MEDICAID PROGRAM MANAGER 1–A (MODULARITY PROCUREMENT)

Luisiana Remote

medicaid procurement retirement statewide regulations insurance supervision health training deferred administering absence

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Job Concepts

 
 

Function of Work:

To administer small and less complex statewide Medicaid program(s).

 
 

Level of Work:

Program Manager.

 
 

Supervision Received:

Broad from a higher-level manager/administrator.

 
 

Supervision Exercised:

May provide functional supervision in accordance with the Civil Service Allocation Criteria Memo.

 
 

Location of Work:

Department of Health and Hospitals.

 
 

Job Distinctions:

Differs from Medicaid Program Monitor by responsibility for administering small and less complex statewide program(s).

 
 

Differs from Medicaid Program Manager 1-B by the absence of supervisory responsibility.

Differs from Medicaid Program Manager 2 by the absence of responsibility for administering medium size and moderately complex statewide program(s).

Examples of Work

Supervises the auditing of eligibility enrollment of all Medicaid programs statewide.

 
 

Reviews work of eligibility review staff for quality assurance.

 
 

Plans, coordinates, and controls small or less complex statewide program(s).

 
 

Plans, develops, implements and monitors comprehensive Medicaid program policies.

 
 

Conducts and directs studies/special projects pertaining to the programs assigned.

Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.

Reviews and analyzes complex data and system reports to ensure compliance with program regulations.

 
 

Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.

Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.

Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.

 
 

Identifies, verifies and analyzes the various revenue sources for the program(s). Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

Benefits Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to “make a difference” through 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. Flexible Working Arrangements – The flexibility of our system allows agencies to implement flexible working arrangements through the use of alternative work schedules, telecommuting and other flexibilities. These arrangements vary between hiring agencies. Professional Development – The Comprehensive Public Training Program (CPTP) is the state-funded training program for state employees. Through CPTP, agencies are offered management development and supervisory training, and general application classes on topics as diverse as writing skills and computer software usage. Insurance Coverage – Employees can choose one of several health insurance programs ranging from an HMO to the State’s own Group Benefits Insurance program. The State of Louisiana pays a portion of the cost for group health and life insurance. Dental and vision coverage are also available. More information can be found at . Deferred Compensation – As a supplemental retirement savings plan for employees, the State offers a Deferred Compensation Plan for tax deferred savings.

 
 

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 (), Teacher’s Retirement System of Louisiana (), Louisiana School Employees’ Retirement System (), among others.

LASERS has provided this to give you more detailed information about their system.

 
 

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