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Compliance Specialist 3 -00180591

🔍 Georgia - Fulton - Atlanta

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📁
Regulatory
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Community Health, Georgia Department of - DCH
📅
6 days ago Post Date

Please visit the DCH jobsite link to review the job posting and apply:

If interested, please apply to:

https://www.governmentjobs.com/careers/dchga/jobs/5372162/compliance-specialist-3-00180591

Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

For other DCH career opportunities,

please visit: https://dch.georgia.gov/dch-employment

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. 

The Georgia Department of Community Health (DCH) is currently seeking qualified applicants for the position of Compliance Specialist 3, 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 serve as direct report to the Data Analytics Manager.  The Compliance Specialist 3 will be responsible for the Surveillance and Utilization Review (SUR) and Deep Dive reports as well as facilitating quarterly meetings. The Compliance Specialist 3 will analyze claims data to identify aberrant billing trends for providers to facilitate utilization review. The desired candidate will collaborate with other Program Integrity staff for onsite investigations. 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.

Please visit the DCH jobsite link to review the job posting and apply:

If interested, please apply to:

https://www.governmentjobs.com/careers/dchga/jobs/5372162/compliance-specialist-3-00180591

 

Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

For other DCH career opportunities,

please visit: https://dch.georgia.gov/dch-employment

 

High school diploma/GED and four (4) years of job-related experience; or two (2) years of experience required at the lower level Complnc Specialist 2 (RCP061) or position equivalent. Note: Some positions may require a certification or licensure. Note: Some positions may require a valid driver's license.

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Looking for a career with great opportunities in scenic locations? The State of Georgia offers diverse jobs in cities known for their stunning views, vibrant culture, and welcoming communities. Here are the top three locations with the most job postings on Team Georgia Careers.

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Find Your Next Job in One of Georgia’s Scenic Locations

Whether you’re looking to be in the heart of the city, along the coast, or by the river, Georgia Government has a role for you in one of these beautiful locations. From career growth to scenic views, a job with the State of Georgia offers a chance to enjoy life while making a difference.

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Life in Georgia

Thriving cities and charming towns, beautiful countryside connecting mountain vistas with white-sand beaches, plus a temperate climate offering all four seasons make Georgia one of the very best places to live in the South. Across the state you will find world-class entertainment, professional and recreational sports, and restaurants providing cuisine from around the world. Come experience and enjoy life in Georgia.

Video courtesy of Georgia Department of Economic Development

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