MEDICAID ANALYST SUPERVISOR

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Medicaid Analyst Supervisor

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.

The Louisiana Department of Health is seeking a motivated Medicaid Analyst Supervisor to lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. In this role, you will oversee workflow, maintain compliance with state and federal policies, support staff with complex cases, monitor case quality, provide in-service training, and handle reviews, investigations, and fair-hearing inquiries. This position is ideal for a detail-oriented leader who thrives in a fast-paced environment and is committed to strengthening program integrity and improving outcomes for Louisiana families.

An ideal candidate should possess the following competencies: Building and Supporting Teams, Communicating Effectively, Demonstrating Accountability, Driving Results, Following Policies and Procedures, Adapting to Change, Building Trust.

Minimum Qualifications:

Six years of social services experience; OR Six years of full-time experience in any field plus three years of social services experience; OR A bachelor's degree plus three years of social services experience; OR An advanced degree plus two years of social services experience. 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.

Job Duties and Other Information:

Job Duties:

  • Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance. Ensures strict adherence to all rules and regulations by all personnel in the unit. Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.
  • Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions. Plans and coordinates in-service training for personnel in the unit.
  • Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.
  • Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.
  • Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.
  • Interviews applicants and recipients concerning their rights in relation to fair hearings. Interviews complainants and investigates possible adjustments. Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.
  • Conducts special investigations and studies. Develops and maintains files for corrective action.

Position-Specific Details:

Location: Medical Vendor Administration / Eligibility Field Operations - Region 6 / Rapides Parish

Appointment Type: This position may be filled as a Probational appointment or Promotional appointment of a current LDH employee

Cost Center: 305-2050407

Position Number(s): 158802

Compensation: This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity. Medicaid Analyst Supervisor - $24.35 hr / $1,948.00 bi-weekly

How To Apply:

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.

* Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

For information on how to check your application status and understand status updates, please click HERE (Download PDF reader).

Benefits:

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave Up to six weeks paid parental leave More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave State employees receive the following paid holidays each year:

  • New Year's Day
  • Martin Luther King, Jr. Day,
  • Mardi Gras,
  • Good Friday,
  • Memorial Day,
  • Independence Day,
  • Labor Day,
  • Veteran's Day,
  • Thanksgiving Day and Christmas Day.

Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

  • Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
  • Teacher's Retirement System of Louisiana (www.trsl.org)
  • Louisiana School Employees Retirement System (www.lsers.net), among others
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