Medicaid Analytics & Compliance Lead

Grambling State University; Alexandria (LA); On-site; USD 33,000 - 36,000; Full time

Job summary

The Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. You will oversee workflow, maintain compliance with state and federal policies, support staff with complex cases, monitor case quality, provide in-service training, and handle reviews and fair‑hearing inquiries.

This role requires strong leadership, policy interpretation, and an ability to coordinate across units to meet state goals

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 maintaining acceptable standards of assistance.
• Ensures strict adherence to all rules and regulations by all personnel in the unit.
• Assists Medicaid Analysts in sensitive or difficult applications by advising on procedural issues, policy, and decisions.
• Monitors case development through reviews and quality control findings.
• Interprets program policy to subordinates to ensure consistency with federal rules and guidelines.
• Monitors workflow in the unit, including distribution of cases and weekly/monthly reports.
• Interviews applicants and recipients concerning their rights in relation to fair hearings; handles inquiries with privacy rules.
• Conducts special investigations and studies; develops and maintains files for corrective action.

Skills

Building and Supporting Teams

Communicating Effectively

Demonstrating Accountability

Driving Results

Following Policies and Procedures

Adapting to Change

Building Trust

Education

Six years of social services experience

Bachelor's degree + 3 years social services experience

Advanced degree + 2 years social services experience

Job description

The Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. You will oversee workflow, maintain compliance with state and federal policies, support staff with complex cases, monitor case quality, provide in-service training, and handle reviews and fair‑hearing inquiries.

This role requires strong leadership, policy interpretation, and an ability to coordinate across units to meet state goals