MEDICAID ANALYST SUPERVISOR
State of Louisiana
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Job summary
Louisiana Department of Health in Baton Rouge seeks a Medicaid Analyst Supervisor to lead a dedicated team ensuring accurate, timely service and strong quality controls. You will coach staff, monitor casework, and address complex issues to protect program integrity for Louisiana residents.
The role emphasizes compliance with state and federal requirements, performance measurement, and ongoing staff development in a public health setting.
Qualifications
- Six years of social services experience or equivalent mix of experience.
- Six years of full-time experience in any field plus three years of social services experience.
- A bachelor's degree plus three years of social services experience.
- An advanced degree plus two years of social services experience.
Responsibilities
- Supervises Medicaid Analysts to ensure accuracy and policy compliance.
- Monitors unit workflow, workloads, productivity, and quality against goals.
- Conducts mandatory case reviews and analyzes discrepancies for audits.
- Prepares and reviews weekly and monthly performance reports.
- Interviews applicants, recipients, and complainants regarding rights and concerns.
- Conducts investigations and maintains corrective action documentation.
- Manages personnel activities including evaluations and onboarding/offboarding.
Skills
Education
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.
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.
Lead with purpose and make a difference in Medicaid services Region 3! As a Medicaid Analyst Supervisor, you’ll lead a team dedicated to accurate, timely, and high-quality service while ensuring compliance with state and federal requirements. From coaching and developing staff to monitoring casework, resolving complex issues, and strengthening quality controls, you’ll play a key role in protecting program integrity and ensuring Louisiana residents receive the assistance they need.
- 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.
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.
The official job specifications for this role, as defined by the State Civil Service, can be found here.
- Supervises and provides guidance to Medicaid Analysts to ensure work is performed accurately and in accordance with applicable policies, procedures, and regulations.
- Monitors unit workflow, including case distribution, workloads, productivity, and quality to ensure state, regional, and national performance goals are met.
- Conducts mandatory case reviews and analyzes discrepancies to identify and correct errors before federal or state audits.
- Prepares and reviews weekly and monthly statistical reports and other operational data to monitor unit performance and identify areas requiring improvement.
- Interviews applicants, recipients, and complainants regarding fair hearing rights, service concerns, and potential adjustments, and conducts investigations as needed.
- Conducts special investigations and studies and develops and maintains corrective action documentation to address compliance and performance issues.
- Manages personnel activities within the unit, including staff evaluations, onboarding and offboarding, leave monitoring, and recommendations regarding retention, promotion, demotion, or separation.
Location: Medical Vendor Administration / Eligibility Field Operations - Region 3 / Lafourche Parish
Appointment Type: This position may be filled as a Probational appointment
Cost Center: 305-2050404
Position Number(s): 68427 & 50343258
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: Paula.Jackson@la.gov
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.
Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.
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:
More information can be found at https://info.groupbenefits.org/
Up to six weeks paid parental leave
More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx
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.
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
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- I avoid teamwork, create conflict, or don’t contribute.
- I contribute to team efforts with encouragement and guidance.
- I work well with others, contribute consistently, and support the team.
- I unite teams, build trust, and help others work through conflict.
- I communicate unclearly, use poor tone, and ignore the audience.
- I share main ideas clearly and adapt to the audience when reminded.
- I communicate clearly, listen actively, and explain complex ideas well.
- I craft messages that connect, inspire, and drive action across audiences.
- I avoid responsibility, deliver poor work, and resist feedback.
- I take ownership when prompted and meet basic expectations.
- I own results, meet standards, and respond to feedback professionally.
- I drive high performance, prevent issues, and model accountability.
- I struggle to set direction, miss deadlines, avoid challenges, or resist feedback.
- I set basic goals, make some progress, and accept feedback when supported.
- I set clear goals, stay focused, take ownership of results, and use feedback to improve.
- I set bold goals, lead progress, push through setbacks, and help others learn from challenges.
- I struggle to follow rules or apply policies correctly, which can lead to confusion or mistakes.
- I follow rules with support and help correct issues, but I sometimes apply policies inconsistently.
- I apply and explain policies accurately, adapt to routine situations, and help improve procedures.
- I guide others in applying policies, prevent compliance issues, and improve procedures based on experience.
- Required Question
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