Care Management Consultant

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee provider adherence to Tailored Care Management standards and requirements.

• Offer technical support and guidance to provider organizations.

• Assist in the creation and execution of corrective action plans.

• Perform assessments to evaluate compliance with regulatory, contractual, and accreditation standards.

• Partner with internal stakeholders to enhance network performance and quality outcomes.

• Analyze performance metrics and propose strategies for improvement.

• Promote the quality, compliance, and effectiveness of the Tailored Care Management provider network.

• Deliver technical support, monitoring, and performance oversight to ensure provider compliance and continuous enhancement in care management service delivery.

⛳️ Requirements

• High school diploma or GED along with six (6) years of experience in medical practices, clinical environments, managed care organizations, provider relations, network development, or provider contracting, including leading project plans and managing deliverables; OR

• Associate's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area with four (4) years of experience in medical practices, clinical environments, managed care organizations, provider relations, network development, or provider contracting, including leading project plans and managing deliverables; OR

• Bachelor's degree in population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or another relevant human service area with two (2) years of experience in medical practices, clinical environments, managed care organizations, provider relations, network development, or provider contracting, including leading project plans and managing deliverables; OR

• An equivalent combination of education and experience.

• A valid driver's license is required.

• Candidates must reside within Trillium's catchment area in North Carolina, including the specified counties.

• Ability to travel within the catchment area as necessary.

• Legally authorized to work in the United States without requiring employment sponsorship now or in the future.

• A Master's degree in a related field is preferred.

• All applicants must pass a drug test as a condition of employment.

• Resume must detail employer names, dates of service, average weekly hours, key job responsibilities, educational background, and licensure/certification information if applicable.

🏝️ Benefits

• A collaborative, mission-driven workplace.

• Competitive benefits package.

• Options for remote work for most roles.

• Flexible work schedules available for certain positions with management approval.

• Health insurance with no premium for employee coverage.

• Flexible Spending Accounts.

• 24 days of Paid Time Off (PTO) plus 12 paid holidays during your first year.

• NC Local Government Retirement Pension (defined-benefit plan).

• 401k plan with a 5% employer match and immediate vesting.

• Qualifying employer for Public Service Loan Forgiveness (PSLF).

• Quarterly stipend for remote work supplies.