Provider Data Management (PDM) Support Specialist

Remote Full-time
Pay Plan Title: Support SpecialistWorking Title: Provider Data Management (PDM) Support Specialist FLSA Status: Non-ExemptPosting Salary Range: $39,900 - $50,673Office Location: Remote within North CarolinaPOSTING DETAILS:Make an ImpactTrillium 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 environmentCompetitive benefits and work-from-home options for most positionsOpportunities for professional growth in a diverse inclusive cultureEvery 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 ForTrillium Health Resources has a career opening for a Provider Data Management (PDM) Support Specialist to join our team! The PDM Support Specialist is responsible for providing guidance and support to the PDM Unit. The PDM Unit is responsible and focused on the management of Provider Data. This includes processing daily provider data, monitoring the Provider Enrollment File (PEF), conducting crosswalk analyses between the Provider Electronic Data (PED), PEF, NC Tracks, other state systems, and information located in Trillium Business Systems (TBS), reconciling data inaccuracies, mapping provider data, identifying trends and patterns in data, auditing data, adhering to reporting requirements and conducting provider outreach and technical assistance. The PDM Unit is responsible for reducing provider data errors in reporting and ensuring that provider data on the PEF and in TBS are aligned. On a typical day, you might:Process confidential and complex information with discretion and professionalism.Prepare, process, and review oral and written material. Review provider data information received on the Provider Enrollment File (PEF) or as loaded in NC Tracks for accuracy and completeness and make corrections as required. Ensure accurate and timely completion of provider demographic data entry.Review PEF change report daily to ensure consistent information and make corrections as required. Receive and process correspondence from internal staff and external Providers with promptness. Provide prompt technical assistance and support for both in-network providers and community stakeholders, as 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; flexible work schedules with some roles with management approval.Work-from-home options available for most positionsHealth Insurance with no premium for employee coverageFlexible Spending Accounts24 days of Paid Time Off (PTO) plus 12 paid holidays in your first yearNC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook401k with 5% employer match and immediate vestingPublic Service Loan Forgiveness (PSLF) qualifying employerQuarterly stipend for remote work suppliesQualificationsRequired:High school diploma or GED and a minimum of one (1) year credentialing and/or healthcare record management or medical billing experience required, OREquivalent combination of higher education/experience.Must have a valid driver’s licenseMust reside within North CarolinaMust be able to travel within catchment as required.Preferred:Associates degreeExperience in medical office management and medical terminology training.Deadline for Application: Monday, April 6th, 2026 at 11:59pm.How to ApplyTo 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 dutiesEducation details (degree type, date awarded, institution, field of study)Licensure/certification information, if applicableAfter 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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