Public Consulting Group

Compliance Analyst

Job Locations US-GA-Atlanta
Posted Date 1 month ago(6/8/2021 12:26 PM)
Job ID
2021-6693
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Health Services

Overview

Public Consulting Group, Inc. (PCG) is a leading public sector  solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.

 

The Compliance Analyst candidate will be provide project operations to the state of Georgia. This individual will work in a deadline-oriented, fast paced environment as part of a growing team consisting of consulting and operations staff. The teams goal is to provide superior service to the state Medicaid agency, school districts, and other stakeholders for Medicaid school-based revenue programs. The Compliance Analyst must produce quality work, meet client goals and objectives, and develop solutions to client problems in a timely manner. Compliance Analysts must be able to draw sound conclusions based on data analysis and communicate findings effectively, both in person and in writing. This individual will be assigned short-term and long-term tasks on multiple contracts. As s/he becomes more familiar with PCG clients and product lines, s/he may take on greater responsibility within projects.

Responsibilities

This position focuses on the operations delivery of the Medicaid program with major responsibilities to include:

  • Conduct validation reviews and draft final reports
  • Respond to inquiries and questions from various stakeholders
  • Draft presentations
  • Attending regular client meetings and work on-site at the client location as necessary
  • Analyze, format and process data related to Medicaid reimbursement
  • Interpret medical policy and complex provider contracts
  • Help complete Medicaid claims and cost reports
  • Identify/review potential system problems
  • Handle other related duties as necessary

Qualifications

PCG is a fast paced, energetic environment with dedicated professionals who are passionate and committed to the core values of the organization. Successful candidates must be willing to operate in both a team situation and autonomously with minimal supervision. They must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral and written communication.

 

Other essential qualifications include:

  • A Bachelor’s Degree is a minimum requirement preferably in Business Administration, Finance, Management Information Systems, Public Administration, Economics, Government, or a related field.
  • Strong analytical, interpersonal, organizational, research, presentation, time management, problem-solving.
  • Proven ability to take initiative, and move daily work forward with intellectual curiosity, enthusiasm, and eagerness to learn.
  • Use problem solving approach to business issues and able to follow, critically evaluate, and improve upon current processes.
  • Good judgment in prioritizing and completing tasks, and in seeking guidance when needed.
  • Commitment to exceptional client service and contribute in a team environment.
  • Core interest in finance, education, health care, government, or public consulting general knowledge or experience in business, or state and local government.
  • Dedication to accomplishing goals and challenges presented by clients and management, and accountable for results.
  • Ability to interact with various levels of management and with clients.
  • Conducting financial analysis, resolving claim issues, completing cost reports, and reimbursement projections.
  • Preparing, managing, and documenting daily correspondence, written, verbal and e-mail, to clients and their stakeholders.
  • Participating on proposal development teams, including writing sections, coordinating efforts, and preparing proposal submissions.
  • Defining, documenting, and improving business processes or operational efficiencies.
  • Conducting policy and other types of research.

 

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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