This position is located within the Louisiana Department of Health l Medical Vendor Administration l BHSF Director's Office l EBR Parish.
This vacancy is being announced as a Classified position and may be filled either as a Probationary Appointment, Job Appointment or Promotional Appointment.
(Job Appointments are Temporary Appointments up to 48 months)
- Resumes will not be accepted in lieu of job experience on application.*
****REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. Failure to provide your qualifying work experience may result in your application not being considered.****
WORKING JOB TITLE:
Chief Operating Officer
WORKING JOB DESCRIPTION:
The Medicaid Chief Operating Officer ensures Medicaid agency functions are optimized and aligned to deliver on the Department's strategic goals and tactical objectives, ensuring compliance with Federal and State laws, rules and regulations, and stewardship of public resources while providing access to the highest quality of service and care to Louisiana Medicaid enrollees. This position requires in-depth knowledge of Medicaid including its critical issues and major challenges.
40% Deliver Results:
Overall responsibility for facilitating the coordination, integration and execution of Medicaid policies and activities across Medicaid components, including new program initiatives. Directs, aligns, and oversees Medicaid's ongoing operational strategies, policies, objectives, and initiatives.
Tracks and monitors Medicaid performance and intervenes, as appropriate, to ensure key milestones/deliverables are successfully achieved. Keeps the Undersecretary and Medicaid Director advised of the status of significant federal and state initiatives and programs that affect beneficiaries and/or Medicaid and makes recommendations regarding necessary corrective actions.
Promotes accountability, communication, coordination, and facilitation of cooperative decision-making among LDH senior leadership on management, operational and programmatic cross-cutting issues.
Provide direct supervision to the Medicaid Eligibility Deputy Director; the Medicaid Policy, Waivers & Public Affairs Deputy Director; the Medicaid Program Operations & Compliance Deputy Director; the Chief Medical Officer and the Chief Clinical Innovations Officer.
Applies current knowledge and understanding of Medicaid regulations, industry trends, current best practices, new developments, and applicable laws regarding assigned departments for operational and financial effectiveness. Ensures regulatory compliance for all areas of responsibility.
Recognizes, adopts, and implements continuous quality improvement (CQI) best practices and metrics to obtain desired strategic and tactical results.
Chair the Medicaid Financial Review Committee, including ensuring any Medicaid item that has a budget impact is evaluated and recorded.
30% Strategic Planning Responsibilities:
Participates in the strategic and long-range planning of the organization. Integrates the long-range plans with operational plans and priorities. Provides leadership in determining programmatic, technical, and operational goals and develops processes to achieve these goals.
In partnership with LDH and Medicaid Finance, Executive and Operational leadership, facilitates Medicaid's portfolio management approach to decision making and resource allocation processes.
25% Sister Agency Responsibilities:
Provides Medicaid's executive leadership point of contact to LDH sister agency operations, including facilitating all required interaction and coordination between Medicaid and other sister agencies.
Develops strategy and plans for implementing new objectives that partner Medicaid and sister agencies, including collaborating internally and externally to establish direction and enhance alliances to accomplish strategic results.
5% All other duties as assigned
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
There is no guarantee that everyone who applies to this posting will be interview. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.
For further information about this vacancy contact:
Sanaretha Gray @ Sanaretha.Gray@la.gov
P.O. BOX 4818 BATON ROUGE, LA 70821
A baccalaureate degree plus six years of professional experience in public health, social services, health services administration, or administrative services. Three years of experience must have been as a supervisor of two or more professionals.
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.
Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:
A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.
30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.
College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.
Graduate training will substitute for a maximum of one year of the required general work experience on the basis of thirty semester hours for one year of experience.
A master's degree will substitute for one year of the required general experience.
A Juris Doctorate will substitute for one year of the required general experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required general experience.
A Ph.D. will substitute for two years of the required general experience.
Advanced degrees will substitute for a maximum of two years of the required general experience.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
Function of Work:
To serve as one of two assistant administrators of the Medical Vendor Administration which sets the policy for health care reimbursement for federally mandated and other services; to assist in the management of all related activities including needs review; inspection and licensure of facilities; certification of participants; quality control and policy enforcement rate setting.
Level of Work:
Broad direction from Medicaid Director.
Direct line over Section Chiefs within the Medical Vendor Administration.
Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.
Differs from other administrative positions in DHH by its unique responsibility for day to day management of several operating sections involved in Medical Vendor Administration and related programs.
Examples of Work
Directs the activities of several program managers involved in the Medical Vendor Administration in DHH.
Analyzes assigned program objectives and directs staff activities to accomplish desired results; meets with government officials, medical professionals and others to explain the agency's position; presents testimony at hearings and drafts needed legislation.
Coordinates program efforts with other agency sections/units to assure agency compliance with federal and state regulations.
Interviews and makes recommendations for hiring staff; oversees
their training and development; monitors their performance to ensure that programmatic goals are achieved.
Keeps in touch with development of trends and practices in Medical Vendor Administration on a national scale so that plans may be developed to improve the medical program and enable the Medical Vendor Administration to meet its goals.
Determines the need for new programs or changes in existing programs; presents recommendations, outlines methods of meeting these needs and directs subordinates in development of policies and procedures for the Medical Vendor Administration.
Undertakes numerous special studies and projects; prepares report(s) of findings; develops proposals for legislation; testifies before public bodies, including the legislature.