Medicaid Analyst Supervisor

State of Louisiana; Monroe (LA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Premium Pay

Job summary

Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team responsible for timely, accurate processing of applications, renewals, and beneficiary assistance. The role emphasizes staffing, investigations, and process improvements to ensure compliance with state and federal requirements.

The ideal candidate will have extensive social services experience and a track record in building teams, enforcing policies, and delivering results in a regulated Medicaid environment.

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 towards the six years of full-time work experience in any field.

Responsibilities

• 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.

Skills

Building and Supporting Teams

Communicating Effectively

Demonstrating Accountability

Driving Results

Following Policies and Procedures

Adapting to Change

Building Trust

Education

Bachelor's degree

Advanced degree

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 Louisiana Department of Health

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!

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.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties:

• 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.

Position-Specific Details:

Location: Medical Vendor Administration / Eligibility Field Operations - Region 8 / Ouachita Parish

Appointment Type: This position will be filled as aPromotional 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.

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.