SHBP Employer Services Engagement Specialist (00056410)

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 Overview:
The State Health Benefit Division is seeking an Employer Services Engagement Specialist to join the Employer Services Team. This role involves working closely with SHBP employing entities, the eligibility vendor, and internal DCH staff to provide high-quality service, resolve complex issues, and ensure compliance with policies and procedures. The ideal candidate will have excellent communication, problem-solving, and organizational skills.

General Responsibilities:

• Provide clear and accurate explanations of policies, benefits, and procedures to employing entities and the eligibility vendor.
• Perform administrative tasks such as generating reports, filing, and distributing correspondence or information.
• Research and review both routine and non-routine processing issues, escalating complex or sensitive matters to the supervisor as needed.
• Generate professional, well-written responses to inquiries from employing entities and the eligibility vendor.
• Some in-state travel required.

Specific Responsibilities:

• Examine files to address routine inquiries and provide employers and the eligibility vendor with accurate information.
• Conduct research to respond to employer requests and resolve issues, such as billing discrepancies or coverage changes due to qualifying events.
• Mediate and respond to complaints, inquiries, and requests for assistance from employing entities and the eligibility vendor.
• Assist in implementing operational procedures and coordinating training programs as needed.
• Manage high-priority tasks such as maintaining and monitoring the Employer Services email inbox.
• Send email communications to employers to provide updates or convey critical information.
• Serve as the lead for the Employer Services travel team during key events such as New Teacher Orientation (NTO) and Open Enrollment (OE).
• Manage the SHBP Employer (X)change system inbox during high-volume periods.
• Other duties as assigned.

Preferred Skills and Qualifications:

• Strong written and verbal communication skills, with the ability to convey information clearly and professionally.
• Exceptional organizational skills and attention to detail.
• Proven ability to research, analyze, and resolve complex issues.
• Experience in customer service, particularly in a fast-paced environment.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Familiarity with SHBP policies, procedures, and systems is a plus.

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: https://dch.georgia.gov

Salary : $34,249 - $46,246