This position is located within the Louisiana Department of Health / Medical Vendor Administration / Business Analytics / East Baton Rouge Parish
Announcement Number: MVA/SP/149514
Cost Center: 3052010301
Position Number(s): 50542314
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)
No Civil Service test score is required in order to be considered for this vacancy.
The Director, Medicaid Business Analytics role is to provide vision and leadership for developing, implementing, and maturing analytics initiatives and processes. The Director of Medicaid Business Analytics will participate in the planning and implementation of analytics and reporting in support of business operations in order to improve programmatic decision making. This individual is responsible for the Medicaid Business Analytics reporting, innovation, analytics, and strategy teams.
Strategy & Planning
- Participate in and lead strategic and operational governance processes.
- Lead Analytics strategic and operational planning to achieve business goals by fostering innovation, and prioritizing business initiatives.
- Develop and maintain an appropriate organizational structure that supports the needs of the business.
- Establish departmental goals, objectives, and operating procedures.
- Develop, track, and control the Medicaid Business Analytics annual operating budgets.
Acquisition & Deployment
- Participate and / or facilitate stakeholders to define business and systems requirements for new analytics implementations.
- Define and communicate policies, and standards for Medicaid Business Analytics.
- Ensure continuous delivery of analytics and reporting services, including but not limited to internal and external reporting, advanced analytics development, and data visualization.
- Promote and oversee strategic relationships between internal Medicaid Business Analytics resources and external entities, including government, vendors, and partner organizations.
- Supervise recruitment, development, retention, and organization of all Medicaid Business Analytics in accordance with corporate budgetary objectives and personnel policies.
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
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 five years of professional experience in administrative services, economics, public health, public relations, statistical analysis, or in providing social services or health services. Two years of this experience must have been at the supervisory level or above.
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 tosubstitute 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 general 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 general experience.
A Juris Doctorate will substitute for one year of the required general experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of required general experience.
A Ph.D. in the above fields will substitute for two years of the required general experience.
Advanced degrees will substitute for a maximum of two years of the required general 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 serve as the Section Chief administering all functions of large and complex Medicaid program(s).
Level of Work:
Administrative direction 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 3 by serving as the Section Chief administering all functions of large and complex Medicaid program(s) and supervision exercised.
Differs from Medicaid Deputy Director by the absence of responsibility for the day-to-day management of Medical Vendor Administration.
Examples of Work
Serves as an assistant to the Medicaid Deputy Director and may direct agency in the absence of the Medicaid Deputy Director.
Administers comprehensive statewide Medicaid programs by formulating and implementing current and long-range plans, policies, procedures and regulations.
Participates in Medicaid budget planning, preparation, and grant administration.
Conducts investigations and makes recommendations for the Medicaid Director’s response to grievances by Field Operations staff.
Monitors statewide field operations to determine the efficiency and effectiveness of the delivery of Medicaid Eligibility services.
Develops, monitors, and administers various methodology reimbursement policies.
Represents the Department in programmatic matters at various federal, state and local hearings, meetings, and conferences.
Monitors policies and procedures to ensure that policies and system requirements comply with the law and federal regulations.
Works closely with state, regional, and parish administrative staff in developing management procedures and operational plans to assure that all agency programs are implemented at the field operations level as intended by federal and state laws and regulations.
Coordinates with state level administrative and support staff to improve program development, identify staff training needs and provide management and support services required and needed by department staff.