Medicaid Program Manager 1-B

DGS Office of External Affairs; Baton Rouge (LA); On-site; USD 65,000 - 95,000; Full time

Job summary

The Medicaid Program Manager 1-B at the Louisiana Department of Health's Bureau of Health Services Financing oversees statewide Clinical Quality Measure projects for about 1.7 million Medicaid enrollees, coordinating quality improvement initiatives, data collection and analysis, and stakeholder engagement to improve access and health outcomes.

The role reports to the Medical Vendor Administration division in Baton Rouge and involves evaluating contractor deliverables and ensuring CMS and

Qualifications

• 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 admin.
• Bachelor's degree plus four years of experience in health/social service program development, management, or evaluation.
• Advanced degree or Juris Doctorate plus three years of relevant health or social service program experience.
• Experience with data collection, analysis, monitoring, and reporting of quality-related performance measures.
• Ability to manage complex projects and coordinate with internal and external stakeholders.

Responsibilities

• Oversees statewide Clinical Quality Measure projects and coordinates quality improvement initiatives.
• Manages data collection, analysis, monitoring, and reporting of quality-related performance measures.
• Evaluates contractor deliverables and ensures compliance with CMS requirements and regulatory standards.
• Provides technical assistance to staff and healthcare providers and coordinates with internal and external stakeholders.

Skills

Data collection & analysis

Stakeholder coordination

Project management

Education

Bachelor's degree + 4 years relevant experience

Advanced degree or JD + 3 years relevant experience

Job description

The Medicaid Program Manager 1-B manages and coordinates statewide Clinical Quality Measure projects for the Louisiana Department of Health's Bureau of Health Services Financing, serving nearly 1.7 million Medicaid enrollees. The role oversees quality improvement initiatives, data collection and analysis, and stakeholder coordination to improve healthcare access and outcomes for Medicaid members. The position reports to the Medical Vendor Administration division in Baton Rouge and involves evaluating contractor deliverables, ensuring compliance with CMS requirements and regulatory standards, and providing technical assistance to staff and healthcare providers.

Key qualifications:

• 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 admin
• Bachelor's degree plus four years of experience in health/social service program development, management, or evaluation
• Advanced degree or Juris Doctorate plus three years of relevant health or social service program experience
• Experience with data collection, analysis, monitoring, and reporting of quality-related performance measures
• Ability to manage complex projects and coordinate with internal and external stakeholders