This position is located within the Louisiana Department of Health l Medical Vendor Administration l 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:
Medicaid Deputy Director of Eligibility
WORKING JOB DESCRIPTION:
The Medicaid agency sets the policy for Medicaid and State Children's Health Insurance Program (SCHIP) eligibility and enrollment. This position oversees all aspects of SCHIP, which provides health coverage to more than one hundred thousand children under age 19 from families with income too high to qualify for Medicaid but who cannot afford health insurance.
This Medicaid Deputy Director position plans, directs and oversees the Medicaid Eligibility Division which is compromised of the Eligibility Field Operations and Eligibility Program Operations sections. These sections are responsible for the management, operations, oversight, and support of the Medicaid regional offices, Medicaid Customer Service Unit, Medicaid eligibility policy and procedures, training, Application Centers, outreach and outstation program, Payment Error Rate Measurement, Post Eligibility Review, eligibility reporting, and compliance with federal and state regulations and authorities that govern the administration of the Medicaid Program.
This position will represent LDH and the Medicaid Director at state-level tables focused on Medicaid eligibility and enrollment. Candidates must possess a strong management of people as well as the use of innovations, process improvements, and change management to improve and modernize eligibility policies, systems, business operations and workforce capacity.
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.