Senior Financial Analyst-Claims

Pay Plan Title: Senior Financial AnalystWorking Title: Senior Financial Analyst (Claims)Cost Center: 4300/ClaimsPosition Number: 60124FLSA Status: ExemptPosting Salary Range: $64,927 - $79,905Office 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/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 Senior Financial Analyst to join our Claims Team! The Senior Financial Analyst (Claims) performs analysis, reconciliation, auditing, and reporting functions within the Claims Department. This position is responsible for researching and gathering current claims and financial information to analyze trends, reconcile system data, audit for errors, and generate internal and external reporting. The analyst will look for operating efficiencies and recommend corrective actions as necessary. This role is expected to be performed independently within established procedures and regulations and to receive general instructions on methods of work. On a typical day, you might:

• Examine trends, claim statistics, and provider payments in order to monitor achievement of department goals, improve processes, and determine claims processing accuracy/timeliness.
• Reconcile data flow between processing systems; identify and report any discrepancies.

• Generate internal and external reporting of claims statistics, including data by fund source, disability, and service category.
• Maintain monthly/weekly/quarterly claims statistics and auditing spreadsheets (i.e., claim denials, claims processed, etc.). Effectively analyze data and trends and utilize quality management tools to improve organizational performance. Develop and present management reports.
• Continually assess and redesign, where appropriate, claims analysis, reconciliation, auditing, and reporting processes.
• Review claims data for audits and reviews to determine claims processing accuracy and reporting validity/integrity.

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
• 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/GED and six (6) years of experience in business, accounting, or financial analysis; OR

• Associate’s degree and four (4) years of experience in business, accounting, or financial analysis; OR
• Bachelor’s degree and two (2) years of experience in business, accounting, or financial analysis; 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:* Experience in the areas of accounting, data analysis, data management, statistics, reporting, and use of databases.

Deadline for Application: April 2,2026@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. #Innovation #Technology #Careers #NorthCarolina #BehavioralHealt