Statewide Medicaid Quality Improvement Lead

LDH-Medical Vendor Administration; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

Louisiana Department of Health is seeking a skilled program leader to manage the Medicaid Evidence-based Decisions program and advance statewide quality initiatives. You will guide performance measures, provide technical support to MCOs, and act as a bridge between Quality and Clinical Policy teams to support evidence-based practice.

You will collaborate with Healthy Louisiana staff on Clinical Quality Measures, contribute to MCIP administration, and drive policy-informed manuscripts and briefs

Qualifications

• Seven years of experience developing, managing, or evaluating health or social service programs.
• Six years of full-time work experience in any field plus four years in health or social service programs.
• Bachelor’s degree plus four years in health/public health program management.
• An advanced degree or JD plus three years in health or social service program management.
• EXPERIENCE SUBSTITUTION: Every 30 semester hours credits one year experience, up to four years substitute.

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 Quality and Clinical Policy teams to support evidence-based practice.
• Collaborates with Healthy Louisiana staff on Clinical Quality Measures (CQM).
• Assists with administration of the Managed Care Incentive Program (MCIP).
• Implements quality improvement initiatives by data analysis, literature review, and policy development.
• Monitors statewide operations to assess efficiency and effectiveness of service delivery.
• Assists with development and review of MCO contract deliverables.

Skills

Health program management

Data analysis

Policy research

Stakeholder communication

Education

Bachelor's degree

Advanced degree or JD

Job description

Louisiana Department of Health is seeking a skilled program leader to manage the Medicaid Evidence-based Decisions program and advance statewide quality initiatives. You will guide performance measures, provide technical support to MCOs, and act as a bridge between Quality and Clinical Policy teams to support evidence-based practice.

You will collaborate with Healthy Louisiana staff on Clinical Quality Measures, contribute to MCIP administration, and drive policy-informed manuscripts and briefs