Medicaid Analyst Supervisor

State of Louisiana•Baton Rouge, LA

1d•Onsite

About The Position

The Louisiana Department of Health is seeking a Medicaid Analyst Supervisor to lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. The supervisor oversees workflow, ensures compliance with state and federal policies, supports staff with complex cases, monitors case quality, provides in-service training, and handles reviews, investigations, and fair-hearing inquiries. The role calls for a detail-oriented leader committed to program integrity and improved outcomes for Louisiana families. The position supervises a unit responsible for maintaining acceptable assistance standards. It ensures personnel follow applicable rules and regulations and that production and quality meet state, regional, and national goals. The supervisor advises analysts on sensitive or difficult applications, interprets program policy, coordinates training, monitors case development and workflow, and prepares statistical reports. Other duties include conducting interviews about fair-hearing rights, investigating complaints and possible adjustments, responding to Privacy Act and Freedom of Information Act requests, conducting special investigations and studies, and maintaining corrective-action files. The position is located in Medical Vendor Administration / Eligibility Field Operations, Region 2, East Baton Rouge Parish. It may be filled as a probational or promotional appointment. The listed compensation is $24.35 per hour ($1,948.00 bi-weekly), with eligibility for a special entrance rate and premium pay of up to $2.00 per hour worked based on longevity.

Requirements

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.
For the experience substitution, each 30 semester hours earned from an accredited college or university counts as one year toward the six years of full-time work experience in any field, up to 120 semester hours or four years.
Competency in building and supporting teams.
Competency in communicating effectively using structured methods that promote understanding and engagement.
Competency in demonstrating accountability for actions, behavior, performance, decisions, and outcomes.
Competency in driving results by setting and pursuing goals, maintaining focus amid competing demands, and delivering results.
Competency in following, reinforcing, adapting, or developing policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
Competency in adapting to changing circumstances.
Competency in building trust and creating a supportive environment where others feel comfortable speaking up, sharing ideas, and acknowledging mistakes.

Responsibilities

Supervise a unit of Medicaid Analysts and maintain acceptable standards of assistance.
Ensure personnel in the unit strictly adhere to applicable rules and regulations.
Ensure work production and quality meet state, regional, and national goals established by the respective administrators.
Advise Medicaid Analysts on procedural issues, policy, and decisions for especially sensitive or difficult applications.
Plan and coordinate in-service training for unit personnel.
Monitor case development through reviews guided by agency policy, previous review findings, and quality-control findings.
Interpret program policy for subordinates to ensure consistency with federal rules, regulations, and guidelines.
Monitor unit workflow, control case distribution, and complete weekly and monthly statistical reports.
Interview applicants and recipients concerning their rights in relation to fair hearings.
Interview complainants and investigate possible adjustments.
Respond to requests in accordance with the Privacy Act and the Freedom of Information Act.
Conduct special investigations and studies.
Develop and maintain files for corrective action.