Director of Managed Care

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

Louisiana Medicaid is seeking a strategic leader to serve as our Director of Managed Care. This position plays a critical role in overseeing managed care operations strengthening partnerships with health plans and advancing initiatives that improve access quality and health outcomes for Medicaid members across Louisiana. We are looking for a leader with strong managed care operations expertise collaboration skills and a passion for public service and healthcare transformation.

Job Duties:

• Coordinates and oversees the integration execution and monitoring of Medicaid priorities policies activities and cross-agency initiatives to ensure timely completion and resolution of issues.
• Develops implements and ensures compliance with organizational policies procedures and operational practices in alignment with Louisiana Department of Health (LDH) standards and applicable regulations.
• Serves as a key liaison between Medicaid executive leadership LDH leadership sister agencies the Office of the Secretary and CMS regional and headquarters leadership to facilitate communication collaboration and strategic coordination.
• Promotes accountability communication and cooperative decision-making among Medicaid and LDH senior leadership regarding operational management and programmatic initiatives impacting the agency.
• Applies expertise in Medicaid regulations industry trends best practices and applicable laws to ensure regulatory compliance and support effective program administration across the Medicaid agency.
• Leads and facilitates strategic planning initiatives by establishing organizational priorities goals and operational strategies that support Medicaid program objectives and long-range planning efforts.
• Prepares and delivers executive-level briefings reports memoranda and presentations for LDH leadership legislators administrators and external stakeholders regarding Medicaid programs initiatives and agency operations.

Position-Specific Details:

Location: Medical Vendor Administration / Directors Office/Executive Management Team / East Baton Rouge Parish

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.

For information on how to check your application status and understand status updates please clickHERE.

Contact Information:

Shambrielle Pooler

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.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs sex race or any other non-merit factor.