This position is located within the Louisiana Department of Health l Medical Vendor Administration l Director's Office l East Baton Rouge Parish.
This vacancy is being announced as a Classified position and may be filled either as a Probationary Appointment, Job Appointment or Promotional Appointment.
- 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.****
The Louisiana Department of Health is now recruiting for an experienced, highly motivated and energetic individual to join the Department's executive leadership team as Medicaid Director. This is an exceptional opportunity to join an impactful team of professionals providing new and creative solutions in the administration of Medicaid, combining vision and practicality to shape the future of health for 4 in 10 Louisianans. Working with the Department's executive leadership, this position will oversee and manage a health care coverage program with an annual budget exceeding $12 billion and covering over 1.6 million children and adults.
The Director is responsible for administering the state's Medicaid program, in close coordination with the Offices of Public Health, Behavioral Health, Aging and Adult Services, and Citizens with Developmental Disabilities, the operations of which are integrated under the Department's organizational umbrella. The Director represents Medicaid to key stakeholders, including the Governor's office and state legislature, the Centers for Medicare and Medicaid Services, provider communities and managed care plans, and other stakeholders and advocacy groups. The Director will oversee eligibility and enrollment and the implementation of payment and delivery system reform, including managing the state's managed care program and its population health and quality improvement strategies.
Candidates must have experience interpreting complex federal and state law; creating and implementing strategic operational plans for a large and multi-faceted organization; proactively and accurately identifying issues while seeking resolutions to meet immediate needs and positioning the agency for future requirements, and finally, the leadership role in negotiation, design and execution of multi-billion dollar service contracts emphasizing quality, efficiency, performance and outcome measurement. The Director must have excellent communication skills and a proven track record of managing staff.
Qualified candidates with a deep commitment to the mission of the department in addition to 6 years of progressively responsible experience in health and/or government administration, health care, public policy and/or public administration.
A bachelor's degree and a graduate degree in law, public policy, public administration, health administration, health policy, or similar disciplines that has included Medicaid policy and regulation and Medicaid finance is highly desired.
Experience with developing, managing or administering Medicaid managed care programs is also strongly preferred.
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 at Sanaretha.Gray@la.gov or
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 which 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 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 administrator of the Medical Vendor Administration which sets the policy for health care reimbursement for federally mandated and other medical services; to manage all related activities including needs review; inspection and licensure of facilities; certification of participants; quality control and policy enforcement; and rate setting.
Level of Work:
Administrative direction from the Secretary of DHH.
Direct line over Deputy Directors within the Medical Vendor Administration.
Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.
Differs from all other administrative positions in DHH by responsibility for management of all Medical Vendor Administration and related programs.
Examples of Work
Directs the activities, programs and employees involved in Medical Vendor Administration in DHH.
Determines organizational structure of tasks and programs to maximize efficiency and to guarantee quality standards are maintained.
Hires staff; plans and directs their training and development; monitors their performance to ensure that programmatic goals are achieved.
Develops comprehensive plans and forecasts the funding level for the programs involved in Medical Vendor Administration including payments to all providers and administrative costs.
Formulates current and long range plans and policies.
Maintains state of the art Medical Vendor programs by keeping abreast of federal health care reimbursement policies and legislation; analyzes programs and methods in use in other states and government jurisdictions; adapts policy guidelines, institutes new programs, develops new methods for reimbursement as needed.