Data Analytics Manager (00056274)

Position Overview The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians. Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. 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. Maintain the Case Management Organization (CMO) dashboard and participate in the Public Assistance Reporting Information System (PARIS) project to verify residential requirements for members enrolled in Georgia Medicaid. Collaborate with other Program Integrity staff to facilitate desktop and onsite utilization reviews. Qualifications Educational/supervisory experience required: Bachelor's degree in operations management, business administration, or related field plus three (3) years in a managerial or supervisory role; or seven (7) years of related professional experience, including three (3) years in a managerial or supervisory role; or three (3) years of experience at the lower level Mgr, Business Ops (GSM010) or equivalent position. Preferred Qualifications Proficient knowledge of Microsoft Office Suite Applications Intermediate to advanced MS Word, MS Excel, MS Access, Business Intelligence tools, 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 Benefits In addition to a competitive salary, Georgia Department of Community Health offers a generous benefits package, which includes 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. #J-18808-Ljbffr Georgia-Department-of-Community-Healt