Medicaid Program Monitor

State of Louisiana • Baton Rouge, LA

1d

About The Position

The Louisiana Department of Health is hiring a Program Monitor to oversee Medicaid provider monitoring and help ensure program integrity, accountability, and compliance. The role focuses on safeguarding Medicaid-funded programs and supporting the delivery of essential services to Louisiana nursing home residents.

The Program Monitor leads provider monitoring activities, conducts desk reviews and on-site assessments, reviews financial and compliance documentation, identifies deficiencies, and coordinates corrective actions. The position also prepares monitoring and compliance records and works with fiscal, audit, and program teams to resolve issues and support policy updates and training initiatives.

Requirements

• Meet one of the following minimum qualification pathways: six years of experience developing, managing, or evaluating health or social service programs, or in public health, public relations, social services, health services, health regulation, or administrative services; six years of full-time work experience in any field plus three years of qualifying program or service experience; a bachelor’s degree plus three years of qualifying experience; or an advanced degree or Juris Doctorate plus two years of qualifying experience.
• Experience substitution: Each 30 semester hours from an accredited college or university may count as one year toward the six years of full-time work experience in any field, up to 120 semester hours (four years).

Responsibilities

• Oversee provider monitoring activities to ensure compliance with Medicaid program requirements, state and federal regulations, and established policies.
• Conduct desk reviews and on-site monitoring visits to evaluate provider performance, operational practices, and compliance standards.
• Review cost reports, financial records, and supporting documentation for accuracy, completeness, and compliance with reporting and reimbursement requirements.
• Identify compliance deficiencies, investigate discrepancies, and coordinate corrective action plans with providers.
• Prepare compliance reports, monitoring summaries, and supporting documentation while maintaining accurate, audit-ready records.
• Collaborate with fiscal, audit, and program teams to reconcile data, resolve compliance issues, and support policy updates and training initiatives.
• Monitor program performance and provider accountability to safeguard Medicaid funding, maintain audit readiness, and support services for Louisiana nursing home residents.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed