What are the responsibilities and job description for the Manager Provider Enrollment - 00056248 position at Georgia Department of Community Health?
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 Department of Community Health is seeking qualified candidates for a Manager of Provider Enrollment. This position will work in the Eligibility and Enrollment Unit of the Medical Assistance Plans (Medicaid) Division. This is a hybrid position that requires in-office and remote work with the approval of the supervisor. The days and frequency in the office can change at any time during employment based on the business needs of the organization.
Under general supervision of the Director of Provider Enrollment, reviews, monitors and ensures compliance with Medicaid policies and procedures. Provides technical and customer support, conducts training and participates in meetings for assigned program areas. Supervises clerical and/or Regulatory Analyst staff. Interprets program policies in the areas of responsibilities; serves as a resource and DMA representative to assist providers in resolving complex problems. May function as staff advisor to analysts in areas of responsibility and as primary point of communication with professionals and groups related to programs in area of assignment. Analyzes the nature and scope of policy related problems; develops or assists with the development of appropriate corrective measures or changes to policy at it relates to Provider Enrollment
Job Responsibilities & Performance Standards:
1. Develops policies and procedures and makes recommendations for changes to Medicaid program area of assignment.
2. Receives and responds to written and verbal inquiry related to Medicaid eligibility regulations and procedures.
3. Ensures that Medicaid Provider Enrollment regulations/procedures are applied correctly.
4. Supervises Medicaid Provider Enrollment Regulatory Analyst staff
5. Interviews, trains, recommends hiring, evaluates performance and recommends discipline and discharge of subordinates. (Performed by some incumbents)
6. Trains providers, DCH staff and fiscal agent in Medicaid policies, procedures and processes.
7. Assists with the development, evaluation and awarding of RFPs related to Medicaid programs. Participates in establishing and developing the Medicaid contract documents, applications, and informational materials for recipients and providers.
8. Recommends modifications to and identifies problems with MMIS Programs.
9. Coordinates the activities for programs in area of responsibility.
10. Ensures timely processing of applications.
11. Coordinates and plans activities for assigned Advisory Committee. Acts as liaison between committee and department.
Bachelor's degree in operations management, business administration, or a related field which includes two (2) years in a managerial or supervisory role or six (6) years of related professional experience which includes two (2) years in a managerial or supervisory role.
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.
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.govSalary : $47,983 - $59,331
