University of New Orleans-posted 4 months ago
Baton Rouge, LA
Educational Services

The position serves as a liaison between the Louisiana Department of Health (LDH) and facilities statewide that have elected to participate as outstation sites. The role involves negotiating Memorandums of Agreement (MOA) and ensuring that all required agreements and certificates are complete prior to implementation. Responsibilities include creating Outstation invoices, coordinating training and inspections for outstation sites, and ensuring systems at these sites are properly configured. The position also involves monitoring and evaluating the performance of outstation sites, implementing corrective actions as necessary, and remaining current on policy changes. Additionally, the role requires communication with eligibility field staff and making recommendations for system enhancements to improve processes.

  • Serve as liaison between LDH and facilities statewide that have elected to participate as outstation sites by negotiating Memorandums of Agreement (MOA) and ensuring that all required agreements and certificates are complete prior to implementation.
  • Manually create Outstation invoices for host site(s) and resolve outstanding balances due to late payments.
  • Coordinate with Eligibility Field Operations to provide required training for outstation sites.
  • Coordinate outstation site inspections by regional staff.
  • Coordinate with DHH IT to ensure systems at outstation sites are properly configured.
  • Serve as the intermediary between Medicaid and facility management staff to conduct periodic monitoring and evaluate performance of outstation sites.
  • Review reports in order to identify deficiencies, suggest corrective action as appropriate, and implement policies and procedures as defined.
  • Implement corrective action when necessary to address any deficiencies identified as the result of failure to meet performance benchmarks or failure to adhere to policies and procedures.
  • Review communications received and respond as appropriate.
  • Independently respond to questions and concerns from outstation staff and facility managers.
  • Remain current on policy, procedure, and programmatic changes to ensure that all applicable state and federal rules are appropriately applied.
  • Communicate and coordinate with eligibility field staff regarding policies and procedures related to participation and enrollment in the outstation program.
  • Monitor OSS and Outstation program email accounts and respond to all inquiries received in a timely manner.
  • Make recommendations regarding system enhancements to improve the process for participating hospitals and providers.
  • Lead process improvement initiatives to improve procedures, increase efficiency, and meet changes in law and policy.
  • Consult with programmers on maintenance of current systems and ensure the process produces accurate results.
  • Consult with programmers during the development and maintenance of the Medicaid Modernization unit to ensure the process produces accurate results.
  • Manage and coordinate with EPO program monitors to ensure a presence is available and accessibility to services is communicated to all resources across programs and that partners are knowledgeable of policies, programs, and how to access benefits.
  • Monitor the OSS payment file run and assist in resolving errors associated with each run.
  • Resolve payment issues by coordinating with the Departments Fiscal Intermediary and/or the Office of Management and Finance (OMF) and assist vendors with LaGOV registration.
  • Other tasks as directed.
  • Bachelor's degree or 6 years of professional work experience in lieu of degree.
  • Minimum two years of experience in managing projects.
  • Excellent analytical skills, effective organizational and time management skills.
  • Great attention to detail and follow-up and excellent verbal/written communications skills.
  • Proficient in Microsoft Office programs.
  • Advanced degree.
  • Minimum three years of professional experience in dealing with federal/state health care programs.
  • Minimum three years of professional experience in health care field or Medicaid program support.
  • Minimum three years of professional experience managing projects.
  • Minimum three years of professional experience with the OSS payment file process.
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