Data Analyst at TRILLIUM HEALTH RESOURCES

, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Apr, 26

Salary

59518.0

Posted On

14 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Data Management, Statistics, Reporting, Database Use, Claim Processing, Documentation, Communication, Monitoring, Problem Solving

Industry

Insurance

Description

Pay Plan Title: Data Analyst Working Title: Encounter Data Analyst FLSA Status: Non-Exempt Posting Salary Range: $41,120 - $59,518 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 an Encounter Data Analyst to join our team! The Encounter Data Analyst is responsible for reviewing and monitoring adjudicated claims for encounter file submission and upstream processing and communicating with provider agencies and internal departments regarding encounter submission and denial management. This position will also monitor encounters submitted by our Tailored Plan subcontractors ensuring all contract service level agreements are met. On a typical day, you might: * Track adjudicated claims from received date to upstream encounter submission and verify response received from the Department. * Review data flow between claim system and encounter file submissions; identify and report any discrepancies. * Maintain documentation of failed/denied encounters and the communications associated with the follow-up performed to address the issues with internal staff and external provider agencies. * Ensure Service Level Agreements (SLA) are met. * Monitor Tailored Plan subcontractors claims and ensure all are submitted as encounters. 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) 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 Qualifications Required: * High School Diploma or GED and two (2) years in processing medical information or data management and reporting; 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: * Associate’s degree in Information Technology, Statistics, Data Analytics, Business, or a Human Services field (such as Psychology, Social Work, etc.). * Experience in the areas of data analysis, data management, statistics, reporting, and use of databases. Deadline for Application: Friday, January 23, 2026 at 11:59pm 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. #Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

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Responsibilities

The Encounter Data Analyst is responsible for reviewing and monitoring adjudicated claims for encounter file submission and communicating with provider agencies regarding encounter submission and denial management. This position also involves ensuring that all contract service level agreements are met.