Medicaid Compliance & Monitoring Specialist

LDH-Medical Vendor Administration; Baton Rouge (LA); Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

Louisiana Department of Health is seeking a Program Monitor to lead provider monitoring efforts, review financial and compliance records, and conduct on-site assessments. The role collaborates with partners to ensure accountability and regulatory compliance and to safeguard Medicaid funding for Louisiana nursing home residents.

The position emphasizes audit readiness, data reconciliation, and cross-team coordination to support policy updates and training initiatives.

Qualifikationen

• Six years of experience in developing, managing, or evaluating health or social service programs.
• Six years of full-time work experience in any field plus three years in health programs.
• Bachelor’s degree plus three years in health program management.
• Advanced degree or JD plus two years in health program management.
• Experience substitution: hours earned can substitute for experience.

Aufgaben

• Oversees provider monitoring activities for Medicaid program requirements.
• Conducts desk reviews and on-site monitoring visits.
• Reviews cost reports and financial records for accuracy and compliance.
• Identifies deficiencies and coordinates corrective action plans.
• Prepares compliance reports and audit-ready records.
• Collaborates with fiscal, audit, and program teams to reconcile data.
• Monitors program performance and safeguards Medicaid funding.

Kenntnisse

Experience in health programs

Public health / health regulation

Review and oversight experience

Data reconciliation

Ausbildung

Bachelor's degree in health or related field

Advanced degree or JD in health/public policy

Jobbeschreibung

Louisiana Department of Health is seeking a Program Monitor to lead provider monitoring efforts, review financial and compliance records, and conduct on-site assessments. The role collaborates with partners to ensure accountability and regulatory compliance and to safeguard Medicaid funding for Louisiana nursing home residents.

The position emphasizes audit readiness, data reconciliation, and cross-team coordination to support policy updates and training initiatives.