TO APPLY

Please visit the DCH jobsite link to review the job posting and apply: https://www.governmentjobs.com/careers/dchga/jobs/2910363/map-support-services-and-resolution-manager

Applicants who do not apply using the dchjobs link provided above will NOT be considered

The Georgia Department of Community Health (DCH) is one of Georgia’s four health agencies serving the state’s growing population of almost 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP), Office of Health Planning, and includes Healthcare Facility Regulation (HFRD) 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 four program divisions. DCH employees are based in Atlanta, Cordele and across the state.

DCH is currently seeking a qualified candidate for the MAP Support Services & Resolution Manager position in the Regulatory Services & Compliance Unit within the Policy, Compliance & Operations Office of the Medical Assistance Plan (MAP) Division. The MAP Division, which accounts for approximately three billion dollars annually of the State’s budget, is dedicated to advancing the health, wellness, and independence of those they serve by providing access to quality care and resources statewide to approximately 1.7 million Georgians. The position is based in Downtown Atlanta, GA (Fulton County).

Job Responsibilities:

Job Summary:
The MAP Support Services and Resolution Manager is responsible for managing support services for all Medicaid programs.

Roles and responsibilities:

  • Manages support services for all Medicaid programs (e.g. administrative reviews, claims, grievance and appeals, ticket development/testing)
  • Provides technical assistance for policy revisions and program areas
  • Prepares correspondence to stakeholders as needed

Minimum Qualifications:

Bachelor’s degree in a related field from an accredited college or university AND Four years of experience managing professional level staff
OR
Eight years of related professional experience AND Four years managing at the level equivalent to area of assignment
OR
Four years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent.

Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis

Key Skills and Qualifications:

  • Strong background in Healthcare, Public Administration, or other health-related field
  • Strong knowledge and understanding of federal, state and CMS policies and regulations
  • Strong written communication skills
  • Knowledge and understanding of DCH’s fee-for-service and managed care offerings
  • Demonstrated knowledge of state and federal policies and procedures and the implications to MAP’s various service offerings and programs
  • Strong knowledge and experience in researching federal and state regulations that impact MAP
  • Ability to interpret both federal and state healthcare legislation and modify policies and procedures for MAP’s various service offerings and programs D36
  • Ability to establish and maintain effective working relationships with providers, state legislature, CMS, CMOs, agencies, and DCH leadership

Key Competencies:
1. Core

  • Purpose Driven
  • Customer Focused
  • Results Oriented
  • Clear and Timely Communicator
  • Encourages Teamwork and Collaboration
  • Holds Employees and Self Accountable 7
  • Willing to Learn
  • Organized and Meets Expected Deadlines

2. Managerial

  • Measure employee performance and provides learning opportunities to improve performance
  • Delegates and utilizes resources efficiently
  • Builds a strategy and vision to drive positive change for the Division
  • Inspires others to achieve goals and collaborate with others
  • Prioritizes and manages multiple tasks without sacrificing quality
  • Identifies, manages, and mitigates risk

3. Functional

  • Exhibits attention to detail
  • Maintains process discipline & quality
  • Develops innovative solutions to solve problems
  • Displays strong oral and written communication skills

Additional Information:

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 child care 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 background history and reference check.
For more information about this job contact: http://dch.ga.gov

TO APPLY

Please visit the DCH jobsite link to review the job posting and apply: https://www.governmentjobs.com/careers/dchga/jobs/2910363/map-support-services-and-resolution-manager

Applicants who do not apply using the dchjobs link provided above will NOT be considered


Qualifications
:

Bachelor’s degree in a related field from an accredited college or university AND Four years of experience managing professional level staff OR Eight years of related professional experience AND Four years managing at the level equivalent to area of assignment OR Four years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent. Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis.