MEDICAID PROGRAM MONITOR

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 the lives of Louisiana residents by joining the Louisiana Department of Health's Medicaid team! This exciting position supports one of the largest and most complex healthcare programs in the state, serving approximately 1.7 million enrollees annually. Working within Eligibility Field Operations, you'll play a key role in supporting Medicaid eligibility programs, training initiatives, and policy implementation that help ensure access to critical healthcare services for vulnerable populations across Louisiana. This is an excellent opportunity for a motivated professional seeking rewarding public service work with statewide impact. 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: * Analyzes post-eligibility reporting data to identify issues, recommend resolutions, and support continuous improvement of Medicaid eligibility processes and operations. * Identifies training gaps within regional offices and develops and delivers remediation, refresher, and specialized training for internal staff, providers, and external partners. * Assists with documenting and communicating procedural and policy changes related to Medicaid eligibility processes and escalates recommendations for review and implementation. * Serves as a subject matter expert for LaMEDS system development, testing, troubleshooting, and issue review prior to escalation to the help desk. * Conducts informal and formal audits, case reviews, and performance evaluations to ensure compliance with eligibility policies, procedures, and operational standards. * Develops, updates, publishes, and maintains Medicaid eligibility training materials, reference guides, and informational resources within LDH repositories. * Collaborates with regional management and state leadership to support statewide training initiatives, operational priorities, pilot projects, and other Eligibility Field Operations activities. Position-Specific Details: Location:Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Parish Appointment Type:Probational appointment or Promotional appointment of a current permanent employee with Louisiana Department of Health Cost Center:View phone number on click.appcast.io Position Number(s):50488606 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 notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete. Contact Information: Paula View email address on click.appcast.io LA Department of Health (LDH) Division of Human Resources PO Box 4818 Baton Rouge, LA 70821 View phone number on click.appcast.io This organization participates in E-verify, and for more information on E-verify, please contact DHS at View phone number on click.appcast.io. 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 availablehere. 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.