Eligibility and Policy Analyst
3 weeks ago
As a key member of the GeorgiaGov team, the Eligibility and Policy Analyst plays a critical role in ensuring the smooth operation of Georgia Access – State Based Exchange. This position is responsible for reviewing and updating program policies and operational procedures to ensure compliance and efficiency.
Key Responsibilities- Analyze customer issues to determine causes and develop new processes to resolve them.
- Review and update consumer eligibility, verification, and appeals policies for the Georgia Access division.
- Support and participate in annual federal programmatic audits and other audits as needed.
- Analyze Contact Center metrics, Key Performance Indicators (KPIs), and related reports produced by the Contact Center vendor.
- Prepare draft recommendations for the Contact Center Specialist to improve Contact Center processes.
- Draft, review, and update consumer support materials, including scripts and Interactive Voice Response (IVR) systems.
- Review, respond to, and resolve escalated Contact Center inquiries and appeals.
- Coordinate with the agency's Administrative Procedures department for eligibility appeals.
- Develop private-sector partner and assister policies and business requirements.
- Collaborate with other state agencies as necessary for referrals of consumers to/from Medicaid and Georgia Access.
A Master's degree in a related field from an accredited college or university, or a Bachelor's degree in a related field from an accredited college or university with two years of related experience, or an Associate's degree in a related field from an accredited college or university with three years of related experience, or four years of related professional experience. Some positions may require a certification or licensure, and a valid driver's license may be necessary for some roles.", "company": "GeorgiaGov"}
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Policy and Eligibility Review Analyst
1 month ago
Atlanta, Georgia, United States GeorgiaGov Full timePosition Overview: The Policy and Eligibility Review Analyst plays a crucial role in the assessment and enhancement of program policies and operational frameworks for the effective execution of Georgia Access – State Based Exchange. Key Responsibilities: Conducts thorough analyses of customer concerns to identify root causes and formulates innovative...
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Eligibility and Policy Specialist
2 weeks ago
Atlanta, Georgia, United States GeorgiaGov Full timeJob SummaryWe are seeking a highly skilled Eligibility and Policy Analyst to join our team at GeorgiaGov. The successful candidate will be responsible for reviewing and updating program policies and operational procedures for the implementation and ongoing operations of Georgia Access – State Based Exchange.Key ResponsibilitiesAnalyze customer issues to...
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Program Analyst
4 weeks ago
Atlanta, Georgia, United States GeorgiaGov Full timeJob SummaryAs a Policy and Eligibility Specialist at GeorgiaGov, you will play a critical role in reviewing and updating program policies and operational procedures for the implementation and ongoing operations of Georgia Access – State Based Exchange.Key ResponsibilitiesAnalyze customer issues to determine causes and develop new processes, documenting...
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Eligibility and Policy Program Manager
4 weeks ago
Atlanta, Georgia, United States GeorgiaGov Full time**Job Summary**The Eligibility and Policy Analyst plays a critical role in ensuring the smooth operation of Georgia Access – State Based Exchange. This position is responsible for reviewing and updating program policies and operational procedures to ensure compliance and efficiency.**Key Responsibilities**Analyze customer issues to determine causes and...
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