Medicaid Program Manager 1--B

State of Louisiana • Baton Rouge, LA

1d • 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. This exciting role within the Bureau of Health Services Financing’s Medicaid Business Analytics team offers the opportunity to drive data quality, analytics, forecasting, and reporting for a $20+ billion healthcare program serving approximately 1.8 million Louisianans each year. Working alongside state and federal partners, you’ll lead initiatives that improve critical Medicaid eligibility data, develop innovative solutions to complex challenges, and help shape decisions that directly affect healthcare access across the state. If you thrive in a fast-paced, high-responsibility environment where critical thinking, collaboration, and problem-solving are valued, this is your chance to contribute to meaningful work with statewide impact.

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

• Leads and supervises a technical analytics team responsible for developing, reviewing, and optimizing complex SQL, SAS, and Python code supporting Medicaid eligibility, claims, provider, and encounter data reporting.
• Oversees the design and enforcement of coding standards, reusable query libraries, version control practices, and performance optimization strategies to ensure accurate, reproducible, and auditable data deliverables.
• Directs the development and maintenance of production-grade reporting and analytic scripts used for recurring Medicaid enrollment, utilization, financial, and operational reporting.
• Manages complex and ad hoc data request fulfillment for leadership, program areas, audits, and federal reporting by ensuring accurate business logic, data validation, and timely delivery of analytic products.
• Provides technical leadership and guidance on Medicaid-specific data challenges, including eligibility determination logic, managed care and fee-for-service filtering, continuous enrollment analysis, and claims adjustment processing.
• Monitors reporting operations and data quality within the LaMEDS environment, coordinates issue resolution with internal and external stakeholders, and ensures consistency and accuracy across reporting outputs.
• Establishes staff priorities, work plans, and performance expectations; conducts employee evaluations and coaching; identifies training needs; and supports staff development to maintain a high-performing analytics team.

What This Job Offers

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