<div><div> <p><strong>Pay Plan Title:</strong>Provider Network Specialist III</p> <p><strong>Working Title:</strong>Provider Network Specialist III</p> <p><strong>FLSA Status:</strong>Exempt</p> <p><strong>Posting Salary Range:</strong>$68,890- $92,138</p> <p><strong>Office Location:</strong>Remote within North Carolina</p> <h3>POSTING DETAILS:</h3> <h3>Make an Impact</h3> <p><a href="https://himalayas.app/companies/trillium-health-resources">Trillium Health Resources</a> 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.</p> <p><strong>Why Work for Us</strong>?</p> <p>Trillium believes that empowering others begins with supporting our team. We offer our employees:</p> <div><ul> <li>A collaborative, mission-driven work environment</li> <li>Competitive benefits and work-from-home options for most positions</li> <li>Opportunities for professional growth in a diverse inclusive culture</li> </ul></div> <p>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.</p> <p>If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!</p> <h3>What We’re Looking For</h3> <p><a href="https://himalayas.app/companies/trillium-health-resources">Trillium Health Resources</a> has a career opening for a Provider Network Specialist III to join our team! The Provider Network Specialist III supports provider network operations and contributes to the execution of network strategies that strengthen clinical performance. The role collaborates with cross-functional teams to evaluate provider needs, analyze clinical and operational data, and ensure network adequacy, compliance, and effective service delivery. This position plays a key role in guiding providers on quality, performance standards, and improvement opportunities to enhance care outcomes and support organizational goals.</p> <h3>On a typical day, you might:</h3> <div><ul> <li>Apply clinical expertise to support provider network operations and collaborate with colleagues to promote high-quality, person-centered care within the provider network.</li> <li>Contribute clinical insight to network development and management activities that strengthen provider performance and support value-based care models.</li> <li>Assist in addressing provider performance issues, access barriers, and network gaps by conducting clinical reviews, performing outreach, and supporting coordinated problem resolution.</li> <li>Partner with cross-functional teams to align clinical considerations with operational, regulatory, and or