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The Director of Utilization Management leads clinical review operations, ensuring compliance, quality, and efficiency in authorization decisions. They are responsible for setting operational priorities, monitoring performance metrics, and driving process improvements across the team.
Pay Plan Title: Director, Utilization Management
Working Title: Director, Utilization Management – Review
FLSA Status: Exempt
Posting Salary Range: $118,292 - $163,939
Office 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:
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 Director, Utilization Management to join our team! The Director, Utilization Management leads utilization review functions and is accountable for operational performance, quality, and compliance of clinical review activities. The role sets operational priorities, oversees workflows and performance, and drives process improvements to ensure consistent, efficient, and compliant authorization decisions.
On a typical day, you might:
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
Qualifications
Required:
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:
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 #BehavioralHealth
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