MEDICAID ANALYST SUPERVISOR

State of Louisiana; Alexandria (LA); On-site; USD 33,000 - 36,000; Full time

Benefits offered by this job

SER pay

Job summary

Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team of Analysts and ensure high-quality, accurate service delivery. The role oversees workflow, policy compliance, staff support on complex cases, and reviews and investigations related to fair hearings.

The ideal candidate will have strong leadership, communication, and accountability skills, with experience in social services and program integrity.

Qualifications

• Six years of social services experience; OR
• Six years of full-time experience in any field plus three years of social services experience; OR
• A bachelor's degree plus three years of social services experience; OR
• An advanced degree plus two years of social services experience.

Responsibilities

• Supervise a unit of Medicaid Analysts ensuring standards of assistance and compliance with rules.
• Assist analysts with sensitive applications, plan in-service training.
• Monitor case development through reviews and quality control findings.
• Interprets program policy to subordinates to ensure federal/state compliance.
• Monitor workflow and produce weekly and monthly statistical reports.
• Interview applicants/recipients about rights related to fair hearings; respond to requests.
• Conduct investigations and maintain files for corrective action.

Skills

Team leadership

Effective communication

Accountability

Driving results

Policy compliance

Change adaptation

Building trust

Education

Bachelor's degree + 3 years social services

Advanced degree + 2 years social services

Six years of social services experience + 0

Six years in any field + 3 years social services

Job description

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 the Louisiana Department of Health

The Louisiana Department of Health is seeking a motivated Medicaid Analyst Supervisor to lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. In this role, you will oversee workflow, maintain compliance with state and federal policies, support staff with complex cases, monitor case quality, provide in-service training, and handle reviews, investigations, and fair-hearing inquiries. This position is ideal for a detail-oriented leader who thrives in a fast-paced environment and is committed to strengthening program integrity and improving outcomes for Louisiana families.

An ideal candidate should possess the following competencies:

Building and Supporting Teams: The ability to combine one's actions and efforts with others to work toward achieving a common goal.

Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.

Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.

Driving Results: The ability to set and pursue goals, maintain focus amid competing demands, and deliver results.

Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Adapting to Change: The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.

Building Trust: The ability to create a safe and supportive environment where others feel comfortable speaking up, sharing ideas, and acknowledging mistakes.

Six years of social services experience; OR

Six years of full-time experience in any field plus three years of social services experience; OR

A bachelor's degree plus three years of social services experience; OR

An advanced degree plus two years of social services experience.

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.

Job Duties:

• SupervisesaunitofMedicaidAnalystswithresponsibilityforthemaintenanceofacceptable standardsofassistance. Ensuresstrictadherencetoallrulesandregulationsbyallpersonnelintheunit. Ensuresthatworkproductionandqualitymeetstate,regional,andnationalgoalsestablishedby therespectiveadministrators.
• AssistsMedicaidAnalystsinespeciallysensitiveordifficultapplicationsbyadvisingonprocedural issues,policy,anddecisions. Plansandcoordinatesin-servicetrainingforpersonnelintheunit.
• Monitorscasedevelopmentthroughreviewsasdirectedbyagencypolicy,previousreview findings,andqualitycontrolfindings.
• Interpretsprogrampolicytosubordinatestoensureconsistencywithfederalrules,regulations, andguidelines.
• Monitorsworkflowintheunitincludingcontrollingdistributionofcasesandcompletingweekly andmonthlystatisticalreports.
• Interviewsapplicantsandrecipientsconcerningtheirrightsinrelationtofairhearings. Interviewscomplainantsandinvestigatespossibleadjustments. RespondstorequestsinaccordancewiththePrivacyActandtheFreedomofInformationAct.
• Conducts special investigations and studies. Develops and maintains files for corrective action.

Position-Specific Details:

Location: Medical Vendor Administration / Eligibility Field Operations - Region 6 / Rapides Parish

Appointment Type: This position may be filled as a Probational appointment or Promotional appointment of a current LDH employee

Cost Center: 305-2050407

Position Number(s): 158802

Compensation:

This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity. Medicaid Analyst Supervisor - $24.35 hr / $1,948.00 bi-weekly

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as