Quality Management Specialist III - Population Health
trillium health resourcesClayton (NC)
$68,890 - $92,138
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Posted 7 days ago
trillium health resourcesClayton (NC)
SENIORITY
Lead
SALARY
$68,890 - $92,138
About the role
POSTING DETAILS
Pay Plan Title: Quality Management Specialist III
Working Title: Quality Management Specialist III - Population Health
FLSA Status: Exempt
Posting Salary Range: $68,890 - $92,138
Office Location: Remote within North Carolina
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 Quality Management Specialist III - Population Health to join our team! The Quality Management Specialist III - Population Health is responsible for developing policies, procedures, practices, and systems that support the provision of care management services. This role is also responsible for demonstrating clinical expertise for specific complex and/or rising risk member populations and will work to identify members that are appropriate for population health programs utilizing data informatics, along with providing interventions and education to promote health prevention and promotion.
On a typical day, you might:
Develop, review and evaluate operating policies, practices and procedures with department-wide impact and provide critical feedback on outcomes to enhance effectiveness.
Manage, review, and analyze operations and services provided for adherence to program goals and objectives utilizing databases, dashboards, performance outcome data and reports. Recommend changes based on analyses.
Collaborate with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations.
Serve 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.
Oversee utilization of resources used by specialty population e.g. coordination of secure transportation requests for special populations.
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)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies
Qualifications
Required:
Bachelor’s degree in Nursing and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions; OR
Master’s degree in a Health or Human Services field and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions.
Fully licensed by the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS or RN.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.
Preferred:
At least one (1) year of clinical policy review, conducting audits, or quality improvement review experience.
Deadline for Application: Thursday, November 12, 2026 at 11:59pm
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.
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