This position is located within the Louisiana Department of Health / Medical Vendor Administration / Policy and Compliance / EBR Parish
Announcement Number: MVA/SAG/2061
Cost Center: 305-2090501
Position Number(s): 76158
This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary or Promotional appointment.
(Job appointments are temporary appointments that may last up to 48 months)
WORKING JOB DESCRIPTION:
The position is a supervising, senior manager reporting to the Program Manager 3 in the section and responsible for overseeing and directing the management of the Medicaid State Plan Unit. The State Plan Unit activities are critical to securing approvals of Medicaid State Plan Amendments (SPAs). The position negotiates and consults with federal officials to secure the necessary approvals needed to secure FFP for Medicaid covered benefits and services. This position also oversees the Policy and Compliance section’s federal/state regulatory research/reporting activities and special projects.
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.
*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*
A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit
There is no guarantee that everyone who applies to this posting will be interview. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.
For further information about this vacancy contact:
BATON ROUGE, LA 70821
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.
Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:
A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.
30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.
College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.
Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.
A master’s degree in the above fields will substitute for one year of the required experience.
A Juris Doctorate will substitute for one year of the required experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.
A Ph.D. in the above fields will substitute for two years of the required experience.
Advanced degrees will substitute for a maximum of two years of the required experience.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
Function of Work:
To administer medium size and moderately complex statewide Medicaid program(s).
Level of Work:
Broad from a higher-level administrator/executive.
Supervision over lower level positions in accordance with the Civil Service Allocation Criteria Memo.
Location of Work:
Department of Health and Hospitals.
Differs from Medicaid Program Manager 1-A and Program Manager 1-B by administering medium size or moderately complex statewide program(s) and supervision exercised.
Differs from Medicaid Program Manager 3 by absence of responsibility for administering large and/or very complex Medicaid program(s) and supervision exercised.
Examples of Work
Administers and manages enrollment of Medicaid providers for all Medicaid programs statewide; directs overall goals and objectives.
Plans, coordinates, and controls a medium size or moderately complex statewide program.
Plans, develops, implements and monitors comprehensive Medicaid program policies.
Conducts and directs studies and 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. Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.