Medicaid Analyst Team Lead - Compliance & Quality

LDH-Medical Vendor Administration; Baton Rouge (LA); On-site; USD 30,000 - 36,000; Full time

Benefits offered by this job

Special Entrance Rates (SER)

Premium pay up to $2.00/hr

Job summary

The Louisiana Department of Health seeks a Medicaid Analyst Supervisor to lead a team of analysts, ensuring accurate, compliant service delivery and adherence to state and federal policies.

The role involves overseeing workflow, supporting staff with complex cases, reviewing quality, and directing training. Eligibility operations in Region 2 require strong leadership and a commitment to program integrity and outcomes.

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.

Responsibilities

• Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance.
• 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.

Skills

Team leadership

Effective communication

Accountability

Driving results

Policy interpretation

Change management

Trust building

Education

Bachelor's degree in social services

Advanced degree in related field

Job description

The Louisiana Department of Health seeks a Medicaid Analyst Supervisor to lead a team of analysts, ensuring accurate, compliant service delivery and adherence to state and federal policies.

The role involves overseeing workflow, supporting staff with complex cases, reviewing quality, and directing training. Eligibility operations in Region 2 require strong leadership and a commitment to program integrity and outcomes.