Medicaid Program Manager 1--A
Medicaid Program Manager 1--A
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 5023 - 9856
1 Vacancy
Job Description
Supplemental Information
The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services the development and stimulation of services of others and the utilization of available resources in the most effective manner.
LDH serves as a model employer for individuals with disabilities.
This position is located within the Louisiana Department of Health / Medical Vendor Administration /Financial Management and Operations / East Baton Rouge Parish
Announcement Number: MVA/SP/208008Cost Center:
Position Number:
This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy click on the Apply link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete. *
A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resumeis not eligible to receive credit
For further information about this vacancy contact:
Shambrielle Pooler
LDH/HUMAN RESOURCES
BATON ROUGE LA 70821
This organization participates in Everify and for more information on Everify please contact DHS at.
Minimum Qualifications
- MINIMUM QUALIFICATIONS:
Seven years of experience in developing managing or evaluating health or social service programs; or in public health public relations social services health services health regulation or administrative services; OR
Six years of fulltime work experience in any field plus four years of experience in developing managing or evaluating health or social service programs; or in public health public relations social services health services health regulation or administrative services; OR
A bachelors degree plus four years of experience in developing managing or evaluating health or social service programs; or in public health public relations social services health services health regulation or administrative services; OR
An advanced degree or a Juris Doctorate plus three years of experience in developing managing or evaluating health or social service programs; or in public health public relations social services health services health regulation or administrative services.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of fulltime work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Concepts
Function of Work:
To administer small and less complex statewide Medicaid program(s).
Level of Work:
Program Manager.
Supervision Received:
Broad from a higherlevel manager/administrator.
Supervision Exercised:
May provide functional supervision in accordance with the Civil Service Allocation Criteria Memo.
Location of Work:
Department of Health and Hospitals.
Job Distinctions:
Differs from Medicaid Program Monitor by responsibility for administering small and less complex statewide program(s).
Differs from Medicaid Program Manager 1B by the absence of supervisory responsibility.
Differs from Medicaid Program Manager 2 by the absence of responsibility for administering medium size and moderately complex statewide program(s).Examples of Work
Supervises the auditing of eligibility enrollment of all Medicaid programs statewide.
Reviews work of eligibility review staff for quality assurance.
Plans coordinates and controls small or less complex statewide program(s).
Plans develops implements and monitors comprehensive Medicaid program policies.
Conducts and directs studies/special projects pertaining to the programs assigned.
Analyzes the impact of federal state and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.
Reviews and analyzes complex data and system reports to ensure compliance with program regulations.
Administers the daytoday operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.
Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.
Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multimullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.
Identifies verifies and analyzes the various revenue sources for the program(s). Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.
Required Experience:
Manager
Employment Type
Full Time
