Medicaid Program Manager 1-B

State of Louisiana • Baton Rouge, LA

3d • Onsite

About The Position

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. Join the Louisiana Department of Health’s Bureau of Health Services Financing (BHSF) and play a key role in improving healthcare for nearly 1.7 million Medicaid enrollees across Louisiana. As part of the Medicaid Quality Improvement Section, you’ll contribute to meaningful data collection, reporting, and analysis that helps measure and strengthen the quality of healthcare provided to Medicaid members. If you’re ready to use your skills to make a real difference in the health and well-being of Louisianans, we want you on our team!

Requirements

• 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.
• 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.

Responsibilities

• Manages and coordinates statewide Clinical Quality Measure (CQM) projects and initiatives, ensuring compliance with project deliverables, quality strategies, CMS requirements, contracts, accreditation standards, and regulatory requirements.
• Plans, implements, monitors, and evaluates quality improvement projects and processes to improve the quality, access, and outcomes of healthcare services for Medicaid enrollees.
• Oversees the collection, analysis, monitoring, and reporting of quality-related data and performance measures, ensuring accuracy, consistency, and efficiency across the Medicaid enterprise.
• Provides technical assistance, consultation, and guidance to Medicaid staff, healthcare providers, contractors, and other stakeholders regarding CQM initiatives, quality improvement activities, and corrective action plans.
• Coordinates project charters, work plans, meetings, reports, and supporting documentation; identifies and resolves project issues and develops strategies to monitor progress and achieve established goals.
• Evaluates contractor deliverables and quality improvement initiatives, recommends corrective actions, and ensures ongoing compliance with program objectives, policies, and contract requirements.
• Develops and maintains partnerships with internal and external stakeholders to support quality improvement initiatives, health information technology projects, and the sustainable implementation of Medicaid quality programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level