Introduction to Your New Role

Are you driven by the desire to ensure fairness, uphold ethical standards, and make a tangible impact on people's lives? Trillium Health Resources invites a dedicated Compliance Specialist II to join our mission-driven team. This is a unique opportunity to contribute your expertise in regulatory adherence from anywhere in the world, as we manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/developmental disabilities across 46 counties in North Carolina. If you thrive on precision, problem-solving, and protecting those we serve, then this remote role could be the perfect fit for your next career chapter.

Overview

Trillium Health Resources stands as a prominent Tailored Plan and Managed Care Organization (MCO) dedicated to serving communities across North Carolina. Our core mission involves empowering individuals and families to build strong foundations for healthy, fulfilling lives. As a Compliance Specialist II, you will play a crucial role in safeguarding our operations, ensuring we consistently meet state and federal regulatory requirements. This is a fully remote, worldwide opportunity, offering a competitive salary range of $56,270 - $69,898. Join us in making a real difference every single day.

Key Responsibilities

Monitor and interpret evolving state and federal healthcare regulations, assessing their potential impact on our organizational processes and services.
Conduct thorough internal audits and investigations, meticulously evaluating compliance with established policies, procedures, and regulatory mandates.
Lead the development and delivery of comprehensive compliance training programs for staff, fostering a deep understanding of essential guidelines and best practices.
Actively participate in the formulation and revision of organizational policies and procedures, ensuring they consistently reflect current compliance standards and industry best practices.
Prepare and meticulously submit required compliance reports to both regulatory bodies and internal stakeholders, maintaining transparency and accountability.
Provide expert guidance and informed recommendations to various departments as you respond to complex compliance inquiries.
Engage in the proactive resolution of compliance-related issues, contributing to the development and implementation of effective corrective action plans.

Requirements

A Bachelor's degree in a relevant field, such as healthcare administration, business, law, or public health, provides a strong foundation.
You will need a minimum of 2 to 3 years of progressive experience in a healthcare compliance role, with a preference for experience gained within an MCO or managed care environment.
Possession of a robust understanding of state and federal healthcare regulations is essential. This includes familiarity with Medicaid, HIPAA, and fraud, waste, and abuse statutes.
Demonstrate exceptional analytical and problem-solving abilities, coupled with a meticulous attention to detail that ensures accuracy.
Exhibit excellent written and verbal communication skills, clearly articulating complex regulations and findings to diverse audiences.
Proficiency with compliance management software and standard office applications will be vital for success in this role.
You must show a proven ability to work both independently and collaboratively within a remote team structure.

What You'll Gain

The profound satisfaction of significantly impacting the lives of individuals and families across North Carolina.
Immersion in a supportive, highly collaborative, and deeply mission-driven work environment.
Access to excellent opportunities for continuous professional development and meaningful career advancement.
A competitive salary and a comprehensive benefits package designed to support your well-being.
The flexibility and autonomy that come with a fully remote role, fostering a healthy and sustainable work-life balance.
Integration into a diverse and inclusive culture that genuinely values every team member's unique contributions.