Pay Plan Title: Unit Manager Working Title: Claims Manager FLSA Status: Exempt Posting Salary Range: $70,338 - $94,075 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resourc…
Skills: Claims Processing, Data Reporting, Healthcare Billing, Staff Training, Mentoring
Greenville, North Carolina, United States · Remote OK
$56k–$68k/yr
Mid level
Pay Plan Title: Care Manager Working Title: Innovations Waiver Care Manager Cost Center: 8500/Plan Based Care Managemen FLSA Status: Non-Exempt Posting Salary Range: $56,270 - $68,428 Office Location: Remote within Trill…
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Pay Plan Title: Supervisor I Working Title: IDD District Supervisor 1915i Cost Center: 8600/Provider Based Care Management FLSA Status: Exempt Posting Salary Range: $64,711 - $86,549 Office Location: Remote within Trilli…
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Pay Plan Title: Support Specialist Working Title: Provider Data Management (PDM) Support Specialist Cost Center: 4500/Network Position Number: 54044 FLSA Status: Non-Exempt Posting Salary Range: $41,496 - $52,700 Office …
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Lumberton, North Carolina, United States · Remote OK
$56k–$68k/yr
Mid level
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Pay Plan Title: Coordinator Working Title: Network Development Coordinator FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina. POSTING DETAILS: Make an Impact Trilli…
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Pay Plan Title: Senior Manager Working Title: Senior Manager, IT Projects and Programs Position Number: 91259 FLSA Status: Exempt Posting Salary Range: $84,405 - $125-325 Office Location: Remote within North Carolina. PO…
Skills: IT Program Management, Stakeholder Management, Project Governance, Resource Allocation, Risk Management
Health Insurance, Flexible Spending Accounts, Paid Time Off, Paid Holidays, NC Local Government Retirement Pension, 401k With Employer Match
Posted 2d ago
~40 hrs/week
Remote in North Carolina, United States
Responsibilities
The Claims Manager oversees the accurate processing of healthcare claims and ensures the integrity of claim data through timely reporting and analysis. They are responsible for managing claim inquiries, coordinating appeals, and mentoring staff to enhance team performance.
Requirements
Candidates need an Associate's degree with 3 years of experience or a Bachelor's degree with 1 year of experience in claims filing and data reporting. Must possess a valid driver's license and reside within North Carolina.
Full job description
Pay Plan Title: Unit Manager
Working Title: Claims Manager
FLSA Status: Exempt
Posting Salary Range: $70,338 - $94,075
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/developmental (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 Claims Manager to join our team! In this key leadership role, the Claims Manager oversees the accurate and efficient processing of all healthcare claims, ensuring the integrity of claim data and delivering timely reporting and analysis. The Claims Manager manages claim-related inquiries, coordinates claim appeals, and work collaboratively across multiple internal teams to resolve provider issues.
On a typical day, you might:
Ensure claims payment reports are generated and analyzed to determine problems.
Ensure analysis, research, and corrections are completed in a timely manner to ensure provider payment.
Assist in developing and maintaining claim processing procedures and ensuring these procedures are understood and followed by claims staff.
Interact with the provider community to address billing issues.
Train and mentor staff on claims processing duties to enhance team performance.
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
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies
Qualifications
Required:
Associate’s degree and three (3) years of experience with extensive claims filing and data reporting; OR
Bachelor’s degree and a minimum of one (1) year of experience with extensive claims filing and data 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:
Advanced degree
Supervisory experience of two (2) or more employees
Physical Health claims experience
Deadline for Application: August 13, 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.
Healthcare ClaimsManaged Care OrganizationMCOBehavioral HealthClaims FilingData ReportingProvider PaymentBilling IssuesPhysical Health ClaimsExempt StatusTailored Plan
Transforming Lives. Building Community Well-Being.
Industry
Insurance
Company size
1,001-5,000 employees
Headquarters
Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, NC
LinkedIn followers
6,869
Trillium Health Resources manages specialty behavioral health care for North Carolinians across 46 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission.
We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time.
By joining Trillium, you are doing more than going to work…you are transforming lives.
We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life.
Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.
Offices: Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, NC 27858, US · Greenville, Greenville, NC, US · Jacksonville, Jacksonville, NC, US · Wilmington, Wilmington, NC, US · Camden, Camden, NC 27921, US
Mental HealthSubstance AbuseDevelopmental DisabilitiesBehavioral Healthand Medicaid Health PlanHealth CareNon ProfitMental HealthChild Care
Transforming Lives. Building Community Well-Being.
Industry
Insurance
Company size
1,001-5,000 employees
Headquarters
Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, NC
LinkedIn followers
6,869
Trillium Health Resources manages specialty behavioral health care for North Carolinians across 46 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission.
We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time.
By joining Trillium, you are doing more than going to work…you are transforming lives.
We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life.
Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.
Offices: Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, Ahoskie, Camden, Greenville, Jacksonville, Wilmington and Whiteville, NC 27858, US · Greenville, Greenville, NC, US · Jacksonville, Jacksonville, NC, US · Wilmington, Wilmington, NC, US · Camden, Camden, NC 27921, US
Mental HealthSubstance AbuseDevelopmental DisabilitiesBehavioral Healthand Medicaid Health PlanHealth CareNon ProfitMental HealthChild Care