Job description

Description

Pay Grade: H

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 Department of Community Health is seeking qualified applicants for the Financial Analyst 1 position for the Office of Financial Reimbursement. The Financial Analyst 1 position requires a knowledge of healthcare and a financial reimbursement background and/or experience. 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.

Job Responsibilities

Under general direction, the Financial Analyst 1 will assist the Financial Analyst Supervisor in areas including monitoring of Nursing Home Cost Reports and Provider Fee Reports, processing of appeals, recalculation of case mix index scores, analysis of trends, and preparation of revisions to the state plan, as well as policies and procedures.

Job Responsibilities:

• Assists in the quality review of provider data elements utilized in calculating the quarterly per diem rates for nursing facility service providers utilizing case mix and quality incentive data.
• Assists in the reviewing the reimbursement rates in the DXC/MMIS system on a quarterly and as needed basis due to rate adjustments.
• Assist in the review of provider rate adjustments for property transactions as well as provider appeals of the quarterly/annual rate components.
• Assist in completing the Cost Settlement process for Nurse Aide Training and Testing costs.
• Respond to internal/external inquiries from over 350 nursing home providers, accountants, advocacy groups, and internal staff related to open records requests, policy clarification, estimates and facility rate information.
• Assist in the cost report process to include cost report/provider fee report approvals, updates, audit review coordination, and related policy changes.
• Interpret and apply state and federal reporting regulations, guidelines, policies and procedures enacted into law.
• Performs job responsibilities with minimal supervision.

Minimum Qualifications

Bachelor's degree in a related area from an accredited college or university OR Associate's degree in a related area from an accredited college or university AND One year of experience in a related area OR One year of professional experience in general accounting, billing and collection systems and/or claims.

Preferred Qualifications: Preference will be given to candidates, who in addition to meeting the minimum qualifications listed below possess the following:

• Professional accounting/auditing experience in a healthcare related environment;
• Intermediate Excel skills;
• Completed a degree in Accounting at the level of a Bachelor’s or above;
• One years’ experience with Medicaid policies, particularly related to nursing homes;
• One years’ experience with Medicaid or other cost reporting especially related to nursing homes.

Additional Information

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.gov

Job Type: Full-time

Pay: $32,248.75 - $40,500.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Wear masks, sanitize stations available, social distancing practiced.

Ability to commute/relocate:

• Atlanta, GA 30303: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Pharmacy technician experience: 1 year (Preferred)
• Customer service: 1 year (Preferred)

License/Certification:

• Pharmacy Technician License (Preferred)
• Pharmacy Technician Certification (Preferred)

Work Location: In person

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