Medicaid Program Manager 1-A

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. Make a statewide impact on the quality of healthcare for Louisiana Medicaid members! Join LDH's Medicaid Quality Improvement team and lead innovative quality improvement initiatives that use data, evidence-based practices, and technology to improve access and outcomes for nearly 1.7 million Medicaid enrollees. As a key program leader, you'll help shape statewide quality programs, drive meaningful improvements in healthcare delivery, and turn data into action that makes a difference for Louisiana communities.

Minimum Qualifications

Seven 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 four 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 bachelor's degree plus four 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 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. 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 Duties And Other Information

Job Duties:

• Manages the Medicaid Evidence-based Decisions (MED) program in compliance with contract deliverables.
• Assists in the development and management of performance measures as related to Medicaid and the MCOs.
• Provides technical assistance to MCOs in adhering to program policies and contract deliverables that guide program outcomes.
• Serves as a liaison between the Quality team and the Clinical Policy team to utilized at inform programmatic efforts to support evidence-based practice.
• Serves as a liaison for Medicaid Program Manager 2 in collaborating with Healthy Louisiana staff on Clinical Quality Measures (CQM).
• Assists with the administration of the Managed Care Incentive Program (MCIP).
• Implements quality improvement initiatives by analyzing data, conducting literature searches and researching policies, and evidence-based practices to develop manuscripts, fact sheets and policy briefs in direct response to legislative requests.
• Monitors statewide operations to determine efficiency and effectiveness of the delivery of services.
• Assists with the development and review of Managed Care Organization (MCO) contract deliverables

Position-Specific Details: Location: Medical Vendor Administration / Quality Improvement and Innovations / East Baton Rouge Parish Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, or Detail to Special Duty Cost Center: 3052030601 Position Number(s): 50558650

Benefits

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at Parental Leave Up to six weeks paid parental leave More information can be found at Holidays and Leave State employees receive the following paid holidays each year: New Year's Day Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): Louisiana State Employees Retirement System ( ). LASERS has provided this video to give you more detailed information about their system Teacher's Retirement System of Louisiana ( ), Louisiana School Employees Retirement System ( ), among others