Provider Network Specialist II - Adult Behavioral Health
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What you'll do
- Engage providers to support onboarding, readiness, and implementation activities.
- Coordinate provider implementation plans and track progress.
- Monitor provider performance and compliance with requirements.
- Facilitate provider meetings and communication activities.
- Support resolution of provider performance issues and gaps.
- Collect, analyze, and report data in a timely and accurate manner.
- Cultivate strong, collaborative relationships with network providers by offering technical support and facilitating clear, consistent communication and outreach
- Evaluate monitoring findings and identify compliance issues.
- Coordinate corrective action plans and monitor implementation.
- Communicate monitoring results and requirements to providers.
- Provide guidance to support compliance and quality outcomes.
What they're looking for
- High school diploma or GED and six (6) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Associate's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or other human services and four (4) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Bachelor's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or other human services and two (2) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Equivalent combination of education and experience.
- Must have a valid driver's license.
- Must reside within Trillium's Catchment of North Carolina. Counties included: Anson, Bertie, Beaufort, Bladen, Brunswick, Camden, Chowan, Carteret, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Guilford, Halifax, Hertford, Hoke, Hyde, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Randolph, Richmond, Robeson, Sampson, Scotland, Tyrrell, Warren, Washington, Wayne, Wilson.
- Must be able to travel within catchment as required.
Nice to have
- One (1) year of work experience in mental health, substance use, or developmental disabilities, preferably on teams such as Assertive Community Treatment (ACT), Community Support Team (CST), and/or Transition Management Services (TMS).
- Experience in the development of Person-Centered Plans (PCPs) and the understanding of the NC DHHS Person-Centered Planning guidance.
- Strong data driven approach with the ability to analyze trends and present findings.
- Proficiency with Excel and other tools used for data tracking, analysis, and reporting.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Pay Plan Title: Provider Network Specialist II
Working Title: Provider Network Specialist II – Adult Behavioral Health
FLSA Status: Exempt
Posting Salary Range: $56,270 - $69,898
Office Location: Remote in North Carolina and within Trillium’s Catchment Area (See requirements section for included counties)
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 a Provider Network Specialist II to join our team! The Provider Network Specialist II supports development and ongoing coordination of the provider network. The role engages providers, coordinates onboarding activities, and monitors performance to support network readiness, compliance, and access to services. In addition to these core responsibilities, the position provides service‑specific support and quality monitoring for enhanced services serving adults with SPMI. Must be knowledgeable in NC Person-Centered Planning guidance, Clinical Coverage Policy/service definition and record management standards. This highly collaborative role requires strong team‑building skills and the ability to work independently.
On a typical day, you might:
- Engage providers to support onboarding, readiness, and implementation activities.
- Coordinate provider implementation plans and track progress.
- Monitor provider performance and compliance with requirements.
- Facilitate provider meetings and communication activities.
- Support resolution of provider performance issues and gaps.
- Collect, analyze, and report data in a timely and accurate manner.
- Cultivate strong, collaborative relationships with network providers by offering technical support and facilitating clear, consistent communication and outreach
- Evaluate monitoring findings and identify compliance issues.
- Coordinate corrective action plans and monitor implementation.
- Communicate monitoring results and requirements to providers.
- Provide guidance to support compliance and quality outcomes.
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 available for some positions 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
- 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 six (6) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Associate's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or other human services and four (4) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Bachelor's degree in a field related to population health, healthcare administration, business administration, health, psychology, sociology, social work, nursing, or other human services and two (2) years of experience with medical practices, clinical settings, managed care organizations, provider relations, network development, or provider contracting; OR
- Equivalent combination of education and experience.
- Must have a valid driver’s license.
- Must reside within Trillium’s Catchment of North Carolina. Counties included: Anson, Bertie, Beaufort, Bladen, Brunswick, Camden, Chowan, Carteret, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Guilford, Halifax, Hertford, Hoke, Hyde, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Randolph, Richmond, Robeson, Sampson, Scotland, Tyrrell, Warren, Washington, Wayne, Wilson.
- Must be able to travel within catchment as required.
Preferred:
- One (1) year of work experience in mental health, substance use, or developmental disabilities, preferably on teams such as Assertive Community Treatment (ACT), Community Support Team (CST), and/or Transition Management Services (TMS).
- Experience in the development of Person-Centered Plans (PCPs) and the understanding of the NC DHHS Person-Centered Planning guidance.
- Strong data driven approach with the ability to analyze trends and present findings.
- Proficiency with Excel and other tools used for data tracking, analysis, and reporting.
Deadline for Application: Tuesday September 29, 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.
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