Medicaid Analyst Supervisor
State of Louisiana
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Job summary
The Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team of professionals, oversee daily operations, and ensure timely, compliant assistance to Medicaid applicants and beneficiaries. This role blends staff development, case oversight, investigations, and process improvement to support state and federal requirements.
Location: Region 8 / Ouachita Parish; promotional appointment with opportunities for professional development and competitive benefits.
Qualifications
- Six years of social services experience or equivalent combinations as described in minimum qualifications.
- Experience with Medicaid policies, CMS requirements, and eligibility processing is preferred.
Responsibilities
- Supervises Medicaid Analysts to ensure accurate and timely processing of applications and renewals.
- Monitors workflow, productivity, and quality to meet state, regional, and national goals.
- Ensures staff compliance with Medicaid policies, procedures, and CMS requirements.
- Conducts case reviews, investigates discrepancies, and implements corrective actions.
- Interviews applicants and recipients regarding fair hearing rights and case concerns.
- Oversees staff evaluations, onboarding, and staffing needs to maintain coverage.
- Prepares statistical reports and responds to Privacy Act and FOIA requests; identifies potential fraud, waste, or abuse.
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 meaningful impact on the delivery of Medicaid services! As a Medicaid Analyst Supervisor, you’ll lead a team of professionals, oversee daily operations, and ensure quality, timely, and compliant assistance to Medicaid applicants and recipients. This key leadership role combines staff development, case oversight, investigations, and process improvement while helping ensure compliance with state and federal requirements. If you’re a strong leader who enjoys solving problems, supporting your team, and making a difference in the lives of Louisiana residents, we encourage you to apply!
- 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.
Job Duties and Other Information
- Supervises and provides guidance to Medicaid Analysts to ensure accurate, timely, and high-quality processing of applications, renewals, and beneficiary assistance.
- Monitors unit workflow, case distribution, productivity, and quality to ensure established state, regional, and national goals are met.
- Ensures staff compliance with Medicaid policies, procedures, regulations, and CMS requirements related to eligibility processing and case reviews.
- Conducts mandatory case reviews, investigates discrepancies and complaints, and takes corrective action to address errors and improve program compliance.
- Interviews applicants, recipients, and complainants regarding fair hearing rights, case concerns, and potential adjustments.
- Conducts staff evaluations and oversees employee onboarding, off boarding, leave management, and staffing needs to maintain adequate coverage for beneficiaries.
- Prepares required statistical reports and responds to Privacy Act and Freedom of Information Act requests while identifying and reporting potential fraud, waste, or abuse.
Location: Medical Vendor Administration / Eligibility Field Operations - Region 8/ Ouachita Parish
Appointment Type: This position will be filled as a Promotional appointment
Cost Center: 3052050409
Position Number(s): 123851
Compensation: This position is eligible for Premium Pay of up to $2.00/hr for hours worked based on longevity.
Shambrielle Pooler
Shambrielle.Pooler@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.
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
- 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 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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