- Bachelor's Degree
- Doctoral Degree
- Master's Degree
- Leadership Experience
- Communication Skills
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.
JOIN OUR TEAM AND HELP MAKE A DIFFERENCE BY:
Working with the Department's executive leadership to oversee and manage a health care coverage program with an annual budget exceeding $12 billion and covering over 1.6 million children and adults.
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.
Representing 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.
Overseeing 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.
ARE YOU THE RIGHT FIT? WE ARE LOOKING FOR A LEADER THAT HAS:
A deep commitment to the mission of the Department combined with progressively responsible experience in health and/or government administration, health care, public policy and/or public administration.
Excellent communication skills and a proven track record of managing staff.
THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING EXPERIENCE:
Interpreting complex federal and state law.
Creating and implementing strategic operational plans for a large and multi-faceted organization
Experience with developing, managing or administering Medicaid managed care programs
Want to know more?
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 will substitute 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 will substitute 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 to substitute 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 Commission of Higher Education; 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
EXAMPLES OF WORK:
20%Provides strategic direction for the Medicaid program to optimize health system performance through approaches that simultaneously: improve the patient experience of care, improving the health of populations, and reduce the per capita cost of health care. Formulates long range goals and objectives. Routinely assesses agency progress and reallocates agency resources to facilitate the achievement of systemic change.
15% Oversees the development of the annual budget request and administration of legislative appropriations for the operation of the Medicaid program. Oversees the development of actuarially sound capitation rates paid to Medicaid Managed Care Organizations on a Per Member Per Month basis, which account for more than half of the total Medicaid program · expenditures, and financial reporting by Managed Care Organizations to assure compliance with contracted fiduciary responsibilities.
15% Maintains state of the art health care service delivery models and financing mechanisms by keeping abreast of federal health care policies and legislation; using data-driven, evidence-based approaches, analyzes programs and methods in use in other states and government jurisdictions; adapts policy guidelines, institutes new programs, develops new models of service delivery and methodologies for reimbursement as appropriate.
15% Consults with other state agency staff, federal agency staff, representatives of provider groups and recipient groups to review operation.of assigned programs and insure the availability of medical services to Louisiana's indigent population. Approves proposed policy and procedures relative to eligibility, reimbursement for services, regulatory activity and interaction with other programs and agencies. Interprets policies, guidelines for staff or other individuals as needed.
10% Resolves problems of a complex nature, usually involving inter-agency disputes, provider groups and other matters that cannot be resolved at a lower level. Negotiates with stakeholders, including providers, Managed Care Organizations, professional services contractors and federal officials,to broker solutions.
10% Testifies before legislative committees at the state level and provides information to Congressional staff at the federal level regarding the Department of Health and Hospitals position on issues and legislative bills in assigned program areas. Represents DHH in meetings with providers, legislators, other government officials, professional groups, and/or other interested citizens. Represents the Secretary and Undersecretary of the Department on boards, commissions, or work groups as needed. Performs public relations functions relating to the Department's operations. This involves speeches to various interested groups, provides information for press releases, etc.
10% Manages agency workload through the effective use of staff and contract resources. Maintains an effective distribution of labor, with careful attention to the functioning of the organization structure and reorganization as warranted. Assigns priority work within the agency and sets controls to assure completion within certain time frames.
5% Undertakes special studies and projects; prepares reports and findings; develops proposals for legislation.