MEDICAID ANALYST SUPERVISOR

State of Louisiana; Baton Rouge (LA); Sur place; USD 29 000 - 39 000; Plein temps

Avantages offerts par ce poste

Insurance Coverage

Parental Leave

Holidays and Leave

Sick and annual leave

Résumé du poste

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. 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 role focuses on strengthening program integrity and improving outcomes for Louisiana

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.

Responsabilités

• Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance. Ensures strict adherence to all rules and regulations by all personnel in the unit. Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.
• Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions. Plans and coordinates in‑service training for personnel in the unit.
• Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.
• Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.
• Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.
• Interviews applicants and recipients concerning their rights in relation to fair hearings. Interviews complainants and investigates possible adjustments. Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.
• Conducts special investigations and studies. Develops and maintains files for corrective action.

Connaissances

Team supervision

Policy compliance understanding

Communication

Detail orientation

Formation

Bachelor's degree in related field

Advanced degree

Description du poste

About This Job

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.

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.

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.

Minimum 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.

Experience Substitution: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience toward 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 Specification: The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties

• Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance. Ensures strict adherence to all rules and regulations by all personnel in the unit. Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.


• Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions. Plans and coordinates in‑service training for personnel in the unit.


• Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.


• Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.


• Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.


• Interviews applicants and recipients concerning their rights in relation to fair hearings. Interviews complainants and investigates possible adjustments. Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.


• Conducts special investigations and studies. Develops and maintains files for corrective action.

Position‑Specific Details

Location: Medical Vendor Administration / Eligibility Field Operations - Region 2 / East Baton Rouge Parish

Appointment Type: This position may be filled as a Probational appointment or Promotional appointment

Cost Center:305-2050403

Position Number(s): 50495577

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

Contact Information

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

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 a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non‑merit factor.

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:

• 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 at https://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 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