Medicaid Staff Jobs in Georgia

Ability to manage varying deadlines and multiple tasks and respond positively to changes in direction, priorities, responsibilities, or assignments.

Bachelor’s Degree in Healthcare Management, Business, Information Technology, Computer Science or related field is preferred.

Other combinations of education and experience may be substituted.

Knowledge and ability to effective apply federal/state statutes, administrative rules, and state policies and procedures relative to service delivery.

Skill and ability to build long-term internal and external relationships with customers critical to the organization.

Initiative, sound judgment, efficiency, independence, and reliability in the completion of tasks, , and other major responsibilities.

Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs.

Bachelor's degree from an accredited college or university with a major in accounting, Finance, Economics or Computer Science with data analysis.

Audit experience in medical claims and/or claims data.

Certification as a CPA or a CFE (Certified Fraud Examiner).

To move forward in the recruiting process ALL applicants are required to:

Works with investigative team to plan the financial and audit strategy for criminal and civil fraud investigations.