What are the responsibilities and job description for the MEDICAID PROGRAM MANAGER 1-A position at LDH-Medical Vendor Administration?
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
This position may be filled in the following parishes: East Baton Rouge Parish
Take a leadership role at the Louisiana Department of Health and help shape the member experience for Louisiana’s Medicaid and LaCHIP programs. As the manager of statewide training and quality initiatives within the Member Services Division, you will oversee instructional programs, ensure compliance with federal and state regulations, and guide technical writing, system design, and operational excellence across the division. This is a unique opportunity to lead a talented team, influence statewide processes, and make a direct impact on access to health care for over 1.7 million residents.
Minimum Qualifications
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 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:
Manage the technical components of the Member Services Division (MSD) to ensure compliance with federal and state laws, policies, and procedures, including SOPs and TOPs
Direct and evaluate technical writing for internal and external communications, ensuring accuracy, clarity, and compliance with literacy and regulatory standards
Collaborate with Medicaid Communication and Eligibility Procedures units to develop and refine SOPs, policies, training materials, and correspondence templates
Serve on Agile teams to review user stories, guide system design, and ensure MSD requirements are accurately reflected in technology solutions
Apply knowledge of programming and software tools, including SQL, JAVA, JIRA, and Bugzilla, to support system development, UAT, and smoke testing
Plan and direct studies or special projects to improve member services, enhance quality standards, and identify potential deficiencies or system errors
Conduct routine quality assurance audits, analyze findings, and develop reports to track performance trends and support continuous improvement
Advise leadership on trends, legislative impacts, and potential risks that may affect member relations or operational effectiveness
Project fiscal impacts of software, hardware, or system changes to support budget forecasting and planning
Location: Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Parish
Appointment Type: This position may be filled as a Probational appointment or by Detail or Promotion of a current classified Medical Vendor Administration employee.
Cost Center: 305-2050400
Position Number(s): 50656476
How To Apply:No Civil Service test score is required in order to be considered for this vacancy.
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:
Paula Jackson- paula.jackson@la.gov
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge, LA 70821
225-342-6477
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
LDH supports Louisiana’s 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 available here.
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.
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 https://info.groupbenefits.org/
Parental Leave – Up to six weeks paid parental leave
More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx
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.
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 (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
- Teacher's Retirement System of Louisiana (www.trsl.org),
- Louisiana School Employees Retirement System (www.lsers.net), among others
Salary : $5,023 - $9,856