Medicaid Program Supervisor

LDH-Medical Vendor Administration; Baton Rouge (LA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Premium Pay

Job summary

Louisiana Department of Health in Baton Rouge seeks a detail-oriented professional to monitor Medicaid program inboxes, prioritize high-priority inquiries, route them to the right staff, and ensure timely, compliant communications.

You will provide guidance and training on Medicaid email protocols, coordinate coverage during peak periods, and support QA initiatives to strengthen service delivery for Louisiana’s Medicaid community.

Qualifications

• Demonstrated accountability and ownership of actions and outcomes.
• Follow policies and procedures to maintain compliance with laws and organizational rules.
• Ability to guide teams to meet goals through collaboration and accountability.
• Experience planning, monitoring, and documenting staff performance.

Responsibilities

• Monitors Medicaid program inboxes to identify high-volume, high-priority messages.
• Reviews and routes inquiries to appropriate staff for timely resolution.
• Ensures outgoing email communications comply with Medicaid policies and regulations.
• Conducts quality-assurance reviews of email communications and applies corrective actions.
• Provides guidance and training on Medicaid email protocols and documentation requirements.
• Coordinates email coverage during peak workloads, staff leave, and emergencies.
• Monitors workflows and suggests improvements for efficient operations.

Skills

Accountability

Policies & Procedures

Team Leadership

Performance Management

Education

Bachelor’s degree in relevant field

Advanced degree (Master’s or higher)

Juris Doctorate (JD)

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.

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.

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.

Experience Requirements:

• 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.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

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

[e-mail]

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.