Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4846404) Apply  Medicaid Program Manager 2 Salary $5,477.00 - $10,740.00 Monthly Location Baton Rouge, LA Job Type Classified Job Number MVA/SP/206256 Department LDH-Medical Vendor Administration Opening Date 02/25/2025 Closing Date 3/4/2025 11:59 PM Central + Description + Benefits Supplemental Information The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. LDH serves as a model employer for individuals with disabilities. This position is located within the Louisiana Department of Health / Medical Vendor Administration / Rate Setting and Audit / East Baton Rouge Parish Announcement Number: MVA/SP/206256 Cost Center: 3052120201 Position Number: 172240 This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary appointment, Promotional appointment or Detail to Special Duty. (Job appointments are temporary appointments that may last up to 48 months) No Civil Service test scoreis 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. *Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.* A resume upload willNOTpopulate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit For further information about this vacancy contact: Shambrielle Pooler Shambrielle.Pooler@la.gov LDH/HUMAN RESOURCES BATON ROUGE, LA 70821 This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. Minimum Qualifications MINIMUM QUALIFICATIONS: Seven 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 four 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 four 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 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. 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 Concepts Function of Work: To administer medium size and moderately complex statewide Medicaid program(s). Level of Work: Manager. Supervision Received: Broad from a higher-level administrator/executive. Supervision Exercised: Supervision over lower level positions in accordance with the Civil Service Allocation Criteria Memo. Location of Work: Department of Health and Hospitals. Job Distinctions: Differs from Medicaid Program Manager 1-A and Program Manager 1-B by administering medium size or moderately complex statewide program(s) and supervision exercised. Differs from Medicaid Program Manager 3 by absence of responsibility for administering large and/or very complex Medicaid program(s) and supervision exercised. Examples of Work This position is housed in the Rate Setting and Audit Section of Medicaid. The Rate Setting and Audit section works closely with the Medicaid Leadership Team, Louisiana Department of Health Leadership Team, and other state and federal agencies to ensure compliance with state and federal laws, regulations, rules and guidelines as they relate to payment methodology and reimbursement. Under the supervision of the Medicaid Program Manager 3, duties include, but are not limited to: + Develops and implements Medicaid reimbursement methodologies, financial analysis, and modeling for statewide Medicaid programs, which include hospitals and other healthcare providers. + Manages and directs the daily operations of complex statewide Medicaid programs, including inpatient/outpatient hospital rate setting, disproportionate share hospital payments, upper payment limit rate setting and audit, and graduate medical education payments. + Establishes procedures, which govern payment of claims and cost settlements to providers as well as recoupments of overpayments from providers. + Coordinates and oversees subordinate staff in rulemaking and the preparation of Medicaid State Plan Amendments. + Manages contracts totaling nearly $4 million, including contracts for hospital cost reports, audits, rate development, and supplemental/DSH payment calculations. + Collaborates with federal agencies (CMS), state agencies (Division of Administration, Legislative Fiscal Office, Office of the Attorney General), and other stakeholders to ensure compliance with state and federal regulations. + Supervises staff in the development, administration, and coordination of hospital reimbursement activities. + Consults with staff from various departments and the legislature on issues affecting federal funding and Medicaid provider payments. + Responds to inquiries from providers, legislators, and other stakeholders regarding reimbursement issues. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough 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 athttps://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 (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) 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 Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email