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Medicaid Program Manager 2

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Medicaid Program Manager 2

Salary

$5,477.00 - $10,740.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

MVA/SP/202852

Department

LDH-Medical Vendor Administration

Opening Date

11/21/2024

Closing Date

12/5/2024 11:59 PM Central

• Description

• Benefits

Supplemental Information

The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.

LDH serves as a model employer for individuals with disabilities.

This position is located within the Louisiana Department of Health / Medical Vendor Administration / Portfolio Management Office and Shared Services / East Baton Rouge Parish

Announcement Number: MVA/SP/202852

Cost Center: 3052060304

Position Number: 50562232

This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary appointment, Promotional appointment or Detail to Special Duty.

(Job appointments are temporary appointments that may last up to 48 months)

No Civil Service test scoreis 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 willNOTpopulate 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:

Shambrielle Pooler

Shambrielle.Pooler@la.gov

LDH/HUMAN RESOURCES

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.

Minimum Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.

SUBSTITUTIONS:

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.

NOTE:

Any college hours or degree must be from an accredited college or university.

Job Concepts

Function of Work:

To administer medium size and moderately complex statewide Medicaid program(s).

Level of Work:

Manager.

Supervision Received:

Broad from a higher-level administrator/executive.

Supervision Exercised:

Supervision over lower level positions in accordance with the Civil Service Allocation Criteria Memo.

Location of Work:

Department of Health and Hospitals.

Job Distinctions:

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

The mission of the Louisiana Department of Health {LDH} is to protect and promote health and to ensure access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. LDH is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.

This position is in the Bureau of Health Services Financing {BHSF), Louisiana's single state Medicaid agency within the Louisiana Department of Health (LDH). The Louisiana Medicaid Program, which provides healthcare services to low-income individuals, has an annual budget of over $16 billion dollars; a staffing complement of 1,000 authorized employees and almost 500 contracted direct-support staff, and provides services to approximately 1.7 million enrollees annually. The program is a state of federal partnership financed with a combination of state and federal funds and governed by a complex body of state and federal laws,policies,regulations,and guidelines.

The incumbent will serve as the Manager over the Project Operations unit. The Project Operations unit enables the mission of the Louisiana Medicaid program by exemplifying core values of Ownership, Service and Integrity in project, program, and portfolio management services for a variety of technical and business projects in support of LDH. The Project Operations unit is responsible for oversight, intake, coordination, tracking, and reporting ongoing operations of all special projects.

The position reports directly to the Medicaid Program Manager 4 (Section Chief) and is a part of a team providing support to the Louisiana Medicaid Director and Medicaid Deputy Director of Medicaid Data and Systems. The incumbent must be attentive to detail, able to focus on different projects at one time, manage time wisely, work independently, apply Medicaid rules and policies, and be proactive in seeking input from other staff within LDH. The incumbent would preferably have the following skills: excellent written and verbal communication; strong organizational skills; demonstrated team leadership; and experience in project management, health care administration, health plan operations and health care policy research and analysis.

The incumbent's responsibilities include but are not limited to the following duties:

40%

Directs and oversees the day-to-day operations of the Medicaid PPMO, ensuring alignment with leadership objectives and efficient execution of projects on time, in budget, and within scope. Provides support and guidance to project managers working on Medicaid projects that require rapid action and coordination across multiple departments, federal and state partners and stakeholders. Monitors activities to assure that the program is operating in accordance with the plan. Establishes tracking and control systems to monitor projects to ascertain adherence to deadlines and goals; and provides regular updates and reporting to Medicaid leadership and stakeholders. Identifies the need for, develops, and makes recommendations for revisions to tools and resources, protocols, policies and procedures.

Assures proper application of program policies and procedures. Sets standard of operation and implements and/or directs management and program reviews to monitor and evaluate \program effectiveness, integrity, and quality. Reviews operational data, analyzes and measures, adjusts priorities, develops appropriate solutions, and formulates corrective measures as needed.

Analyzes the impact of federal and state laws and regulations relevant to the PPMO section and advises executive management as needed regarding issues. Responds proactively to audit findings, programmatic challenges and issues; coordinates responses and reports to auditors as well as federal and state governmental entities. Monitors compliance with guidelines for responses.

30%

Oversees contractor providing PPMO services. Reviews work, deliverables and invoices for accuracy and contract compliance. Provides on-going consultation and technical assistance to professional and support staff on programmatic issues. Conducts management reviews to identify problem areas, develops appropriate solutions, and takes corrective actions. Prepares statistical analyses, narratives, tables and charts to track/plot trends and project future needs and to determine if departmental objectives and goals are being met. Reviews promising practices in Project Management and other administrative areas to identify and adapt efficient cost effective procedures to increase productivity. Drafts and finalizes contracts and Memorandums of Understanding (MOUs) as needed.

20%

Directs activities and prepares ongoing work plans for subordinate program managers under incumbent's purview. Establishes work schedules and priorities to ensure that the activities under incumbent's scope of supervision are performed in a timely and efficient manner. Supervises and directs work of subordinate staff, establishing performance goals, objectives, and evaluation criteria for employee performance. Schedules and participates in periodic performance reviews and planning conferences and completes formal performance appraisal. Identifies staff development needs and ensures that appropriate training is obtained. Conducts staff meetings and conferences to disseminate information and provides expertise and guidance on work assignments, policy, special projects and technical problems.

5%

Maintains PPMO operations library. Documents and maintains procedures for all operational work.

5%

Performs other duties as assigned to assist with the management and operations of the assigned section including assisting with other duties not listed herein. Assists others to meet needs and priorities of the

Section and Department as needs require.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough 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:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave– Up to six weeks paid parental leave

More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

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 (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system

• Teacher's Retirement System of Louisiana (www.trsl.org),

• Louisiana School Employees Retirement System (www.lsers.net), among others

Agency

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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