Data Analyst - Claims

TRILLIUM HEALTH RESOURCES

2d•Remote

About The Position

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. Trillium Health Resources has a career opening for a Data Analyst to join our Claims team! The Data Analyst performs data analysis, auditing, and reconciliation support to the Claims Department. The Data Analyst will assist the Claims Department with all activities including, but not limited to, developing data reports as requested, sending claims related reports to various internal staff and external stakeholders, tracking various claims-related reporting deadlines, and recommending changes in processes if applicable.

Requirements

High school diploma/GED and two (2) years of experience in Behavioral/Mental Health, Developmental Disabilities, and Substance Abuse services field; 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.

Nice To Haves

Associate’s degree in Information Technology, Statistics, Data Analytics, Business, or a Human Services field (such as Psychology, Social Work, etc.)
Prefer experience in the areas of data analysis, data management, statistics, reporting, and use of databases.

Responsibilities

Maintain schedule of reporting and distribute reports to departmental staff and internal/external stakeholders as needed.
Reconcile data flow between processing systems; identify and report any discrepancies.
Ensure claims have processed to the correct funding source. Communicate with Trillium’s Utilization Management Department for necessary fund source adjustments on authorizations.
Work closely with colleagues to evaluate data, identify data related problems, investigate and resolve problems.
Ensure that data from reports is presented in a user-friendly format and made accessible.
Ensure all reports are submitted within assigned deadlines.
Ensures high quality data is collected and ensures integrity of the data.

Benefits

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) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook [https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook]
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies

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