Medicaid Program Supervisor

Monroe, VA - USA

Monthly Salary: $ 4694 - 9211

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

About this Job

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

Lead a statewide team within Louisiana Medicaids Contact Service Unit supporting enrollment and retention in LaCHIP and other Medicaid programs. This role oversees daily operations workforce management and key performance metrics to ensure high-quality compliant member service.

Serve as a subject matter expert on Medicaid eligibility policy handle escalations coach and develop staff and drive continuous improvement in customer experience and team performance. If you are a results-driven leader passionate about public service and operational excellence we encourage you to apply.

An ideal candidate should possess the following competencies:

Communicating Effectively: The ability to convey information ideas and emotions using structured communication methods that promote understanding and engagement.
Demonstrating Accountability: The ability to take ownership of actions behaviors performance decisions and outcomes.
Following Policies and Procedures: The ability to follow reinforce adapt or develop policies and procedures to maintain compliance with federal and state legal requirements State Civil Service rules and organizational policies.
Accepting Direction: The ability to be open and willing to follow guidance or instructions.
Demonstrating Initiative: The ability to assess situations independently and take proactive steps to address them without being prompted or instructed by others.

Minimum Qualifications

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.

Job Specification

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

Job Duties and Other Information

Job Duties:

Manages the daily statewide operations of a team within the Medicaid Contact Service Unit (CSU) ensuring effective support for enrollment and retention in LaCHIP and other Medicaid programs.
Oversees staff work within TouchPoint CosmoCorder and LaMEDS to ensure accuracy compliance with eligibility policy and proper authorization of Medicaid benefits.
Directs workforce management activities including scheduling and coverage planning to meet operational demands and achieve key performance metrics such as ASA AHT and abandonment rates.
Supervises trains and develops staff through performance evaluations case reviews call calibrations and ongoing coaching to promote service excellence and policy adherence.
Handles complex member issues and escalations validates eligibility decisions and correspondence and ensures compliance with HIPAA PHI and authentication requirements.
Analyzes team performance and productivity advises leadership on trends impacting member relations and addresses personnel matters in support of agency goals and Eligibility Field Operations.

Position-Specific Details:

Location:Medical Vendor Administration / Eligibility Field Operations / Ouachita Parish

Appointment Type: This position may be filled as aProbationary appointment Promotional appointmentJob appointment (temporary appointment that may last up to 48 months) or Detail to Special Duty

Cost Center:

Position Number(s):

How To Apply:

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:

Patricia Walker

LA Department of Health (LDH)

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.

Required Experience:

Manager

About this Job 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 HealthLead a statewide team within Louisiana M...