Medicaid Program Manager 1-B

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 Make an Impact on Medicaid Quality & Healthcare in Louisiana! Join the Louisiana Department of Health’s Bureau of Health Services Financing (BHSF) and play a key role in improving healthcare for nearly 1.7 million Medicaid enrollees across Louisiana. As part of the Medicaid Quality Improvement Section, you’ll contribute to meaningful data collection, reporting, and analysis that helps measure and strengthen the quality of healthcare provided to Medicaid members. If you’re ready to use your skills to make a real difference in the health and well-being of Louisianans, we want you on our team! 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.The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:

• Manages and coordinates statewide Clinical Quality Measure (CQM) projects and initiatives, ensuring compliance with project deliverables, quality strategies, CMS requirements, contracts, accreditation standards, and regulatory requirements.
• Plans, implements, monitors, and evaluates quality improvement projects and processes to improve the quality, access, and outcomes of healthcare services for Medicaid enrollees.
• Oversees the collection, analysis, monitoring, and reporting of quality-related data and performance measures, ensuring accuracy, consistency, and efficiency across the Medicaid enterprise.
• Provides technical assistance, consultation, and guidance to Medicaid staff, healthcare providers, contractors, and other stakeholders regarding CQM initiatives, quality improvement activities, and corrective action plans.
• Coordinates project charters, work plans, meetings, reports, and supporting documentation; identifies and resolves project issues and develops strategies to monitor progress and achieve established goals.
• Evaluates contractor deliverables and quality improvement initiatives, recommends corrective actions, and ensures ongoing compliance with program objectives, policies, and contract requirements.
• Develops and maintains partnerships with internal and external stakeholders to support quality improvement initiatives, health information technology projects, and the sustainable implementation of Medicaid quality programs.

Position-Specific Details: Location: Medical Vendor Administration/ Quality Improvement and Innovations/ East Baton Rouge ParishAppointment Type: This position may be filled as a Probationary appointment, Promotional appointment, or Detail to Special Duty Cost Center: 3052030601 Position Number(s): 50400605

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. For information on how to check your application status and understand status updates, please click HERE. Contact Information: Shambrielle Pooler [email protected] 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.