Medicaid Program Supervisor

State of Louisiana

Baton Rouge (LA)

On-site

USD 60,000 - 76,000

Full time

2 days ago
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Job summary

Louisiana Department of Health in Baton Rouge seeks a results-driven professional to manage Medicaid email communications. You will monitor inboxes, route inquiries, and ensure compliance with program policies while coordinating coverage during peak periods.

The ideal candidate brings extensive experience in health or social service programs and a strong grasp of regulatory requirements, along with the ability to train staff and improve processes.

Qualifications

  • Six years of experience developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.
  • Six years of full-time work experience in any field plus three years in health or social service program development or management.
  • A bachelor’s degree plus three years in health/public health program development or management; or public health, public relations, social services, health regulation, or administrative services.
  • An advanced degree or a Juris Doctorate plus two years in health/public health program development or management.

Responsibilities

  • Monitors Medicaid program inboxes to identify high-volume, high-priority, time-sensitive communications.
  • Reviews and routes beneficiary, provider, and stakeholder inquiries for timely resolution.
  • Ensures outgoing email communications comply with Medicaid policies and regulations.
  • Conducts quality‑assurance reviews of email communications and addresses errors to prevent compliance issues.
  • Provides guidance and training to staff on Medicaid email protocols and documentation requirements.
  • Coordinates email coverage during peak periods, staff leave, and emergencies to maintain service delivery.
  • Monitors workflows and identifies delays, recommending improvements for efficiency.

Skills

Accountability
Policies & procedures
Team leadership
Performance management

Education

Bachelor's degree + 3 years health/public health
Advanced degree or JD + 2 years health/public health

Job description

About This Job

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.


About This Job

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 behind the scenes of Medicaid! This role plays a critical part in ensuring timely, accurate, and compliant communication for beneficiaries, providers, and stakeholders. You’ll monitor high-priority inquiries, support quality assurance, train staff, and help keep essential Medicaid operations running smoothly. If you’re detail-oriented, organized, and ready to make a difference, this is an opportunity to help strengthen service delivery for Louisiana’s Medicaid community.


An Ideal Candidate Should Possess The Following Competencies

Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.


Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.


Leading Effective Teams: The ability to build, guide, and motivate teams to achieve goals through collaboration, accountability, and shared purpose.


Managing Performance: The ability to plan, monitor, and document employee performance throughout the year.


Minimum Qualifications

Six 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 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; OR


A bachelor’s degree 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; OR


An advanced degree or a Juris Doctorate plus two 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.


Job Duties


  • Monitors Medicaid program inboxes to identify and prioritize high-volume, high-priority, and time-sensitive communications.

  • Reviews and routes beneficiary, provider, and stakeholder inquiries to the appropriate staff or program areas for timely resolution.

  • Ensures outgoing email communications comply with Medicaid policies, program requirements, and applicable state and federal regulations.

  • Conducts quality‑assurance reviews of email communications and takes corrective action to address errors and prevent potential compliance issues.

  • Provides guidance and training to staff on Medicaid email protocols, documentation requirements, and professional communication procedures.

  • Coordinates email coverage during peak workload periods, staff leave, and emergencies to maintain timely and consistent service delivery.

  • Monitors communication workflows and identifies issues or delays, recommending improvements to support efficient operations and continuity of Medicaid services.


Position‑Specific Details

Location: Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Parish


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


Cost Center: 3052050412


Position Number(s): 50698299


Compensation: This position is eligible for Premium Pay of up to $2.00/hr for hours worked based on longevity.


Contact Information

Shambrielle Pooler


Shambrielle.Pooler@la.gov


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.


Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.


As a State Employee, You Will Earn Competitive Pay, Choose From a Variety Of Benefits, And Have Access To a Great Professional Development Program

Insurance Coverage More information can be found at https://info.groupbenefits.org/


Parental Leave – Up to six weeks paid parental leave


More information can be found at https://www.civilservice.louisiana.gov/Parental‑Leave/Default.aspx


Holidays and Leave

State employees receive the following paid holidays each year:



  • New Year's Day

  • Martin Luther King, Jr. Day,

  • Mardi Gras,

  • Good Friday,

  • Memorial Day,

  • Independence Day,

  • Labor Day,

  • Veteran's Day,

  • Thanksgiving Day and Christmas Day.

  • Additional holidays may be proclaimed by the Governor


State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.


Retirement

State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries. State Retirement Systems May Include (but Are Not Limited To):



  • Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system

  • Teacher's Retirement System of Louisiana (www.trsl.org),

  • Louisiana School Employees Retirement System (www.lsers.net), among others


01


DA: Demonstrating Accountability - How well do you take responsibility for your actions, results, and performance?



  • I avoid responsibility, deliver poor work, and resist feedback.

  • I take ownership when prompted and meet basic expectations.

  • I own results, meet standards, and respond to feedback professionally.

  • I drive high performance, prevent issues, and model accountability.


02


DA: Demonstrating Accountability - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.


03


FPP: Following Policies and Procedures - How well do you apply rules, policies, and procedures in your work?



  • I struggle to follow rules or apply policies correctly, which can lead to confusion or mistakes.

  • I follow rules with support and help correct issues, but I sometimes apply policies inconsistently.

  • I apply and explain policies accurately, adapt to routine situations, and help improve procedures.

  • I guide others in applying policies, prevent compliance issues, and improve procedures based on experience.


04


FPP: Following Policies and Procedures - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.


05


LET: Leading Effective Teams - How well do you guide and support teams to work together and reach shared goals?



  • I struggle to provide direction, build trust, or communicate effectively. I avoid delegation or decision‑making.

  • I offer basic guidance and occasional feedback, but sometimes delay addressing issues or miss important gaps.

  • I set clear direction, encourage teamwork, communicate well, make sound decisions, and delegate tasks effectively.

  • I build high‑performing teams, empower others, adapt communication to the situation, and lead with vision and trust.


06


LET: Leading Effective Teams - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.


07


To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type "N/A" if no immediate family members are employed by LDH.



  • Required Question

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