MEDICAID PROGRAM MONITOR

Posting number: MVA/PJ/224677

Department: LDH-Medical Vendor Administration

Job classification: MEDICAID PROGRAM MONITOR

Posting type: Open & Promotional

Categories: Social Services, Miscellaneous

Summary

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Make a meaningful impact on Louisiana’s Medicaid program by leading the development, evaluation, and delivery of training that supports high-quality services for millions of Louisianans. This position offers an exciting opportunity to apply your Medicaid expertise, training knowledge, and leadership skills to strengthen staff performance and help ensure effective administration of vital Medicaid services statewide. If you’re ready to make a difference through innovative training and program leadership, we encourage you to apply!

Examples of duties

Six years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

Six years of full-time work experience in any field plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

A bachelor’s degree plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

An advanced degree or a Juris Doctorate plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.

EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Qualifications

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Supplemental information

Job Duties:

·   Monitors the LaHIPP program contractor’s database operations, including maintenance, backups, disaster recovery, performance, capacity, replication, and error resolution. 

·   Leads the identification, diagnosis, troubleshooting, and resolution of LaHIPP Data Warehouse database issues and verifies compliance with data file submission requirements. 

·   Monitors LaHIPP eligibility file processes and assists system administrators with file, database, and other program-related technical issues. 

·   Serves as the primary contact for T-MSIS reporting and coordinates the resolution of issues involving EDMS notices and automated case notes. 

·   Coordinates with LaHIPP contractors, OTS, and other stakeholders to troubleshoot technical issues, resolve reporting concerns, and ensure timely issue resolution. 

·   Develops and reviews monthly, ad hoc, and production reports related to system performance, downtime, enrollment, renewals, notices, overpayments, and other program activities. 

·  Provides technical guidance and support on LaHIPP system operations, escalates complex issues as needed, and collaborates with staff, contractors, and other departments on technical and operational projects.

Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Program Operations / East Baton Rouge Parish

Appointment Type: Probational appointment or Promotional appointment of a current permanent employee with Louisiana Department of Health

Cost Center: 305-2050401

Position Number(s): 50667036

How To Apply:

No Civil Service test score is required in order to be considered for this vacancy.

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