Medical Certification Program Manager

State of Louisiana; Baton Rouge (LA); On-site; USD 75,000 - 105,000; Full time

Job summary

Louisiana Department of Health is seeking a Medical Certification Program Manager to oversee Home and Community-Based Service providers, ensure regulatory compliance, and support timely resolution of complaints and incidents. The role emphasizes analytical rigor, provider accountability, and safeguarding client health.

The position focuses on regulatory management, licensing activities, and guidance to providers, with data analysis to identify issues and improve program performance.

Qualifications

• Current Louisiana license in a health services, health regulation, or social services field with four years of licensed-practitioner experience in hospital or nursing home admin, health services, health regulation, or social services.
• Bachelor’s degree plus four years in hospital/nursing home administration, health services, health regulation, or social services.
• Master’s degree in health services, health regulation, or social services plus three years in hospital/nursing home administration, health services, or social services.

Responsibilities

• Oversee regulatory management and compliance of Home and Community-Based Service providers, Case Management providers, and Direct Service Workers to ensure adherence to state/federal requirements.
• Review provider applications and licensing docs for accuracy, completeness, and compliance with regulations.
• Provide guidance and technical assistance to providers on regulatory requirements and agency policies.

Skills

Regulatory compliance

Data analysis

Provider oversight

Regulatory guidance

Education

Louisiana professional license in health services/regulation/social services

Bachelor’s degree in health services/regulation/social services

Master’s degree in health services/regulation/social services

Tools

HSS databases

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 a meaningful impact on the health and safety of Louisiana residents by joining the Louisiana Department of Health! As a Medical Certification Program Manager, you will help oversee Home and Community-Based Service providers, ensure regulatory compliance, and support the timely resolution of complaints and reported incidents. Bring your analytical skills and regulatory expertise to a vital role that strengthens provider accountability, promotes quality care, and helps protect thousands of Louisiana residents.

Qualifications

• A current Louisiana license in a health services field, health regulation field, or social services field plus four years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR
• A bachelor's degree plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
• A master's degree in a health services field, health regulation field, or a social services field plus three years of experience in hospital or nursing home administration, health services, health regulation, or social services.

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

Job Duties:

• Oversee the regulatory management and compliance of Home and Community-Based Service providers, Case Management providers, and Direct Service Workers to ensure adherence to applicable state and federal requirements.
• Review and analyze provider applications, licensing documentation, and other records to ensure accuracy, completeness, and compliance with established regulations.
• Provide guidance and technical assistance to providers regarding regulatory requirements, agency policies, and procedures necessary to maintain compliance.
• Monitor the intake, assessment, and resolution of complaints and reported incidents involving licensed providers to ensure appropriate follow-up and protection of client health and safety.
• Analyze data from HSS databases and other agency systems to identify compliance issues, monitor program performance, and support informed decision-making.
• Prioritize, track, and coordinate annual surveys and complaint investigations, ensuring timely documentation, appropriate routing, and communication of findings.
• Manage licensing activities, address changes, and related regulatory processes to ensure timely processing, operational efficiency, and continuity of healthcare services for Louisiana residents.

Position-Specific Details:

Location: Office of the Secretary / Health Standards / East Baton Rouge Parish

Appointment Type: This position will be filled as a Probationary appointment

Cost Center: 3071040205

Position Number(s): 50357635

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.