Medicaid Program Manager 4

State of LouisianaBaton Rouge, LA
Onsite

About The Position

The Louisiana Department of Health (LDH) is seeking a key strategic leader for the Bureau of Health Services Financing (BHSF) to oversee and manage a Medicaid budget exceeding $16 billion and support healthcare services for 1.6 million residents. As Section Chief for Financial Management Administration, this role will guide complex funding methodologies, maximize federal participation, shape statewide Medicaid policy, and drive major budgetary decisions. This is an opportunity for a financial professional to collaborate with state and federal partners, supervise staff, and advance the mission of the LDH.

Requirements

  • Two years of the required experience for the following minimum qualifications must have been at the supervisory level or above: Eight 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 five 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 five 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 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.
  • 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

  • Directs and manages the development, maintenance, and monitoring of administrative budget policies, complex funding methodologies, and cost allocation models to ensure sufficient funding for the Medicaid Medical Vendor Administration program.
  • Provides oversight of programmatic expenditures to ensure proper allocation, availability of required match funding, and maximization of federal funds while maintaining compliance with legislative and regulatory requirements.
  • Serves as liaison between Medicaid leadership and federal, state, and legislative entities, preparing and directing responses related to complex Medicaid funding methodologies and ensuring compliance with CMS guidelines.
  • Directs contract preparation, amendments, procurement activities, and funding source verification to ensure accuracy, compliance, and efficient monitoring of Medicaid contracts.
  • Supervises day-to-day operations of the Financial Management Vendor Administration section, providing leadership, performance management, staffing decisions, and guidance on policy, budget, and technical issues.
  • Reviews and guides policy changes affecting Medicaid programs, assessing fiscal impacts, interpreting CMS regulations, and making recommendations to executive leadership; represents the agency in legislative committees and CMS financial reviews.
  • Oversees development of advanced analytical projects and expenditure forecasts, including monthly Medicaid forecasts and long-term budget outlooks, and directs preparation of the Medicaid administrative budget request.
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