Medicaid Program Manager — Quality & Impact Lead

State of Louisiana; Baton Rouge (LA); On-site; USD 90,000 - 120,000; Full time

Job summary

The Louisiana Department of Health is seeking an experienced program leader to manage the Medicaid Evidence-based Decisions (MED) program and drive statewide quality improvements. This role focuses on using data, evidence-based practices, and contract deliverables to improve Medicaid outcomes for Louisiana residents.

You will collaborate with MCOs, Healthy Louisiana staff, and Clinical Policy to translate findings into actionable policy and practice changes, supporting statewide quality measures

Qualifications

• Seven years of experience developing, managing, or evaluating health or social service programs; OR six years of full-time work in any field plus four years in relevant programs; OR a bachelor’s degree plus four years in relevant programs; OR an advanced degree/JD plus three years in relevant programs.

Responsibilities

• Manages the Medicaid Evidence-based Decisions (MED) program in compliance with contract deliverables.
• Assists in the development and management of performance measures related to Medicaid and the MCOs.
• Provides technical assistance to MCOs in adhering to program policies and contract deliverables.
• Serves as liaison between the Quality team and Clinical Policy to inform programmatic efforts and evidence-based practice.
• Supports collaboration with Healthy Louisiana staff on Clinical Quality Measures (CQM).
• Assists with the administration of the Managed Care Incentive Program (MCIP).
• Implements quality improvement initiatives by analyzing data and researching policies to develop manuscripts, fact sheets, and policy briefs.

Skills

Medicaid program leadership

Education

Bachelor's degree in public health/health policy

Advanced degree or JD in health policy/related field

Job description

The Louisiana Department of Health is seeking an experienced program leader to manage the Medicaid Evidence-based Decisions (MED) program and drive statewide quality improvements. This role focuses on using data, evidence-based practices, and contract deliverables to improve Medicaid outcomes for Louisiana residents.

You will collaborate with MCOs, Healthy Louisiana staff, and Clinical Policy to translate findings into actionable policy and practice changes, supporting statewide quality measures