Program Manager 1 - A - LDH (OBH/SEM/225216)

State of Louisiana; Baton Rouge (LA); On-site; USD 90,000 - 130,000; Full time

Job summary

Louisiana Department of Health is seeking a Program Manager in the Health Plan Management Division to lead the design, implementation, and oversight of quality assurance initiatives for 1115 and integrated care programs. You will collaborate with executive leadership to shape strategy, analyze data, and elevate care standards across populations.

The ideal candidate has extensive experience with LMHP, substance use disorders, and Medicaid settings, with proven data-driven decision making and

Qualifications

• Experience leading health program design and implementation.
• Strong knowledge of substance use disorders and behavioral health.
• Experience with Medicaid and managed care environments.

Responsibilities

• Lead QA and improvement activities for 1115 Demonstration Waivers and integrated care programs.
• Develop and monitor KPIs and reports to evaluate program effectiveness.
• Analyze data and trends to identify compliance issues and drive improvements.
• Develop and implement quality improvement plans and track effectiveness.
• Manage project timelines, milestones, and deliverables for reports and plans.
• Develop policies, SOPs, and audit tools to support compliance.
• Oversee contractors and lead quality reviews with federal and state requirements.

Skills

Healthcare program leadership

Substance use disorders

Medicaid/Managed care

Education

Bachelor's degree

Advanced degree/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.

Learn more about the Louisiana Department of Health

Step into a high-impact leadership role where your expertise drives meaningful change across statewide healthcare programs. As a Program Manager in the Health Plan Management Division, you’ll lead the design, implementation, and oversight of innovative quality assurance and improvement initiatives tied to Section 1115 and integrated care programs. Working closely with executive leadership, you’ll shape strategy, analyze data, and elevate care standards for diverse populations. This is a unique opportunity for a clinically experienced professional with deep behavioral health knowledge to influence policy, improve outcomes, and make a lasting difference. to be at the forefront of transformational healthcare leadership.

The ideal candidate should have experience as an LMHP with strong expertise in substance use disorders and significant experience in Medicaid and managed care environments. Proven ability to lead quality improvement initiatives using strong analytical skills and data-driven decision-making. Excellent written and verbal communication abilities to translate complex information into clear, actionable guidance.

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 administrative services; OR
• Six years of full-time work experience in any field plus four 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 four 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 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.

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

• Lead quality assurance and improvement activities for Section 1115 Demonstration Waivers and integrated care programs to ensure compliance and achievement of performance goals
• Identify, develop, and monitor key performance measures and reports to evaluate program effectiveness and drive continuous improvement
• Analyze data, reports, and trends to detect compliance issues and develop actionable recommendations to improve quality of care and outcomes
• Develop and implement quality improvement plans, tracking the effectiveness of corrective and preventative strategies and revising as needed
• Manage project timelines, milestones, and deliverables, ensuring alignment with organizational priorities and timely completion of required reports and plans
• Develop, implement, and maintain policies, standard operating procedures, and audit tools to support quality monitoring, evaluation, and regulatory compliance
• Oversee contractors and lead quality reviews, including audits and assessments, ensuring deliverables meet federal and state requirements and support high-quality program performance

Position-Specific Details

Location: Office of Behavioral Health/Quality Management/East Baton Rouge Parish

Appointment Type: This position may be filled as a Probationary appointment.

Cost Center: 3301010309

Position Number(s): 50416958

Contact Information

Shea Malbreaugh

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

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 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.