Medicaid Ltc Supervisor

State of Louisiana•Opelousas, LA

11d•Onsite

About The Position

Lead a dedicated team that plays a vital role in helping Louisiana resident’s access essential Long-Term Care services. This rewarding leadership opportunity allows you to supervise eligibility staff, guide complex case decisions, and ensure program integrity for statewide Long-Term Care programs. In this role, you will provide policy expertise, mentor and develop employees, collaborate with attorneys, advocacy groups, providers, and healthcare professionals, and help shape procedures that impact vulnerable populations across the state. Ideal candidates will enjoy leadership, problem-solving, policy interpretation, and making meaningful decisions that directly affect the lives of individuals and families. If you are looking for a challenging and impactful career with opportunities to lead, influence policy, and drive program excellence, we encourage you to apply!

Requirements

Six years of experience in eligibility determinations for long-term care programs; OR Six years of full-time experience in any field plus three years of experience in eligibility determinations for long-term care programs; OR A bachelor's degree plus three years of experience in eligibility determinations for long-term care programs; OR An advanced degree plus two years of experience in eligibility determinations for long-term care programs.
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.

Nice To Haves

Leading Effective Teams: The ability to build, guide, and motivate teams to achieve goals through collaboration, accountability, and shared purpose.
Thinking Strategically: The ability to anticipate trends, understand context, and align actions with long-term priorities.
Training Others: The ability to design and deliver training experiences that build knowledge, develop skills, and improve performance.
Acting Decisively: The ability to make timely, confident decisions using sound reason.
Building and Supporting Teams: The ability to combine one's actions and efforts with others to work toward achieving a common goal.
Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement
Developing Performance: Builds the future potential of others by supporting long-term growth, skill development, and career progression.
Managing Conflict: The ability to recognize, address, and resolve disagreements constructively while preserving relationships and promoting mutual understanding.
Managing Time: The ability to prioritize tasks, meet deadlines, and allocate time to ensure timely completion of work goals.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.

Responsibilities

Supervises Long-Term Care program staff by assigning cases, monitoring workloads, evaluating performance, approving leave, providing counseling, and recommending corrective actions to ensure efficient unit operations.
Oversees the research and analysis of financial, medical, and eligibility information to determine applicant eligibility for statewide Long-Term Care services.
Reviews and resolves advanced and complex eligibility cases, including appeals, hardship requests, and cases involving penalty periods or complex policy interpretations.
Interprets, clarifies, and revises Long-Term Care policies, procedures, rules, and regulations to ensure compliance with changing state and federal laws.
Provides training, guidance, and technical support to employees on the application of Long-Term Care policies and procedures and approves eligibility determinations.
Conducts compliance reviews, audits, and random case sampling to ensure accuracy, program integrity, and adherence to quality standards, and prepares reports of audit findings and performance data.
Collaborates with advocacy groups, attorneys, providers, nursing facilities, financial institutions, and other stakeholders to resolve eligibility issues, address claims discrepancies, and support Long-Term Care program operations and outreach efforts.