current and projected business results and how the operating plan impacts those results.
• Analyze and oversee a wide variety of projects and activities of varying size and scope.

Product Owner

• Provide leadership, direction and management of the department
• Gather, research and analyze various data to aid Executive Management in decisions regarding provider services
• Ensure the identification of Medicaid and state funded covered services including retroactive Medicaid coverage to ensure appropriate enrollment and claims payment
• Interact with providers and department staff to address any enrollment, payment and billing issues
• Assist in ensuring that reimbursement tables in the claim’s software remain current
• Develop and implement solutions for claims management

Claims Director

Communications

• Develop and implement a regional communications and engagement strategy aligned with NC ROOTS goals and timelines.
• Design and execute community-facing campaigns to increase awareness, trust, and participation in NC ROOTS initiatives.
• Lead internal communications to ensure alignment across Hub leadership, regional teams, and sub-awardees.
• Establish and maintain a consistent NC ROOTS Hub brand identity across all materials and platforms.
• Manage relationships with local, regional, and statewide media.

Marketing & Communications Manager – NC ROOTS Hub Lead

Manager

• Ensure members receive whole person-centered care to meet their individual and complex physical, mental health, and social needs.
• Serve as the single point of contact for members and work with a multidisciplinary care team, including primary care providers, specialists, care manager extenders, transition staff, and caretakers/legal guardians to promote continuity of care and quality care for each member.
• Provide oversight and/or outreach, engagement, and support of members receiving Tailored Care Management.
• Facilitate comprehensive assessments of members’ needs and evaluate results to determine the appropriateness and effectiveness of care.
• Ensure the initiation and continuance of integrated care plans that incorporate a member’s physical health, mental health, social support, lifestyle, community involvement, and risks to well-being, among others.
• Facilitate regular meetings with members, both face-to-face and telephonically.
• Consult with providers to gather and share information relevant to each member’s care including care management comprehensive assessments, and reassessments.

Regional Care Manager, Southern

Vice President

• Lead day-to-day operations of the Regional Hub across multiple counties and partners.
• Oversee execution of all required and elective initiatives.
• Directly oversee core hub functions, including program implementation teams, community engagement staff, regional CBO network management, and operational support functions.
• Serve as the primary operational liaison with health systems and providers, community-based organizations, public health partners, and workforce and social service partners.
• Operationalize a real-time performance tracking system.

Regional Hub Vice President

Account Manager

• Develop and lead a comprehensive regional community engagement strategy aligned with NC ROOTS priorities.
• Build and manage a robust CBO and community partner network across the region.
• Design mechanisms to capture and integrate community input into Regional Needs Assessment, Hub Action Plan, and ongoing program design and refinement.
• Work with partners to ensure effective outreach, recruitment, and retention of participants.
• Track partner engagement, participation, and outcomes.
• Facilitate alignment between community partners and healthcare providers and systems; public health agencies; and social service organizations.

Director of Community Engagement – Partnerships

• Collaborate with business units to understand data needs and translate them into effective reporting solutions by gathering requirements and delivering high-quality data solutions that support operational and strategic goals
• Develop, maintain, and optimize SSRS reports and Power BI dashboards to provide actionable insights
• Write and troubleshoot SQL queries to extract, transform, and analyze data from various sources
• Ensure data accuracy, consistency, and integrity across all reporting platforms