MEDICAID PROGRAM MANAGER 1-A
Louisiana Department of State Civil Service
MEDICAID PROGRAM MANAGER 1-A
Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5010614)
Apply
MEDICAID PROGRAM MANAGER 1-A
Salary
$5,023.00 - $9,856.00 Monthly
Location
Baton Rouge, LA
Job Type
Classified
Job Number
MVA/PJ/210782
Department
LDH-Medical Vendor Administration
Opening Date
07/17/2025
Closing Date
7/22/2025 11:59 PM Central
+ Description
+ Benefits
+ Questions
About this Job
The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.
LDH serves as a model employer for individuals with disabilities.
This position is responsible for managing the statewide training activities of the Quality & Instruction (Q&i) unit within Medicaid's, Member Services Division (MSD). The Medicaid Program Manager is responsible for promoting and facilitating enrollment and retention in the Louisiana Children’s Health Insurance Program (LaCHIP) and all other Medicaid programs throughout the statewide MSD. This is a highly responsible management position that ensures delivery and development of the statewide MSD's instructional and quality assurance components while simultaneously ensuring compliance and adherence to CMS requirements and providing an enhanced member services experience.
AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLOWING COMPETENCIES:
Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas.
Displaying Professionalism: The ability to recognize how your actions impact the perceptions of both you and your organization.
Leveraging Technology: The ability to use technology and its related processes to further organizational goals.
Managing Time: The ability to control your time to increase effectiveness, efficiency, or productivity.
Thinking Creatively: The ability to generate ideas, manipulate ideas, and make unconventional connections to develop original approaches.
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 Specification
The official job specifications for this role, as defined by the State Civil Service, can be foundhere.
Job Duties and Other Information
Job Duties:
This position is responsible for managing the statewide technical activities of the Quality & Instruction (Q&I) Unit within Medicaid’s Member Services Division (MSD). The incumbent is responsible for promoting and facilitating enrollment and retention in the Louisiana Children's Health Insurance Program (LaCHIP) and Medicaid programs through the statewide MSD. This is a highly responsible management position that ensures the technical components of the MSD resulting in adherence to CMS requirements and enhanced member service experience.
+ Responsible for maintaining and ensuring compliance with policy and procedure to include standard operating procedures (SOP) and temporary operating procedures (TOP).
+ Collaborate with Medicaid Communication and Eligibility Procedures units to develop and refine written materials, including SOPs, TOPs, policies, unit specific procedures, correspondence templates, and training documents.
+ Plans and directs studies and special projects pertaining to member services with goals of meeting or exceeding industry standards, meeting or exceeding national quality standards, staying up-to-date on technology, identifying potential deficiencies or system errors, and enhancing the overall member service experience.
+ Responsible for conducting routine quality assurance audits then reviewing and analyzing findings to disseminate meaningful reports to trend member service quality and instructional data.
Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Field Operations-Member Services Division / East Baton Rouge Parish
Appointment Type: Probationary appointment, Promotional appointment, Job Appointment or Detail appointment of a permanent LDH employee.
Cost Center: 305-2050400
Position Number(s): 50656476
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.
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.
Contact Information:
For further information about this vacancy, contact:
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.
Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough 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 https://info.groupbenefits.org/
Parental Leave– Up to six weeks paid parental leave
More information can be found athttps://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.
***** 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 (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) 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
01
CE: Rate your ability to communicate effectively based on our definition: The ability to relay information correctly and appropriately to connect people and ideas.
+ 1= I have no experience and/or am uncomfortable communicating effectively
+ 2= I have limited experience or require assistance to communicate effectively
+ 3= I can communicate effectively
+ 4= I can communicate effectively and help others improve their communication
02
CE: Explain your rating by providing specific and relevant examples in the box below.
03
DPf: Rate your ability to display professionalism based on our definition: The ability to recognize how your actions impact the perceptions of both you and your organization.
+ 1= I have no experience and/or am uncomfortable displaying professionalism
+ 2= I have limited experience or require assistance to display professionalism
+ 3= I can display professionalism
+ 4= I can display professionalism and help others improve their ability to display professionalism
04
DPf: Explain your rating by providing specific and relevant examples in the box below.
05
MT: Rate your ability to manage time based on our definition: The ability to control your time to increase effectiveness, efficiency, or productivity.
+ 1= I have no experience and/or am uncomfortable managing time.
+ 2= I have limited experience or require assistance to manage time
+ 3= I can manage time
+ 4= I can manage time and help others improve their ability to manage time
06
MT: Explain your rating by providing specific and relevant examples in the box below.
07
Describe your experience working with Medicaid programs. What roles have you held, and what specific responsibilities did you have?
08
Have you ever designed or led a training program? If so, describe the audience, topics covered, and training methods used.
Required Question
Employer
State of Louisiana
Address
For agency contact information, please refer to
the supplemental information above.
Louisiana State Civil Service, Louisiana, 70802
Phone
(866) 783-5462
Website
http://agency.governmentjobs.com/louisiana/default.cfm
Apply
Please verify your email addressVerify Email
Confirmar seu email: Enviar Email
Todos os Empregos de Louisiana Department of State Civil Service