Trillium Health Resources

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.

Member and Recipient Services Agent, Bilingual

Senior Medical Economics Data Analyst

Director – Enterprise Data Platforms

Director – IT Data & Reporting Technology

Product Owner