MEDICAID PROGRAM SUPERVISOR

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 a meaningful impact on Louisiana’s Medicaid services! As a leader of a team of 13 Medicaid Program Specialists, you’ll oversee daily operations, drive performance and quality, and ensure members and providers receive accurate, timely support. This dynamic role offers the opportunity to coach and develop staff, resolve complex cases, support continuous improvement, and help shape policies and systems that improve Medicaid operations. If you’re a strong leader ready to make a difference, we encourage you to apply!

An ideal candidate should possess the following competencies:

Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.

Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Leading Effective Teams: The ability to build, guide, and motivate teams to achieve goals through collaboration, accountability, and shared purpose.

Managing Performance: The ability to plan, monitor, and document employee performance throughout the year.Six 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 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; OR

A bachelor’s degree 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; OR

An advanced degree or a Juris Doctorate plus two 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:

• Supervises a team of 13 Medicaid Program Specialists responsible for assisting members and providers and ensuring accurate eligibility determinations.
• Manages daily team operations, including staff assignments, scheduling, system access, and workload to meet service and performance requirements.
• Monitors staff quality and productivity through case reviews, call evaluations, and performance metrics to ensure compliance with federal and state Medicaid policies.
• Provides coaching, training, and guidance to staff to improve performance, strengthen service delivery, and maintain regulatory compliance.
• Handles escalated inquiries and complex cases by applying extensive knowledge of Medicaid policies and procedures to resolve issues.
• Leads recruitment, performance management, and team development activities while fostering continuous improvement and operational effectiveness.
• Prepares reports and analyzes performance data for leadership and contributes to policy, system, and operational enhancements.

Position-Specific Details: Location: Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Parish Appointment Type: Probational, Job Appointment (temporary appointment that may last up to 48 months) Promotional or Detail appointment of a current classified LDH employee. Cost Center: 305-2050411 Position Number(s): 50698301 Compensation: This position is eligible for Premium Pay of up to $2.00/hr for hours worked based on longevity. This position is eligible for a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants.

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: [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.