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Data Analytics Manager
- Atlanta, Georgia, United States
- Atlanta, Georgia, United States
À propos
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.
Maintain the Case Management Organization (CMO) dashboard and participate in the Public Assistance Reporting Information System (PARIS) project to verify residential requirements for members enrolled in Georgia Medicaid.
Collaborate with other Program Integrity staff to facilitate desktop and onsite utilization reviews.
Qualifications Educational/supervisory experience required: Bachelor's degree in operations management, business administration, or related field plus three (3) years in a managerial or supervisory role; or seven (7) years of related professional experience, including three (3) years in a managerial or supervisory role; or three (3) years of experience at the lower level Mgr, Business Ops (GSM010) or equivalent position.
Preferred Qualifications
Proficient knowledge of Microsoft Office Suite Applications
Intermediate to advanced MS Word, MS Excel, MS Access, Business Intelligence tools, 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
Benefits In addition to a competitive salary, 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.
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Compétences linguistiques
- English
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