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Quality Assurance Coordinator for Utilization Management

2 months ago

Norcross, Georgia, United States GeorgiaGov Full time
Quality Assurance Utilization Coordinator (Bilingual) - APEX Program

The APEX Program represents a groundbreaking effort aimed at providing outstanding services to students throughout the state. This initiative is supported by the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) along with various educational institutions.

Key Responsibilities:

  • Collects and analyzes reports on significant indicators related to potential fraudulent activities.
  • Evaluates system-generated reports to ensure compliance with state or program standards and identifies necessary adjustments in regulations.
  • Reviews documentation to detect instances of noncompliance with established state policies and procedures.

Qualifications:

  • High school diploma or GED equivalent.
  • A minimum of three (3) years of experience in a technical position pertinent to the designated area.

Please note that a valid driver's license may be required for this role.