Medicaid Program Monitor

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Join a dynamic policy team and help shape how eligibility programs operate across Louisiana. This highly responsible position within the Eligibility Policy Unit supports Eligibility Field Operations and Program Operations through research analysis and policy management work that directly impacts service delivery statewide. Youll work with a high level of independence contribute to Medicaid eligibility policy development and collaborate on initiatives involving forms notices and language access. If you bring strong analytical skills clear communication and a solid understanding of Medicaid eligibility and regulatory requirements and enjoy turning complex policy into practical guidance this is an excellent opportunity to make a meaningful impact.

Six 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 full-time work experience in any field 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; OR

A bachelors degree 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; OR

An advanced degree or a Juris Doctorate plus two 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 full-time 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.

The official job specifications for this role as defined by the State Civil Service can be found here.

Job Duties:

• Organize coordinate and monitor the Forms & Notice Committee (FNC) process by scheduling and facilitating meetings distributing materials recording and sharing minutes and action items tracking projects and maintaining documentation of activities and accomplishments.
• Monitor and manage Medicaid eligibility notices forms and applications by reviewing requests submitted through email and SharePoint coordinating edits and updates with the Eligibility Policy Unit and FNC and ensuring materials are published updated or retired appropriately.
• Support Medicaid policy operations and development by researching eligibility policies analyzing data evaluating state and federal regulatory changes identifying program impacts and reporting risks or issues to leadership in a timely manner.
• Draft review and assist with approval of Medicaid eligibility policies and related materials including memoranda manuals notices applications forms brochures portal content mass mailings and agency rules and regulations.
• Serve as a liaison among applicants enrollees local eligibility offices State Office staff advocates providers and the public by responding to inquiries coordinating policy-related requests and supporting clear communication on eligibility operations.
• Monitor language translation services contracts by coordinating translation requests reviewing vendor estimates for compliance ensuring timely delivery and publication of translated materials assisting with invoicing issues and completing special projects or other duties as assigned.

Appointment Type:This position may be filled as aProbationary appointment or Promotional appointment

Cost Center:

Position Number(s):

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.

* Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

Shambrielle Pooler

Division of Human Resources

PO Box 4818

Baton Rouge LA 70821

This organization participates in E-verify and for more information on E-verify please contact DHS at 1-.

LDH supports Louisianas commitment to being a State as a Model Employer (SAME) by promoting the recruitment hiring and retention of individuals with disabilities.

Information on the Louisiana Works Louisiana Rehabilitation Services is availablehere.