EPO Support - Coordinator 3

Medicaid Support

Serve as liaison between LDH and facilities statewide that have elected to participate as outstation sites by negotiating Memorandums of Agreement (MOA) and ensuring that all required agreements and certificates are complete prior to implementation.

Manually create Outstation invoices for host site(s) and resolve outstanding balances due to late payments.

Coordinate with Eligibility Field Operations to provide required training for outstation sites.

Coordinate outstation site inspections by regional staff.

Coordinate with DHH IT to ensure systems at outstation sites are properly configured.

Serve as the intermediary between Medicaid and facility management staff to conduct periodic monitoring and evaluate performance of outstation sites.

Review reports in order to identify deficiencies, suggest corrective action as appropriate, and implement policies and procedures as defined.

Implement corrective action when necessary to address any deficiencies identified as the result of failure to meet performance benchmarks or failure to adhere to policies and procedures.

Review communications received and respond as appropriate; independently respond to questions and concerns from outstation staff and facility managers.

Remain current on policy, procedure, and programmatic changes to ensure that all applicable state and federal rules are appropriately applied.

Communicate and coordinate with eligibility field staff regarding policies and procedures related to participation and enrollment in the outstation program.

Monitor OSS and Outstation program email accounts and respond to all inquiries received in a timely manner.

Make recommendations regarding system enhancements to improve the process for participating hospitals and providers.

Lead process improvement initiatives to improve procedures, increase efficiency, and meet changes in law and policy.

Consult with programmers on maintenance of current systems and ensure the process produces accurate results.

Consult with programmers during the development and maintenance of the Medicaid Modernization unit to ensure the process produces accurate results.

Manage and coordinate with EPO program monitors to ensure a presence is available and accessibility to services is communicated to all resources across programs and that partners are knowledgeable of policies, programs, and how to access benefits.

Monitor the OSS payment file run and assist in resolved errors associated with each run. Resolve payment issues by coordinating with the Departments Fiscal Intermediary and / or the Office of Management and Finance (OMF) and assist vendors with LaGOV registration.

Other tasks as directed.

Required Qualifications :

Bachelor's degree or 6 years of professional work experience in lieu of degree.

Minimum two years of experience in managing projects.

Excellent analytical skills, effective organizational and time management skills.

Great attention to detail and follow-up and excellent verbal / written communications skills.

Proficient in Microsoft Office programs.

Desired Qualifications :

Advanced degree.

Minimum three years of professional experience in dealing with federal / state health care programs.

Minimum three years of professional experience in health care field or Medicaid program support.

Minimum three years of professional experience managing projects.

Minimum three years of professional experience with the OSS payment file process.

Required Attachments :

Please upload the following documents in the Resume / Cover Letter section.

• Detailed resume listing relevant qualifications and experience;
• Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems;
• Names and contact information of three references;

Applications that do not include the required uploaded documents may not be considered.

Note to Applicant :

Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.

References will be contacted at the appropriate phase of the recruitment process.

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.

The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.