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Job Title:  

Compliance Monitor 2 (RSM) - Statewide

Agency:

Family and Children Services, Division of

Job Requisition ID:

JR0000004158

Shift:

Day (United States of America)

Compensation Details:

$46,904

Job Description:

Stronger Families for a Stronger Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgia's most vulnerable populations. Our mission is to strengthen Georgia by providing individuals and families access to services that promote self-sufficiency, independence, and protect Georgia's vulnerable children and adults.   

What we offer.  Enjoy a generous benefits package that includes a flexible work schedule, unique training opportunities, employee retirement plan, 401(k) plan and 457 plan, 13 paid holidays, vacation & sick leave, medical, dental, vision, long/short-term care, life insurance, and employee discount programs; in addition to telework opportunities depending upon the position.   

Start your career in public service.  The Division of Family & Children Services (DFCS), Office of Family Independence (OFI), is seeking professional individual to complete highly focused Medicaid case record reviews to determine timeliness, accuracy and trends.

The location of the position will be determined by the RSM Unit Manager with consideration being given to the incumbent’s place of residence.

Job Description (General Summary):

Role and Responsibilities:

• Determine timeliness and accuracy of the agency’s issuance of benefits in accordance with state and federal laws and policies.
• Reviews case actions from assigned case record review list.
• Reviews all points of eligibility and completes case corrections on errors identified.
• Analyzes results and identify trend patterns.
• Completes a monthly report on findings, compiles and submits findings to the Unit Manager.
• Attend staff meetings with the Unit Manager and appropriate staff that were involved in the cases identified with error.
• Completes all special assignments given by the deadline assigned.
• Maintains knowledge of current policies, laws and trends.
• Performs other professional responsibilities as assigned.
• Coordinates work assignments and completion of special projects.
• Cultivates solutions for complex case or policy related questions from a variety of sources.
• Attends required training.

Minimum Qualifications

• High school diploma/GED AND Three (3) years of experience in a technical job related to the area of assignment. A valid driver's license may be required.

Preferred Qualifications: Preference will be given to candidates who, in addition to meeting the minimum qualifications, demonstrate some or all of the following skills/experience.

• Three (3) years of program specific knowledge in Medicaid as an Economic Support Specialist or one (1) year of work experience as an Economic Support Specialist Supervisor or Error Control Specialist/Case Record Reader.
• Strong attention to detail and ability to apply technical knowledge to policies/procedures.
• Self-driven and highly motivated to independently complete tasks as well as work as part of a team.
• Strong working knowledge of Medicaid policy and procedures.
  

Additional Information
For more detailed information about the Georgia Department Human Services
https://dhs.georgia.gov/ 

Employment Information
Current State employees are subject to State Personnel Board (SPB) Rules regarding salary.

DHS is an Equal Opportunity Employer

If you require accommodations under the American Disability Act (ADA), email request by the closing date of this announcement to: DHS-HR@dhs.ga.gov.

The candidate selected for this position may be subject to pre-employment drug screening, education verification, reference, motor vehicle records, and criminal background checks.

DHS accepts educational credential recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) will be considered. DHS will contact educational institutions to verify degree, diploma, licensure, etc.

As an employee of DHS, in the event of an identified emergency you may be required, as a term and condition of employment, to assist in meeting the emergency responsibilities of the department.

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 official 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.

Minimum Qualifications:

High school diploma/GED and three (3) years of experience in a technical job related to the area of assignment. A valid driver's license may be required.

Equal Employment Opportunity Employer

The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.