Trillium Health Resources

• Assist the Clinical Pharmacy Director in providing clinical oversight for the development and implementation of the pharmacy program plan for clinical services • Evaluate medication reconciliations and provide Medication Management referrals, education, and outreach to Care Management, providers, and members • Assist pharmacy team members with pharmacy related information/projects • Support/perform educational activities for Trillium colleagues, providers, and members when necessary • Assist in the development and maintenance of cost-effective pharmacy programs, including management of the formulary; utilization management programs; and responding to internal questions

• Advise and assist staff with respect to reconsideration reviews, appeals, complaints, grievances, incidents, and inquiries/investigations/audits conducted by regulatory authorities • Develop and review contracts and agreements with state agencies, counties, providers, vendors, stakeholders or other entities and individuals • Supervise the appeals unit, which facilitates all in-house reviews of appeals of agency decisions, including actions on authorization requests, actions with providers, and claims denial appeals • Prepare employees for depositions and court appearances, respond to subpoenas directed to the organization and/or employees, and coordinate with judicial and legal authorities • Oversee requests for documents under the NC Public Records law and assist as needed with responses to external requests for information from governmental or non-governmental organizations • Oversee the management and monitoring of Trillium’s subcontracting of Tailored Plan core services to ensure adherence to Trillium’s Tailored Plan contract and related NC DHHS guidelines, laws, rules and regulations

• Serve as the primary leader and public face of the NC ROOTS Hub across any regions awarded to Trillium. • Oversee implementation of required initiatives, including perinatal health (including CHW/Doula coordination models), chronic disease prevention and management, and Food is Medicine programs. • Design and operationalize a sub-awardee model for hospitals, providers, and CBOs. • Oversee multi-million-dollar regional budgets and funding allocations. • Build trust across diverse stakeholders, including historically underserved communities. • Build and lead a high-performing regional team, including operations, Community engagement, program implementation, and data and analytics.

• Develop the service strategy for one or more services in the IT organization • Review business requests for service enhancements and undertake cost evaluation, standards reviews, and prioritization • Contribute service descriptions and service-level agreements (SLAs) for specific services to the organization’s service catalog • Interact with technology brokers/vendor managers to identify and evaluate new technology products for their services • Set up, manage, and evaluate end to end Service Desk processes and workflows

• Assist members in locating appropriate housing based on program requirements, their preferences and availability. • Educate landlords/property managers/owners on TCL and the TCL Voucher subsidy. • Provide technical assistance to landlords regarding specific members. • Work collaboratively with members and guardians to assess members’ financial needs and assist members in developing a budget that will allow them to successfully live independently. • Coordinate directly with members, landlords, tenancy providers, internal TCL, Care Management, and Finance staff, and other supports to identify and address housing issues and barriers, as well as any other social determinants of health, as a means to maintain permanent supportive housing, avoid formal evictions, and procure alternative housing through TCL if warranted.

• Responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) • Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring • Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions • Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living • Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems

• Provide Tailored Care Management. • Educate individuals/families on details surrounding the Registry of Unmet Needs (RUN) and offer available resources for services, supplies/equipment. • Complete assessments and care planning activities with members and their treatment team. • Coordinate with the member and their care team to refer and link the member to needed services and supports.

• Develop, maintain, and advance collections of related projects with a variety of stakeholders across the enterprise to effectively deliver organization capabilities supporting strategic and operational demands. • Accountable for the oversight and governance of a wide variety of IT projects and programs, varying in size and scope from large-scale transformational projects to a program portfolio of related initiatives, ensuring they meet business outcomes. • Demonstrate a deep understanding of business acumen and organizational knowledge between administrative, clinical, human resource, information technology, and quality functions including the interaction and interdependencies of each business unit. • Develop, maintain, and execute large-scale comprehensive projects or integrated program plans, including charters, scope definition, communication plans, roadmaps, resource allocation, timelines, milestones, deliverables, risk registers, and dependency management across the portfolio. • Lead and supervise a team of Project Managers and Project Analysts, providing talent development, coaching, performance evaluations, and overseeing the requisition process from candidate review and selection to new staff onboarding.

• Provide direct supervision and support to QP level coordinators, licensed clinicians and certified peer support specialists. • Monitor team’s quality of work and take corrective action as needed. • Oversee complex cases ensuring sound decision making and wholistic client care. • Support staff to effectively plan and coordinate member transitions from incarceration to the community. • Collect data, assign cases, and conduct quality audits. • Collaborate with internal departments and external systems including prisons/jails, probation/parole, BH/SU providers, and other stakeholders.

• Direct operations of the county health plan, THRive Local to include initiatives funded through county Maintenance of Effort and ABC funds ensuring alignment with organizational goals and county priorities • Direct the development and monitoring of cross-functional projects and initiatives • Lead organizational engagement and partnership strategies with county human services agencies, such as, but not limited to Departments of Social Services (DSS) and County Health and Human Services Departments, fostering collaboration and system alignment for populations involved with child welfare, adult services, and other human services programs • Serve as executive liaison to DSS agencies • Provide direction of crisis collaboratives, community crisis planning, and campaigns designed to strengthen local crisis response infrastructure