Data Analytics Manager (00056274)
About The Position
The Georgia Department of Community Health (DCH) is seeking a Data Analytics Manager for the Office of Inspector General, Program Integrity Unit. This role provides critical support in safeguarding the agency from fraud, waste, and abuse. The selected candidate will manage a team of seven direct reports responsible for data reporting and analysis related to fraud, waste, and abuse in the Medicaid program. The manager will provide guidance and feedback to ensure adherence to performance metrics and business processes. Key responsibilities include maintaining the Case Management Organization (CMO) dashboard and participating in the Public Assistance Reporting Information System (PARIS) project, which verifies residential requirements for Georgia Medicaid members. The position also involves collaborating with other Program Integrity staff for utilization reviews. This is a hybrid position requiring both in-office and remote work, with the frequency of in-office days subject to change based on business needs.
Requirements
- Bachelor's degree in operations management, business administration, or a related field which includes three (3) years in a managerial or supervisory role; or seven (7) years of related professional experience which includes three (3) years in a managerial or supervisory role; or three (3) years of experience required at the lower level Mgr, Business Ops (GSM010) or position equivalent.
- An equivalent combination of knowledge, education, job or intern experience, training, or certifications that provides the necessary knowledge and skills to successfully perform the job at the level listed may be substituted year-over-year.
- Applications without work experience listed will not be considered.
Nice To Haves
- Proficient knowledge of Microsoft Office Suite Applications
- Intermediate to advanced MS Word, MS Excel, MS Access, Tools - Business Intelligence, Data Visualization, and Data Analysis
- Knowledge of Business Objects and Medicaid Management Information Systems.
- Knowledge of statistical data and reporting
- Knowledge of Medicaid Policies and Procedures
- Experience working with Medicaid and/or Medicare claims
- Ability to coordinate tasks with internal and external parties
- Ability to organize documents, forms, and data
- Ability to communicate both orally and in writing
- Ability to understand governmental organizations and operations
- Strong data entry and typing skills
- Knowledge of health care industry, insurance industry, Medicaid and relevant rules and regulations
- Comfortable presenting findings from data analysis to a wide range of audiences through a variety of mediums
- Ability to understand and proactively identify fraud, waste, and abuse in healthcare settings.
Responsibilities
- Reports to the Assistant Director, Case Intake & Data Analytics.
- Assign data requests received from internal and external stakeholders based on workload and subject matter expertise.
- Review and approve data outputs prior to submission to external stakeholders.
- Provide training and guidance to data analyst for business processes to proactively identify fraud, waste, and abuse.
- Track and monitor performance metrics and monthly validations for Data Analytics team.
- Identify opportunities for continuous improvement of predictive analytics to detect fraud, waste, and abuse.
- Facilitate meetings with direct reports to discuss expectations and timeliness of assigned tasks.
Benefits
- employee retirement plan
- paid holidays annually
- vacation and sick leave
- health, dental, vision, legal, disability, accidental death and dismemberment, health and child care spending account.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
