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

Play a key role in strengthening Louisiana Medicaid services through training and development. This position supports the design and delivery of policy and procedure training for both internal staff and external partners ensuring consistency and accuracy across a wide range of eligibility programs. Working closely with leadership and training partners you will help equip teams with the knowledge needed to serve communities effectively.

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:

• Analyzes post-eligibility reports to identify issues trends and training gaps and develops data-driven solutions to improve program performance

• Designs and delivers targeted training including remediation and refresher sessions to address identified gaps across regional offices and external partners

• Assists in documenting and recommending procedural changes to Medicaid eligibility processes ensuring alignment with policy and escalating updates for review and approval

• Serves as a subject matter expert in system development and operations including participation in LaMEDS initiatives and vetting system issues prior to escalation

• Monitors and evaluates staff and system performance through case reviews audits and quality assurance processes and reports findings with recommendations for improvement

• Develops updates and manages training materials and reference resources ensuring accuracy and accessibility across agency repositories

• Collaborates with regional leadership to identify training needs communicates policy and procedural updates and participates in unit regional and statewide training initiatives

Appointment Type:Probational appointment or Promotional appointment of a current permanent employee with Louisiana Department of Health

Cost Center:305-2050400

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 notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

Paula Jackson-

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.