Medicaid Program Manager 1--A

LDH-Medical Vendor Administration; Baton Rouge (LA); On-site; USD 90,000 - 120,000; Full time

Job summary

The Louisiana Department of Health is seeking a skilled Budget and Finance professional to develop and manage the state’s Medicaid budget in Baton Rouge. The role involves coordinating state and federal requests and supporting financial planning for a program serving about 1.5 million Louisianans.

Ideal candidates will analyze data, manage complex projects, and collaborate across teams to shape Louisiana Medicaid’s financial future.

Qualifications

• Seven years of experience in developing, managing, or evaluating health or social service programs; OR
• Six years in any field plus four years in health or social service programs; OR
• Bachelor's plus four years in relevant work; OR
• Advanced degree/JD plus three years in relevant work; OR
• Experience substitution: 30 semester hours = 1 year toward six years of experience.

Responsibilities

• Develops and maintains Medicaid managed care projection models and analyzes enrollment, capitation payments, expenditures, trends, and fiscal impacts.
• Performs projection-to-actual variance analyses to identify spending trends and potential budget implications.
• Analyzes managed care financing mechanisms to support financial projections and recommendations.
• Reviews and ensures compliance of managed care plan financial reports with regulations and contracts.
• Monitors financial performance, expenses, reserves, and cost trends to identify risks and opportunities.
• Develops and coordinates annual Medicaid budget requests, fiscal impact statements, and supporting documentation.
• Prepares financial reports, dashboards, data visualizations, and summaries for leadership decisions.

Skills

Budget forecasting

Financial analysis

Data analysis

Excel proficiency

Education

Bachelor's degree

Advanced degree or JD

Tools

LaGov

Business Objects

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

Make an impact on healthcare in Louisiana by joining the Medicaid Budget and Finance team! This position plays a key role in developing and managing the state’s Medicaid budget, coordinating state and federal budget requests, and supporting financial planning for a program serving approximately 1.5 million Louisianans. If you’re a detail-oriented professional who enjoys analyzing data, managing complex projects, and collaborating across teams, apply today and help shape the financial future of Louisiana Medicaid!

Experience Requirements:

• Seven years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR
• Six years of full-time work experience in any field plus four years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR
• A bachelor's degree plus four years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR
• An advanced degree or a Juris Doctorate plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.
• 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:

• Develops and maintains Medicaid managed care projection models, analyzing enrollment, capitation payments, expenditures, trends, and emerging fiscal impacts.
• Conducts projection-to-actual variance analyses to identify spending trends, investigate discrepancies, and assess potential budget implications.
• Analyzes managed care financing mechanisms, including directed payments, MCIP, premium taxes, and other funding structures, to support financial projections and recommendations.
• Reviews managed care plan financial reports for compliance with federal and state requirements, contracts, and applicable regulations.
• Monitors managed care plan financial performance, expenses, reserves, and cost trends to identify risks, anomalies, and opportunities for improved financial oversight.
• Develops and coordinates annual Medicaid budget requests, fiscal impact statements, legislative materials, budget adjustments, and supporting documentation.
• Prepares financial reports, dashboards, data visualizations, and analytical summaries to support leadership decision-making, budget development, reporting, and program oversight.

PREFERRED QUALIFICATIONS:

• Experience in accounting, budgeting, forecasting, fiscal analysis, or other quantitative data analysis.
• Advanced proficiency with Microsoft Excel, including experience developing, maintaining, or analyzing complex spreadsheets and financial models.
• Experience using LaGov and Business Objects for financial reporting, data analysis, or budget monitoring.

Position-Specific Details:

Location: Medical Vendor Administration / Financial Management and Operations / East Baton Rouge Parish

Appointment Type: This position may be filled as aProbationary appointment, Promotional appointment, Job appointment or Detail to Special Duty

Cost Center: 3052070202

Position Number(s): 50694385, 50409119, 50694386, 50668607

Contact Information:

Shambrielle Pooler

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

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.