Director Predictive Analytics Jobs in Decatur, GA

Description Pay Grade M 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.

The Georgia Department of Community Health (DCH) is currently seeking qualified applicants for the position of Data Analytics Manager, in the Office of Inspector General, Program Integrity Unit. The position provides critical support functions within the Program Integrity Unit and the Office of Inspector General, which helps safeguard the agency from fraud, waste, and abuse. The selected candidate will be responsible for managing seven (7) direct reports charged with data reporting and analysis for fraud, waste, and abuse in the Medicaid program.

The Data Analytics Manager provides guidance and feedback to the team to ensure adherence to performance metrics and timeliness of business processes for the Program Integrity Unit. The Data Analytics Manager will maintain the Case Management Organization (CMO) dashboard and participate in the Public Assistance Reporting Information System (PARIS) project. The PARIS project is to verify residential requirements for members enrolled in Georgia Medicaid.

The desired candidate will collaborate with other Program Integrity staff to facilitate desktop and onsite utilization reviews. This is a hybrid position that requires in-office and remote work with the approval of your supervisor. Your days of frequency in the office can change at any time during your employment based on the business needs of the organization.

Job Responsibilities The Data Analytics Manager shall perform the following duties and 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. Minimum Qualifications 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. Note: 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.

Preferred Qualifications: 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. 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, reference check, and credit check. For more information about this job contact: : http://dch.ga.gov