Medical Economics Rates Support Specialist

Pay Plan Title: Support Specialist

Working Title: Medical Economics Rates Support Specialist

Cost Center: 4200/Finance

Position Number: 80575

FLSA Status: Non-Exempt

Posting Salary Range: $39,900 - $50,673

Office Location: Remote within North Carolina

POSTING DETAILS:

Make an Impact

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 Medical Economics Rate Support Specialist to join our team The Medical Economics Rate Support Specialist will serve as a subject matter expert (SME) for rates and is required to stay fully informed of any new regulatory or Government rule changes as it relates to State and Medicaid Fee Schedules. This position will also collaborate with stakeholders and various internal departments on existing provider rates projects and other functions to develop strategies for financially viable payment structures.

On a typical day, you might:

• Maintain and update rates in all applicable systems, using multiple data sources.
• Assist with developing tracking forms and desk top processes as needed to address assigned aspects of rate setting and maintenance.
• Provides technical assistance to providers on accurately completing Special Rate Requests and accessing rates related documentation and forms.
• Enhance and improve existing processes to ensure efficiency.
• Assist with internal and external inquiries to resolve provider reimbursement issues.
• Provides administrative assistance with projects or assignments when needed.

Employee Benefits:

Trillium knows that work/life balance is essential. That's why we offer:

• Typical working hours: 8:30 am – 5:00 pm
• 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:

• High School Diploma/GED and one (1) year of experience in business field and Excel experience; 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:

• Bachelor's degree in Accounting/Finance/Business.
• Experience in the accounting field.
• Familiarity with Smartsheet.

Deadline for Application: December 22, :59pm

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

• Employer name, dates of service (month/year), average hours worked per week, and essential job duties
• Education details (degree type, date awarded, institution, field of study)
• Licensure/certification information, if applicable

After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You'll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

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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