Medicaid Analyst Supervisor — Lead & Elevate Compliance

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

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.