Compliance Specialist 1 (00221464) bei Georgia Department of Community Health, GA

About the Department

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. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state. 

DCH is committed to providing superior Customer Service and Communication, embracing Teamwork, and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.

Position Duties

• Provides oversight for Program of All-Inclusive Care for the Elderly (PACE) program and Certified Nursing Assistant (CNA) training. 
• Guide participants and their families through the eligibility and enrollment process for Program of All-Inclusive Care for the Elderly (PACE), including explaining the criteria, assisting with Medicaid application paperwork, and verifying documentation.
• Maintain accurate records of enrollment applications, ensuring compliance with regulatory requirements and internal policies.
• Serve as a primary point of contact for inquiries related to the Program of All-Inclusive Care for the Elderly (PACE) enrollment, responding promptly and courteously to all inquiries via phone, email, or in-person meetings. 
• Provides professional, courteous, and helpful customer service to our internal and external customers.
• Records and evaluates personal and financial data obtained from individuals.
• The capability of being flexible with work assignments and the ability to multitask. 
• Conducting onsite visits to PACE centers to ensure program compliance with the three-way agreement. 
• Age, Blind & Disable policy and GATEWAY training and/or knowledge. 
• Determine the eligibility for Program of All-Inclusive Care for the Elderly (PACE),
• Performs other professional responsibilities as assigned.
• Must live within a 55 miles radius; Travel required.

Minimum Qualifications

High school diploma/GED and two (2) years of job-related experience. Note: Some positions may require a valid driver's license.

PREFERRED QUALIFICATIONS

• Bachelor's degree in a related field or higher
• Strong background in Healthcare, Public Administration, or other health-related fields 
• Knowledge and understanding of Medicaid and Centers for Medicare & Medicaid Services policies and regulations 
• Significant Medicaid and Audit experience 
• Demonstrated strategic mindset to understand legal decisions’ impacts to the agency 
• Age, Blind & Disabled policy and GATEWAY training and/or knowledge

Other Qualifications

EARN MORE THAN A SALARY! In addition to a competitive salary, the 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 childcare spending account.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification. 

THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.

This position is unclassified, and employment is at-will. Candidates for this position are subject to a pre-employment background history and reference check. 

For more information about this job contact: https://dch.georgia.gov.