Trillium Health Resources · 21 hours ago
Compliance Coordinator
United States
Full-time
Remote
Entry, Mid Level
$54K/yr - $67K/yr
2+ years expTrillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. The Compliance Coordinator is responsible for maintaining knowledge of applicable Federal, State, and Accreditation requirements and ensuring compliance through internal and external reviews.
Child CareHealth CareMental HealthNon Profit
Responsibilities
Assist in the monitoring and auditing of internal Trillium departments, contracted network provider agencies, and vendors to ensure compliance with rules, regulations, contractual requirements, and service definition requirements
Conduct quality audits in an objective, systematic, unbiased manner. Ensure quality health care determinations are being made based on contract/policies and procedures/NCQA standards, as well as federal and state laws/mandates
Conduct internal monitoring activities of departmental and functional area performance based on regulations and contractual requirements
Ensure timelines are met and documented for assigned tasks based on contract and statute requirements
Provide technical assistance on any issues related to compliance monitoring activities, answer questions, and communicate rule/regulation changes to ensure new requirements are implemented
Qualification
Required
High School Diploma/GED and six (6) years of experience with behavioral health/mental health, substance abuse, developmental disabilities, and/or co-occurring disorders populations; OR
Associate's degree and four (4) years of experience with behavioral health/mental health, substance abuse, developmental disabilities, and/or co-occurring disorders populations; OR
Bachelor's degree and minimum two (2) years of experience with behavioral health/mental health, substance abuse, developmental disabilities, and/or co-occurring disorders populations; OR
Equivalent combination of education/experience
Must have a valid driver's license
Must reside within North Carolina
Must be able to travel within catchment as required
Preferred
Experience in any of the following areas would be valuable for this employee: Public speaking, mediation and/or problem resolution, group facilitation, advocacy, regulations compliance, and project management
CHC, AFHI, CFE, and fully licensed in the State of NC - LCMHC, LMFT, LCWS, LCAS, or RN
Benefits
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
Company
Trillium Health Resources
Trillium Health Resources is a local governmental agency for individuals with serious mental health, and intellectual disability services.
Founded in 1972Greenville, North Carolina, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Joy Futrell
Chief Executive Officer
Cindy Ehlers MS LCMHC
Chief Operating Officer
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